6244 Claims Jobs - Page 12

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

Job Title: Guidewire Developer Location: Gurugram (Hybrid) About Intact Insurance RSA Insurance has officially rebranded to Intact Insurance across Ireland, the UK and Europe. Intact Financial Corporation (IFC) is Canada's largest provider of property and casualty insurance, a specialty lines insurer with international expertise, and a leader in commercial lines in the UK and Ireland. Intact is one of the worlds longest-serving general insurance companies. Intact has offices in the UK and across Europe. We’ve been in the insurance industry for more than 300 years. one of our insurance brands, such as John Lewis, Nationwide, or Tesco. Intact provides Personal and Commercial insurance and they...

Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up) again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention.Analysis data to identify process gaps prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes resource utilization and overall constant cost manageme...

Domain specialist- Responsible for supporting the implementation and monitoring with a focus on insurance-related operations, compliance, fraud management, and claims performance. Health expert- Responsible for overall implementation support, hospital quality checks, EHCP visits and compliance with NABH etc

We are hiring for Leading US Healthcare Company for Sr. AR Caller - Profile Location: Hyderabad Salary: Upto 33k in hand Responsibilities: > Minimum 1 year experience in AR Calling in medical billing field > Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. > To work closely with the team leader. > Good Knowledge of RCM and Denial management. > Ensure that the deliverables to the client adhere to the quality standards. > Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. > Calling the insurance carrier & Document the actions taken in claims billing summary notes. > To review emails for any updates >Identi...

Job Description: As a QS Manager (Claims) for the Project Management Consultancy Services (PMC) of the Construction of Double line electrified Railway Track with signalling and telecommunication system for the Western Dedicated Freight Corridor Project, based in New Delhi, you will be responsible for handling claims related to the project. Your key responsibilities will include: - Managing claims and disputes arising during the construction of the railway track - Ensuring adherence to FIDIC Conditions of Contract - Overseeing contracts related to civil works - Utilizing your 8 years of relevant experience in contract management - Collaborating with various stakeholders to resolve disputes ef...

Job Description For Senior Consultant, Healthcare Consulting Job Title: Senior Consultant, Healthcare Consulting Location: PAN India Job Type: Full-time Company Overview: Cognizant Technology Solutions Pvt Ltd. is a leading provider of IT services and business consulting dedicated to transforming healthcare delivery and improving patient outcomes. We partner with various healthcare organizations, as well as work in-house, to develop innovative solutions that address complex challenges in the industry. Position Summary: We are seeking a dedicated and knowledgeable Consultant with Product Owner experience to join our Healthcare Consulting team. The Consultant will be responsible for guiding th...

SUMMARY About The Client : A Fortune 500 global leader in technology services and digital business solutions, this company delivers comprehensive Business Process Services (BPS) and IT-enabled solutions. With a worldwide presence, it serves diverse industries including banking, healthcare, retail, manufacturing, and communications. The firm's expertise spans a broad spectrum of critical processes from finance and accounting to human resources, customer service, and supply chain management - enabling clients to enhance efficiency, drive innovation, and achieve business agility on a massive scale. Job Title: Senior Process Executive (SPE) Domain : P & C Insuranc e operations ( Guidewire with c...

SUMMARY About the Role: We are looking for dedicated and proactive professionals to join our Revenue Cycle Management (RCM) team as Process Executives and Senior Process Executives . The role involves managing the accounts receivable process, following up with insurance companies, and ensuring timely resolution of medical claims. This position offers an excellent opportunity to build a rewarding career in the healthcare BPO industry with structured growth pathways. Designation & Experience: Process Executive: 0 1 year of experience Eligibility Criteria: Qualification: Non-Technical Graduates (B.Tech graduates are also eligible) Experience: Freshers and experienced candidates in Revenue Cycle...

careers@manavatacancercentre.com ---------------------------------------------------------------------------------------------------- WALK IN INTERVIEW: 12 NOON - 6 PM WHATSAPP HR BOT: +91 93094 59794 ---------------------------------------------------------------------------------------------------- I.] THE SUCCESSFUL CANDIDATE SHOULD KNOW THE PROCESS OF: II.] CLAIM PRE AUTHORISATION / QUERY REPLY / FINAL AUTHORISATION III.] DOCUMENTATION OF FILES / DISPATCH OF FILES / FOLLOW UP WITH INSURANCE COMPANIES. IV.] TRACKING OF CLAIMS / MS EXCEL / MS OFFICE ---------------------------------------------------------------------------------------------------- 1. WE ARE THE LARGEST CHAIN OF CANCER HOS...

-Guidewire Claim center 10 or later (DEVELOPER ONLY) -Claim Center Configuration and Integration Interested candidate can contact- ashi@yeslandmark.com +91 9120205383 Perks and benefits Joining bonus, insurance , ESOP, Maternity Leaves

Deputy Manager - Claims(P&C)--8+Years-Pune/Bangalore/Mumbai Summary Are you a seasoned insurance claims professional with over 8 years of experience? Do you possess a strong acumen for handling claims and want to be instrumental in driving efficiency and accuracy in claim processes? If yes, this is the perfect opportunity for you to advance your career and make an impact in the insurance industry! We are looking for a proactive and detail-oriented Deputy Manager - Claims, who will work collaboratively with cross-functional teams to ensure seamless claims management while fostering innovation and compliance. Location-Pune/Mumbai/Bangalore (India) Your Future Employer A globally renowned organ...

As a Senior Analytics Engineer at our Noida, India office, you will play a crucial role in leveraging your healthcare background and analytics or data engineering experience to develop impactful analytics products for both clients and internal teams. Your expertise will be instrumental in enhancing the quality and efficiency of our global team. **Key Responsibilities:** - Develop analytics to assess the usage and effectiveness of our products for healthcare customers - Create analytics for hospital operations to enhance daily functions - Implement performant dbt pipelines, dashboards, and data monitors for productionalizing analytics - Provide analytic solutions for internal inquiries to sup...

As a Senior Consultant at UST HealthProof, your role involves leading consulting projects to support client business goals by defining business problems, recommending solutions, and delivering measurable value. You will be responsible for conducting assessments of business processes, IT environments, and change readiness. Additionally, you will apply business architecture frameworks and methodologies to map strategic goals to functional metrics, processes, data, and capabilities. Your key responsibilities will include: - Strategically consulting and transforming client businesses - Overseeing project delivery, including incident management, requirements gathering, and offshore coordination -...

You will be joining a dynamic team at QX Global Group, a Great Place to Work dedicated to fostering an inclusive and diverse workplace. As a finance professional with expertise in the insurance and broker lifecycle, specifically within the Lloyds market, your role will involve managing accounting operations, reconciliations, reporting, and audit support with a focus on compliance and process excellence in a client-centric environment. Key Responsibilities: - Apply deep knowledge of the insurance industry, including the finance lifecycle of insurers, brokers, and MGAs. - Understand key insurance concepts such as Premiums, Claims, UEPR, DAC, CASE, and IBNR reserves. - Handle broker-specific pr...

Job Purpose The incumbent will be on customer contact, garage contact, claim survey pick up and survey arrangement (within in-house limit), assessment and processing of auto claims), queries on claim flow, admissibility. Liability and status of claims. Manage & take decisions on process and settlement of auto claims over the call based on photographs shared by the customer using technological passement tools available in the claims function. Technical explanation of claim decision, type of settlement and assessments to the customer during the conversation. Transfer and reassign major and complex claims to region based on defined allocation parameters in consultation with team leaders and sen...

To visit site for rendering service to KSB India and KSB group products for new installation, start-up, trouble shooting, overhauling/revision, breakdowns, modifications etc. Collect application operation related data for understanding criticalities possible problems. To support in different offers preparation as per site requirement including offers for modification. Identify the service needs of customers promote service business. Gather application operation related data and various salvaging techniques, used by our customers. Presenting the collected information on claims/ complaints to After sales for work solutions implement solutions. To prepare case studies for presentation during tr...

To visit site for rendering service to KSB India and KSB group products for new installation, start-up, trouble shooting, overhauling/revision, breakdowns, modifications etc. Collect application operation related data for understanding criticalities possible problems. To support in different offers preparation as per site requirement including offers for modification. Identify the service needs of customers promote service business. Gather application operation related data and various salvaging techniques, used by our customers. Presenting the collected information on claims/ complaints to After sales for work solutions implement solutions. To prepare case studies for presentation during tr...

To visit site for rendering service to KSB India and KSB group products for new installation, start-up, trouble shooting, overhauling/revision, breakdowns, modifications etc Collect application & operation related data for understanding criticalities & possible problems. To support in different offers preparation as per site requirement including offers for modification. Identify the service needs of customers & promote service business. Gather application & operation related data and various salvaging techniques, used by our customers. Presenting the collected information on claims/ complaints to After sales for work solutions & implement solutions. Prepare standard service offers independe...

To visit site for rendering service to KSB India and KSB group products for new installation, start-up, trouble shooting, overhauling/revision, breakdowns, modifications etc. Collect application operation related data for understanding criticalities possible problems. To support in different offers preparation as per site requirement including offers for modification. Identify the service needs of customers promote service business. Gather application operation related data and various salvaging techniques, used by our customers. Presenting the collected information on claims/ complaints to After sales for work solutions implement solutions. To prepare case studies for presentation during tr...

To visit site for rendering service to KSB India and KSB group products for new installation, start-up, trouble shooting, overhauling/revision, breakdowns, modifications etc Collect application & operation related data for understanding criticalities & possible problems. To support in different offers preparation as per site requirement including offers for modification. Identify the service needs of customers & promote service business. Gather application & operation related data and various salvaging techniques, used by our customers. Presenting the collected information on claims/ complaints to After sales for work solutions & implement solutions. Prepare standard service offers independe...

Responsibilities: Identify and mitigate legal risks associated with the use, modification, and distribution of open source software. Provide expert legal advice on open source software licensing, compliance, and strategy to internal stakeholders including developers, engineers, product managers, and executives. Advise other attorneys on open source matters and help adapt review processes to meet dynamic industry changes. Develop and implement comprehensive open source compliance programs, including policies, procedures, and training to ensure adherence to open source licensing requirements. Formulate and maintain internal policies and best practices regarding the use and contribution to open...

Responsibilities: Identify and mitigate legal risks associated with the use, modification, and distribution of open source software. Provide expert legal advice on open source software licensing, compliance, and strategy to internal stakeholders including developers, engineers, product managers, and executives. Advise other attorneys on open source matters and help adapt review processes to meet dynamic industry changes. Develop and implement comprehensive open source compliance programs, including policies, procedures, and training to ensure adherence to open source licensing requirements. Formulate and maintain internal policies and best practices regarding the use and contribution to open...

Should be responsible to meet the Target Maintain the quality Attention to detail Skill Sets : US Healthcare / RCM Experience 2 5 Years Good communication Strong Analytical skills Knowledge in Medical Billing, AR denial management, Overall knowledge of RCM process. Sound knowledge in specialties like DME etc Typing Speed 25 wpm Description: Immediate joiner or 15 days notice period Transportation to be managed on own Work From Office Working Days 5 days (Fixed weekend Off)

Should be responsible to meet the Target Maintain the quality Attention to detail Skill Sets : US Healthcare / RCM Experience 2 5 Years Good communication Strong Analytical skills Knowledge in Medical Billing, AR denial management, Overall knowledge of RCM process. Sound knowledge in specialties like DME etc Typing Speed 25 wpm Description: Immediate joiner or 15 days notice period Transportation to be managed on own Work From Office Working Days 5 days (Fixed weekend Off)