2820 Claims Jobs - Page 14

Company: Marsh Description: Ensures timely and accurate production/processing of complex documents/information (includes report preparation) Maintains a basic understanding of the core aspects of relevant Insurance and related legislation (customer awareness) and strengthen established relationships Adheres to Company policies and performance standards Contributes to the achievement of Operations team Service Level Agreements (SLA) , Key Performance Indicators (KPI) and business objectives Marsh, a business of Marsh McLennan (NYSE: MMC), is the world s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Job Description Work on sales force effectiveness projects like Field force sizing, Targeting, Alignment, Call planning, Incentive Compensation, Dashboard reporting for pharma clients Provide Incentive Compensation analytics support to clients and sales force Incentive Operations (Plan Design, Goal Setting, IC administration, and IC reporting). Develop SQL queries based on business rules and develop Tableau dashboards based on defined KPIs Facilitating data enabled decision making for clients by providing and communicating insights recommendations based on qualitative and quantitative analytics. Understand business requirements, operating business rules, data, and underlying processes to communicate results to clients. Understand Pharma commercial data sets like Patient claims data, Rx, SP, SD, Call activity, internal CRM data etc. and can triangulate data from multiple sources that drives commercial effectiveness. Collaborate with onshore team/client for day-to-day project activities and guide team, delegate tasks, and take accountability of end-to-end engagement management. Maintain process assets (SOPs, Checklists, BRDs, Process Maps etc.) and establish best practices. Coach and mentor junior team members for higher responsibilities Qualifications Education: MBA / B Pharma / M Pharma - Life Sciences academic background or B Tech / BE / M Tech / ME - Engineering academic background. Experience and/or Training: 1+ years of relevant work experienc

Desired Candidate profile Good communication skills Fresh Nursing Graduates Analyze and process US medical claims and billing records Basic computer literacy Flexible with shift timings Benefits

Support processing of property-related documents in the UK market for the clients Process the work requests received through email and reply to the emails appropriately Create admin / back-office / conveyancing documents Generate and/or send documents or letters to the client, lender, other side s solicitor or third party Use the client s case management system and to follow the work flow process to effectively assist the conveyancer / Fee Earner throughout the conveyance Generate supporting documents for claims of re-possession of properties Check, edit and input data Order for official copies of documents Log in to external sites and input data Double check financial matters document production telephone calls Run processes from the software / client management system Required Skills: English Communication (written & oral) Good in MS Office

Job Summary To support our extraordinary teams who build great products and contribute to our growth, we re looking to add Analyst - GBS Procurement position will be based in Pune What a typical day looks like: Maintaining relations with the suppliers. Placing orders for necessary raw materials and purchased parts according to the requirements of the production. Receiving and handling the confirmations. Checking the purchase orders and modifying them according to the changes in the production plan with the help of the Shortage List and the Open Purchase Order List. Tracking shipments, urging them if needed. Regular, weekly check of the stocks, avoiding overstock. Minimizing the risk of obsolescence with the help of the weekly check of the obsolete report. Correspondence with the freight forwarders, warehouses, and in case organizing the transportation. Dealing with claims, settling debit and credit issues. Filing and recording all necessary documents. Checking the inventory of critical materials (personally if needed) according to the Shortage List. Getting in touch with the right warehouse personnel and having the discrepancy modified if there is any inventory discrepancies. Handling purchasing data privacy. Assuring all active components according to production needs, in time, for the accord price in the request. Reviews requisitions and MRP output. Confers with vendors to obtain product information such as price, availability and delivery schedule. Orders, reschedules and cancels material based on requisitions and MRP output. Maintains procurement records such as items purchased, costs, delivery and inventories. Manages supplier to price, delivery and quality expectations and escalates when appropriate. Approves invoices for payment. Investigation inventory levels. Monitors the movement of materials through the production cycle. Conducts quarterly supplier reviews. Maintains procurement records, reports and metrics. The experience we re looking to add to our team: Typically requires a minimum of 2 years of procurement experience. Use of the following tools may be required: Working usage of Word, Excel and Power Point, English language knowledge, data entry, ten-key, spreadsheet (PC), ERP software. Ability to read and comprehend instructions, correspondence and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply common sense comprehension to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. What you ll receive for the great work you provide: Health Insurance Paid Time Off #SS16 Job Category Global Procurement & Supply Chain Required Skills: Optional Skills: .

Roles and Responsibilities Proactively monitor transactions and merchant activity to detect and prevent suspicious or fraudulent behavior in real time Investigate flagged transactions promptly and take immediate action to minimize potential financial losses. Collaborate closely with partner banks, law enforcement authorities, and cybercrime units to report fraud cases and ensure timely resolution and recovery. Handle transaction discrepancies and disputes raised by customers or merchants, ensuring accurate documentation and swift resolution. Engage directly with merchants and customers to gather insights, validate claims, and communicate outcomes effectively. Prepare detailed fraud incident reports and dashboards for internal stakeholders and external regulatory bodies. Drive process improvements by identifying patterns, suggesting preventive controls, and contributing to system enhancements. Play a key role in saving fraud-related losses by acting quickly and strategically in high-risk scenarios. Skills and Experience Bachelors Degree. Freshers, knowledge about a customer support app or CRM, such as Freshdesk Interpersonal skills - Friendly and pleasant demeanor over phone and email Communication skills - Exceptional verbal and written communication Listening skills - Understand, anticipate, and resolve queries arising from various stakeholders Attention to detail and accuracy - Excellent organizational skills and multitasking skills. Identify anomalies or suspicious behaviours.

Job Description Primary Sales - Develop the channel partner network and implement the distribution objectives to drive reach & penetration across the territory Secondary sales (Retail Distribution) - Increase number of retail outlets, maintain high service level, drive visibility of all categories of products and ensure commercial hygiene (usage of technology while placing retail orders) in the territory Provide ground-level inputs for promotions, local activations & demand forecasting exercise Ensuring timely submission of stockiest claim along with supporting documents adhering to the company s guidelines Regular analysis of primary & secondary sales data to identify gaps in the business & providing insights to Area Sales Manager Timely communication with CFAs to maintain timely supplies. Real-time follow-ups with CFAs for stock conversion & delivery Co-ordination with Finance team for pricing issues, accounts settlement, claims management Innovation and Learning Capability building of the indirect sales force by communicating and reviewing their delivery against expectations, and enhancing their sales skills by conducting market work with them & regular training. Effectively engage & motivate field force (TSE s, TSO s, PDSR s & DSR s) with an objective to achieve ambitious business plans, maximize incentive earning in the team, coach individuals with performance issues, build functional capability and reward & recognize right behaviors.

Job_Description":" RVS iGlobal iscurrently looking for a competent Senior Accounts Executive (whocan lead to Head of Finance role) who will be directly responsible for Records of daily financial transactions, maintainsaccurate ledgers , verifiesreceipts , makes payments to the bank and monitors office expenses and paysvendor invoices. Ideal candidateshould be a committed professional with self-learning skills and an eye todetail approach. Position: Accounts Operations Executive Industry Type: ITServices Consulting Employment Type: FullTime Role Category: BusinessSupport Job Location: Jammu Education: BBA,MBA or similar Desired CandidateProfile: Being consistent, accurate, and minimizing errors. Active listening and indispensable to have knowledge of accounting andto understand accounting software. Good knowledge of Microsoft tools like Word, Excel, PowerPoint, etc. Should have commercial experience on GST portals, Busy, and day-to-daycoordination with the CA. Experience: Min 2 Years Comms Skills Good Written Verbal Requirements Supports the establishment and set up of India Office, across a variety of administrative areas including finance facilities and other areas as required. Coordinating with various different departments within the organization Leads team efforts to achieve operational efficiency and a positive working environment. Organize and maintain data in spreadsheets; generate reports; organize paperwork; and other related administrative duties as required for the UK-based management team. Under guidance of the UK Management, reviews and updates health and safety policies and ensures they are being observed. Interacts with all employees to ensure that their health and safety needs are met. Acts as the Office First Aid Fire Safety representative; Project manages office space, oversee refurbishments and layout needs. Ensures that all employees have an appropriate environment to undertake their duties; Responsible for recording office expenditure and managing the budget. Helps the UK Office to achieve financial objectives by supporting the preparation of the annual budget Works alongside the procurement team raising requisitions. Manage relationships with vendors, service providers, and other third parties. Supports the India-based HR team with administrative tasks for India-based employees. Respect the confidentiality of HR data at all times. Escalates HR issues to the UK management where appropriate Liaises with the Security team on matters of India Office and staff security. Organizes all travel as required by the India team and provides support with the preparation of expense claims and other associated reporting. Acts as a first point of welcome for all visitors to the India Office. Acts as a liaison for visiting Executives to ensure that all their travel and business needs are met while in India. Attends educational workshops to ensure the office is being managed as efficiently as possible. Managing and maintaining office facilities and equipment. Provide support in the preparation for new joiners in the company. Maintaining the office environment, checking cleaning standards, and reporting maintenance issues to the relevant people.

Oversee the administration of subcontractor payments, instructions, contract negotiations and variations in order to limit financial exposure and ensure performance of subcontractor obligations. To administer contractual and client deliverables and undertake adequate reporting in order to advise management of potential exposures. To supervise departmental accounting and finance staff in order to ensure the accuracy of reporting of financial data and commercial controls. To oversee the preparation of subcontracts, consultancy agreements, purchase orders etc in order to ensure construction activities progress according to scheduled timelines and budget. To oversee the implementation and undertake monitoring of Company procedures relating to Commercial matters in order to ensure project compliance and procedures. To liaise with project staff and departmental staff (construction, design, and engineering) in order to be aware of possible delays, exposure, alteration to cost/value etc. To prepare monthly financial reports for project status in order to enable the Company to address any operational issues or undertake appropriate adjustment for financial result for the project. Oversee preparation of subcontract enquiry documents including bills of quantity, incorporate standard terms and drafting of special conditions Review of Sub-Contract tenders, supply quotations including negotiation of prices and recommendation of awards. Review and certify Sub-Contractors, Suppliers and Consultant application for payment Calculate and evaluate Sub-Contractor payment certifications Calculation and notification of the costs of variations from Subcontractors Evaluation of Subcontractor final accounts Advise and identify potential claim situations Finalizing the terms and conditions of the main contract, including price, performance bond, advance payments Draft terms of Sub-Contracts, supply agreements, design consultancy agreements Liaise with Legal Officer and Regional Manager to ensure compliance with relevant country legislation. Undertake settlement of Subcontractor final accounts including negation of variations and claims Draft responses to subcontractor correspondence of a financial or contractual nature Preparation in conjunction with PD and PMs project budget Prepare project cash flow forecast

Insurance Associate(Specialist) Position Title: Sr Associate Reports to (Responsibility Level): Assistant Manager Supervises: NA Location: Jaipur Global Grade: GG 8 Complexity: PID/s Load Mapping: To contribute to the proactive management of claims administered by MetLife, providing reassurance to customers through service excellence and accuracy of work, whilst developing and maintaining strong relationships with internal and external customers. Fast Track claims assessment: Responsible for the claim assessment, decision making and customer communication within agreed controls on fast-track claims. Ensure that work is completed to required quality standards within agreed timelines. Ensure that claims not meeting fast track criteria are identified and triaged appropriately. This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive. Other Claims assessment: Ensure that work is completed to required quality standards within agreed timelines. This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive. Med Fee Authorization: Responsible for checking med fee payments raised by the Claims Administrators, to ensure timely and accurate payment of all med fees. Education, Technical Skills & Other Critical Requirement Education Bachelor s degree (Any Stream) or diploma education. Experience (In Years) Candidates should have a strong background in Claims management and/or administration with 2-3 years experiences . Demonstrate a strong customer focus, with passion for ensuring the customer receives the right support and solutions Technical Skills Excellent written and verbal communication skills (verbal communication limited with UK Ops Team) Confident and decisive when analyzing information and determining outcomes. Excellent customer service skills. Excellent inter-personal skills, with the ability to liaise with people at all levels. Ability to work efficiently with good attention to detail. Accurate and able to demonstrate a high level of organization. Ability to multi-task and prioritize workload. Self-motivated, enthusiastic with a can do attitude . Good team player with the ability to work on own initiative. A good understanding of compliance, legal, CBI and FCA regulations (full MetLife Corporate training will be provided). Other Critical Requirements Like Voice/ Non-Voice for Insurance Ops Non-Voice Rule & non-rule-based decision making, domain knowledge, extensive customer communication (Email only)

Insurance Associate Position Title: Sr Associate Reports to (Responsibility Level): Assistant Manager Supervises: NA Location: Jaipur Global Grade: GG 8 Complexity: PID/s Load Mapping: Working within the Customer Service team supporting our Individual Protection business line, this role is responsible for delivering an exceptional customer service and is the first point of contact for our existing customers and advisers regarding claims queries and admin. The role consists of completing claims administration tasks following a customer, advisor, or internal request. This includes but not limited to, issuing, and reviewing claim forms, registering new claims, and setting reserves, manage claims queries and chasing information. These will include reinforcing the product features and creating an environment to maximize retention opportunities by understanding customer circumstances, identifying, and supporting vulnerable customers, managing dissatisfactions/complaints, and working well as part of the wider team. Customer Service: Always deliver outstanding customer service, through direct interaction with customers and advisors via email and post. Answer queries, update policies, make necessary amendments and manage payment schedules. Responsible for complying with customer data protection checks. Handle all interactions with professionalism and empathy. Maintaining accurate file records of all actions taken. Respond to customer objections and demonstrate excellent problem-solving skills. Follow processes to address customer and advisor requests e.g., direct debit queries/changes, personal detail amendments, policy changes, etc. Claims: Work alongside the claims team to complete key administration tasks. Accurate payment of all claims related to medical fees in a timely and efficient manner. Verification of appropriateness of fee payment and raising payment requests and issuing letters. Support the claim requirements for information through timely and efficient chasing of information, proactively ensuring that the contact is managing our request. Chasing information via appropriate forms of communication. Maintaining accurate file records of all actions taken. Reviewing new claims and identifying missing items to be requested. Collate information required by claims assessors. Undertake technical admin checks on new claims. Others: Maintain an up-to-date level of product specific knowledge by being attentive to, and acting upon information delivered in team meetings, training, and other briefings. Proactively identify and recommend process improvements. Education, Technical Skills & Other Critical Requirement Education Bachelor s degree (Any Stream) or diploma education. Experience (In Years) Candidates should have a strong background in customer service and/or administration with 1-3 years experience. Demonstrate a strong customer focus, with passion for ensuring the customer receives the right support and solutions Technical Skills Excellent written and verbal communication skills (verbal communication limited with UK Ops Team) Excellent customer service skills. Excellent inter-personal skills, with the ability to liaise with people at all levels. Ability to work efficiently with good attention to detail. Accurate and able to demonstrate a high level of organization. Ability to multi-task and priorities workload. Self-motivated, enthusiastic with a can do attitude . Good team player with the ability to work on own initiative. A good understanding of compliance, legal and FCA regulations (full MetLife Corporate training will be provided) Other Critical Requirements Like Voice/ Non-Voice for Insurance Ops Non-Voice Rule & non-rule-based decision making, domain knowledge, extensive customer communication (Email only)

Assists the Director of Human Resources in executing strategies that serve to attract, retain, and develop diverse premiere talent. Position directs and works with human resource employees to carry out the daily activities of the Human Resource Department, including recruitment, total compensation, employee relations, and training and development. Executes against objectives outlined in the Human Resources Business Plan and delivers services that meet or exceed the needs of employees and enable business success. Ensures compliance with applicable regulations and Standard Operating Procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 4 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; 2 years experience in the human resources, management operations, or related professional area. CORE WORK ACTIVITIES Managing the Staffing and Recruiting Process Ensures open positions are advertised in appropriate venues to attract a diverse candidate pool. Ensures the open position listing is in a visible location for both internal and external candidates. Works with Employment Administrator to establish and maintain contact with external recruitment sources (e.g., state job service, local colleges, recruiting agencies, and community based organizations). Networks with local organization and peers to source candidates for current or future openings (e.g., Hotel Association). Facilitates interdepartmental transfers and promotions and transfers or promotions to other properties within this property brand. Oversees the selection and offer processes for hourly employees to ensure proper procedures are followed (e.g., valid reasons for selection/non-selection are documented, applicants receive status notifications). Partners with department managers and recruiting professionals to recruit management positions, make hiring decisions and negotiate job offers in accordance with SOPs. Managing Legal and Compliance Practices Ensures compliance with key policies (e.g., Sexual Harassment, Non-Harassment, Non-Discrimination, No Solicitation). Ensures interviews are conducted according to recommended guidelines, consistent screening criteria is used, and only job-related questions are asked. Ensures wages are paid in accordance with Standard Operating Procedures and federal and state laws (e.g., employee pay for meeting attendance, wages limited to maximum rate of pay, entry level rates paid to new hires, overtime provisions in place, separation pay). Ensures drug screening and background checks are completed in accordance with brands Standard Operating Procedures. Managing Benefits Education and Administration Manages Workers Compensation claims to ensure appropriate employee care and costs management. Educates employees on benefits package. Educates HR team on the various types of benefits available and eligibility requirements. Provides an overview of employee benefits to the management team enabling them to educate their employees and answer routine questions. Ensures that department has the available resources on hand to administer employee benefits. Managing and Conducting Staff Development Activities Ensures hourly performance appraisal processes are in place. Assists in identifying key drivers of employee satisfaction and supports managers in addressing issues with written plans and actions. Coaches managers on progressive discipline process. Ensures development plans are in place (e.g., goals documented, progress towards goal achievement is measured). Managing Employee Relations and Human Resources Communication Utilizes an open door policy to address employee problems or concerns in a timely manner. Ensures effective employee communication channels are established and active in. Analyzes accident trends and reports these trends to the management team. Monitors work environment for signs of union organization. .

Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Assisting in Managing Recruitment and Hiring Process Assists in the interviewing and hiring of Human Resource employee team members with the appropriate skills, as needed. Assists in establishing and maintains contact with external recruitment sources. Attends job fairs and ensures documentation of outreach efforts in accordance with Human Resource Standard Operating Procedures. Networks with local organizations (e.g., Hotel Association and peers) to source candidates for current or future openings. Assists in monitoring candidate identification and selection process. Performs quality control on candidate identification/selection. Assisting in Administering and Educating Employee Benefits Works with the unemployment services provider to respond to unemployment claims; reviews provider reports for accuracy and corrects errors. Assists with unemployment claim activity reports. Attends unemployment hearings and ensures property is properly represented, as needed. Assisting in Managing Employee Development Assists with departmental orientation program for employees to receive the appropriate new hire training to successfully perform their job. Ensures employees are cross-trained to support successful daily operations. Assists with coordination and facilitation of new hire orientation program to generate a positive first impression for employees and emphasize the importance of guest service in company culture. Ensures attendance by all new hires and participation of the leadership team in training programs Assists with ensuring departmental orientation processes are in place and employees receive the appropriate new hire training to successfully perform their job. Assisting in Maintaining Employee Relations Assists in maintaining effective employee communication channels in the property (e.g., develops daily communications and assists with regularly scheduled property-wide meetings). Reviews progressive discipline documentation for accuracy and consistency, and checks for supportive documentation and is accountable for determining appropriate action. Utilizes an open door policy to acknowledge employee problems or concerns in a timely manner Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of Human Resources/Multi-Property Director of Human Resources. Partners with Loss Prevention to conduct employee accident investigations, as necessary. Communicates performance expectations in accordance with job descriptions for each position. Assisting in Managing Legal and Compliance Practices Assists with ensuring employee files contain required employment paperwork, proper performance management and compensation documentation, are properly maintained and secured for the required length of time. Assists with ensuring compliance with procedure for accessing, reviewing, and auditing employee files and ensure compliance with the Privacy Act. Assists with ensuring medical records are maintained in a separate, secure and confidential medical file. Facilitates random, reasonable belief and post accident drug testing process (in properties where applicable). Communicates property rules and regulations via the employee handbook. Assists with ensuring all safety and security policies (e.g., property removal, lost and found items, blood borne pathogens, accident reporting, and hygiene) are communicated to employees on a regular basis through orientation, property meetings, bulletin boards, etc. Assists with periodic claims reviews with Regional Claims office to ensure claims are closed in a timely manner and reserve levels are appropriate for open claims. Assists with managing Workers Compensation claims to ensure appropriate employee care and manage costs. .

for a manufactured material, component, or product. Building and maintaining the infrastructure and systems necessary to consistently ensure the timely delivery of quality products. Auditing, monitoring, and determining the quality of manufacturing processes and/or outputs against defined internal and regulatory standards. Reporting and troubleshooting manufacturing process deviations and defects in finished goods An Experienced Professional (P2) applies practical knowledge of job area typically obtained through advanced education and work experience. May require the following proficiency: Works independently with general supervision. Problems faced are difficult but typically not complex. May influence others within the job area through explanation of facts, policies and practices. How you ll make an impact Support related management systems in quality function like ISO14001:2015 & ISO45001:2018. Coordination of customer audit & follow up the actions. Planning and Performing Quality Management System Audits, Global Quality Assessment & Customer Audits. Follow up of NCRs & Coordinate Root Cause Analysis (8D etc.) and define the action w/ related team which come from internal audits, customer audits, during manufacturing or customer claims (CCRP). Responsible to define Inspection Test Plans (ITP) based on contracts & relevant standards. Coordinate the functional tests w/ customer & prepare the relevant report for Final Acceptance Report (FTA). Close cooperating with other functions in Hitachi Energy (Production, SCM, R&D, Engineering etc.). Increasing supplier quality awareness and drive Zero Defect mentality within the supply base. Lead & Support Supplier in terms of quality training problem solving methods etc. instruction & control form preparation etc. Coordinate improvement projects which are derived from Cost of Poor Quality & NCRs. Supporting initiatives and audits launched by Group function / Division on Sustainability, Material compliance, Integrity and Health, Environment and Safety. Coordinate Computer Aided Quality Projects. Support defined improvement projects. Living Hitachi Energy s core values of safety and integrity, which means taking responsibility for your own actions while caring for your colleagues and the business. Responsible to ensure compliance with applicable external and internal regulations, procedures, and guidelines. Your background Bachelors degree in electrical/mechanical engineering At least 2 years of professional experience in quality Preferred knowledge and experience in power transformer industry Practical Knowledge of SAP QM. Technical knowledge of relevant products pertaining to the power T&D industry. High Voltage Test Laboratory knowledge is an advantage. Practical knowledge in implementation of Lean production and Six Sigma, technical knowledge for supplier qualification, material and production processes. Valid driving license. No restriction for travelling. Proficiency in both spoken & written English language is required. .

About Role: This position is part of the Global Technical Accounting & Services organization, which has overall responsibility for the activities of Technical Accounting functions worldwide, including the Business Solution Centers. This position will report to the Manager Operations Southeast Asia & India. This team is expected to regularly meet the KPI, Quality targets pertaining to Technical Accounting Team & perform extensive data validations/analysis based on Reinsurance Contract wording for the respective Clients. One of the key activities is to ensure that payments received from clients (for example premiums) and payments made to clients (for example claims) reconcile against those payments expected. The client management expectation of this role would require you to correspond with internal and external stakeholders/clients to resolve issues related to Data quality aspect. Improvising while working within a set framework of policies and processes is key to the role. Principal Responsibilities towards: Operations: Consistently deliver on operational commitments. Develop & create data analysis summaries that aid decision making within and outside the Technical Accounting boundaries & can be consumed by multiple cross functional teams. Monitor the financial numbers accounted into Technical Accounting Swiss Re system on regular basis & identify adverse Premium/Claim trends from the Client data. Deliver on the TA mandate including KPIS to effectively manage/accelerate Cash in the books while demonstrating Swiss Re Values. Premium and Claims validation to be performed on the Client Seriatim data, make sure client reported data is complying with Contract wordings/agreement. Taking initiative at functional level to enhance the technical/Process knowledge of people across Technical Accounting team & act as Subject Matter Expert. People: Collaborate with team members and take ownership for team activities in specific markets Deliver results in consultation and as part of multiple-matrixed teams besides directly assigned work Build a network with both cross-functional and cross-geographical Swiss Re teams to discuss & Implement best Business Practices. Stakeholders (Cross Functional Team Coordination): Build and manage strong relationships with stakeholders and contribute to strengthening client relationship. Managing efficient and effective relevant business processes, portfolios in coordination with stakeholders. About you: Graduate/Postgraduate in Commerce, Accounting, Insurance or equivalent field. 7+ years of work experience in the banking /insurance or any other financial services industry. Strong written & verbal communication skills. Strong Client management skills. Good Data analytical skills. Expertise in SAS & Python will be an added advantage. Sound Insurance Product Knowledge & understanding of Insurance/Reinsurance End to End Value Chain. About Swiss Re Swiss Re is one of the world s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world. If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience. Keywords: Reference Code: 134757

Looking for a skilled professional with 5-8 years of experience to lead our delivery team in Chennai. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implementing corrective actions. Ensure compliance with company policies, procedures, and industry standards. Job Minimum 5 years of experience in healthcare management services or a related field. Strong knowledge of healthcare operations, including medical billing, claims processing, and patient care coordination. Excellent leadership, communication, and problem-solving skills. Ability to work in a fast-paced environment and adapt to changing priorities. Strong analytical and decision-making skills, with attention to detail and accuracy. Experience with CRM/IT enabled services/BPO is an added advantage.

Looking to onboard a highly motivated and detail-oriented AR Associate with 0-1 years of experience to join our team in Coimbatore. The ideal candidate will have excellent communication skills and the ability to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable, including processing payments and resolving billing issues. Coordinate with clients to ensure timely payment and maintain accurate records. Identify and address denials by investigating root causes and resubmitting claims. Collaborate with internal teams to resolve account-related issues and improve processes. Analyze data to identify trends and areas for improvement in the accounts receivable process. Develop and implement strategies to reduce outstanding accounts and improve cash flow. Job Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work in a team environment and meet deadlines. Proficiency in CRM software and Microsoft Office applications. Strong analytical and problem-solving skills. Ability to adapt to changing priorities and workflows. Experience working in an IT-enabled services or BPO industry is preferred. Company nameOmega Healthcare Management Services Pvt. Ltd. IndustryCRM/IT Enabled Services/BPO. JD

We are looking for a skilled Senior Coder with 2-4 years of experience to join our team in Chennai. The ideal candidate will have a strong background in coding and analytics, with excellent problem-solving skills. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and validate coding quality for accuracy and compliance. Develop and implement coding standards and guidelines. Collaborate with healthcare professionals to clarify coding discrepancies. Conduct audits to ensure coding compliance with regulations. Provide training and support to junior coders on coding best practices. Job Strong knowledge of coding principles and regulations. Excellent analytical and problem-solving skills. Ability to work accurately and efficiently in a fast-paced environment. Effective communication and collaboration skills. Strong attention to detail and organizational skills. Ability to maintain confidentiality and handle sensitive information. Experience working with CRM/IT Enabled Services/BPO industry. Company nameOmega Healthcare Management Services Pvt. Ltd. Reference number1376745.

Role Description The Staff Accountant will be responsible for processing vendor invoices, and travel and expense claims of employees. The role requires working effectively under tight deadlines, attention to detail, and high-quality analyses. The position reports to the Senior Accountant. Role and responsibilities Handling Accounts payable for different entities/regions and vendors (US/EMEA/APAC) Processing of invoices with accuracy and timeliness Daily Invoice validation & review Keeping track of all payments and expenditures Timely tracking and resolution of Vendor queries Payment processing Payment to vendors with accuracy by preparing payment proposal, execution of pay run and release of payment from bank portal Vendor Management and Reconciliations Processing of employee travel and expense claims (including credit cards) with accuracy and timeliness Daily expense validation & review strictly as per approved company policy Timely tracking and resolution of employee queries Payment to employees and credit card on time and with accuracy by preparing payment proposal, execution of pay run and release of payment from bank portal Employee expense management and reconciliations Monthly reconciliation of Credit cards. Assist in month-end closing activities including AP accruals and reporting. Maintain documentation and audit trail for all AP transactions. Support internal and external audits by providing required documentation and explanations. Qualifications Bachelor's Degree or higher in Finance, Accounting, or a related field Upto 5 years proven working experience into Accounts Payables or procure-to-pay (P2P) processes. Understanding of basic principles of finance, accounting, and bookkeeping Strong technology skills are critical, with expertise in Microsoft Excel. Prior experience of working in SAP BYD is preferred. Flexibility to work in UK time zone. Prior experience to work into third party client set-up Experience managing project work with tight deadlines and working in a fast-paced environment Strong communication skills

Skill required: Procure to Pay - Accounts Payable Processing Designation: Delivery Lead Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years What would you do You will be aligned with our Finance Operations vertical and will be helping us in determining financial outcomes by collecting operational data/reports, whilst conducting analysis and reconciling transactions boosting vendor compliance, cutting savings erosion, improving discount capture using preferred suppliers, and in confirming pricing and terms prior to payment Responsible for accounting of goods and services, through requisitioning, purchasing and receiving Also look after order sequence of procurement and financial process end to end The Accounts Payable Processing team focuses on designing, implementing, managing and supporting accounts payable activities by applying the relevant processes, policies and applications The team is responsible for timely and accurate billing and processing of invoices, managing purchase and non-purchase orders and two-way and three-way matching of invoices Design, implement, manage and support accounts payable activities for an organization by applying the relevant processes, policies and applications What are we looking for Written and verbal communicationSAP, COUPA Payablesworking as a part of Procure to Pay Processing team which is responsible for accounting of goods and services through requisitioning, purchasing and receiving which denotes order sequence of procurement and financial process end to endInvoice Processing Operations you will ensure efficient and accurate processing of expense invoices / claims in adherence with client policy and proceduresworking on audit claims in accordance with client policies and procedureswork on save/post invoice in ERP, Tax components and discrepancy resolution Responsible for accounting of goods and services, through requisitioning, purchasing and receiving Also look after order sequence of procurement and financial process end to endTo ensure availability of resources within the team and effective management of the team To monitor & evaluate the performance of the team in all areas To ensure that results are in accordance with agreed metrics and the operating plan Define the standards and reusable approaches within a broad operational framework Initiate and design business process excellence improvements To participate in development, implementation and maintenance of policies, objectives, short-and long-range planning, develop and implements projects and programs to assist in accomplishment of established goals Accountable for ongoing maintenance of effective client service relationship in the area of business and PTP tower as well, by acting as first point of contact for client representatives Roles and Responsibilities: In this role you are required to identify and assess complex problems for area of responsibility The person would create solutions in situations in which analysis requires an in-depth evaluation of variable factors Requires adherence to strategic direction set by senior management when establishing near-term goals Interaction of the individual is with senior management at a client and/or within Accenture, involving matters that may require acceptance of an alternate approach Some latitude in decision-making in involved you will act independently to determine methods and procedures on new assignments Decisions individual at this role makes have a major day to day impact on area of responsibility The person manages large - medium sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Analyst responsible for performing activities involved in the workflow of Reconciliation process. Ensure reconciled NAV accounts in a timely and accurate manner, reported outstanding breaks to the relevant parties as per agreed format and timelines, and communicated with Fund Accountant, client and other custodies on a daily basis Reconcile all funds on a daily basis. Research and query resolution in relation to outstanding reconciliation items, liaising with other departments and external parties Report on reconciliation items, providing detailed analysis of outstanding items. Hands on experience in using Bloomberg/Telekurs. Report on bank fees and interest charges, verifying and processing claims and quarterly trailer fee reconciliation. Interact have regular communication with on-site partners for clarifications. Ensure adherence to defined procedures. Ensure adherence to time schedules quality standards. Proactive identification and improving current core procedures. Deliver training /coaching effectively to the new joiners. Support the general principal, department leader and other team leaders to achieve stated objectives. Work closely with superiors on various projects. Respond promptly effectively to client requests. Preparing backup plan for the process. Adhere effective escalation matrix on anomaly/deviation in the process. Trouble shooting and root cause analysis

To lead and manage the claims operations by ensuring timely, fair, and compliant claim settlements, optimizing processes for efficiency, and supporting strategic goals through data-driven decision-making and cross-functional collaboration Ensure timely and accurate settlement of claims within defined turnaround times (TATs) Maintain adherence to IRDAI regulations and internal claims policies Identify and mitigate fraudulent claims through effective investigation and controls Enhance claimant experience through transparent communication and service excellence Lead, mentor, and upskill the claims team to improve performance and accountability Optimize claim payouts and reduce leakage through data-driven decision-making Collaborate with cross functional teams for complex claim resolutions Timely and accurate claim settlements to avoid interest penalties Detection and prevention of fraudulent claims to reduce financial loss Accurate payout calculations aligned with policy terms Reduction in claim rework or overpayments Minimal customer complaints or escalations Timely and empathetic communication with beneficiaries Clear guidance provided throughout the claim process Claims processed within defined turnaround time (TAT) 100% compliance with regulatory and internal audit standard Effective coordination with legal and other departments Accurate and complete documentation for each claim Contributions to process improvement initiatives

Job Title: Business Analyst (Candidate must have experience in to US Healthcare Domain Adjudication System) Job Summary: We are seeking a motivated and detail-oriented Business Analyst with 3+ years of experience, preferably in the US healthcare domain , to join our dynamic team in Pune. This is a full-time, on-site position ideal for someone who thrives in a collaborative environment and is passionate about driving process improvement and delivering value through data-driven insights. The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact healthcare solutions. Key Responsibilities: Collaborate with stakeholders to gather, analyze, and document business requirements. Translate business needs into functional specifications for technical teams. Analyze healthcare claims, eligibility, and enrollment data to identify patterns and opportunities. Support project delivery by coordinating with development QA and configuration teams. Participate in client meetings, requirement walkthroughs, and status updates. Develop and maintain process documentation, user stories, workflow diagrams etc. Assist in UAT planning, execution, and issue tracking. Continuously monitor industry trends and regulatory changes in US healthcare. Mandatory Requirements: 3+ years of experience as a Business Analyst, with a strong understanding of US healthcare processes . Hands-on experience working with claims, eligibility, EDI 837/835/270/271 or other healthcare-related data sets. Experience in requirement elicitation , documentation , and business process mapping . Proven ability to work independently and in a team environment. Willingness to work from the Pune office on a full-time basis. Required Skills: Strong analytical and problem-solving skills. Proficiency in tools such as MS Excel, Visio , MS Word or similar. Excellent written and verbal communication skills. Attention to detail with strong organizational skills. Understanding of Agile/Scrum methodologies . Preferred Qualifications: Bachelor's degree in Computer science, IT, Healthcare Management, Information Systems, or a related field. Experience with HIPAA regulations , healthcare compliance, or payer-provider workflows. Exposure to reporting tools is a plus. Certification in Business Analysis (e.g., CBAP, CCBA) or Healthcare IT (e.g., CPHIMS) is a plus.

Department: Contracts & Legal Location: Gurugram Reporting To: Head - Legal & Contracts Industry: EPC / Infrastructure / Energy/ Renewables / Oil & Gas / Power Job Purpose: To manage and oversee contract administration, handle claims (from preparation to resolution), and lead arbitration or dispute resolution proceedings in alignment with business interests and legal compliance. Key Responsibilities: Contracts Management: Draft, review, negotiate, and finalize various types of contracts (EPC, turnkey, subcontract, JV, consultancy, etc.). Ensure risk mitigation through robust contractual clauses and compliance with legal and company policies. Support pre-bid and post-award contract review and risk evaluation. Coordinate with internal departments (e.g., engineering, procurement, finance) to ensure contractual obligations are fulfilled. Claims Management: Identify claim opportunities (cost/time) and prepare claims with proper documentation and justifications. Defend against incoming claims from subcontractors or clients. Lead negotiation and settlement of claims in coordination with project and legal teams. Maintain claim logs and risk registers for ongoing projects. Arbitration & Dispute Resolution: Represent the company in arbitrations and dispute resolution forums. Liaise with external legal counsel and experts for preparation of statements of claim, defense, evidence, and witness submissions. Ensure adherence to timelines and legal strategies during arbitration or litigation proceedings. Participate in mediation, conciliation, or adjudication as alternate dispute resolution mechanisms. Compliance & Reporting: Keep abreast of legal and statutory developments related to contracts and disputes. Ensure compliance with contract terms, company policies, and applicable laws. Maintain documentation, records, and reports on contract and dispute status for senior management review. Key Skills & Competencies: Strong knowledge of contract law, arbitration laws (e.g., Indian Arbitration Act), FIDIC, and related standards. Expertise in claims management (cost escalation, EOT, force majeure, etc.). Excellent negotiation, drafting, and legal analysis skills. Strong communication and stakeholder management abilities. Familiarity with SAP / ERP tools and contract management software (preferred). Qualification & Experience: Education: BE/B.Tech with LLB/LLM or MBA in Contract Management (preferred). Experience: Manager: 8 - 12 years Sr. Manager / AGM: 1015 years DGM / GM: 15–20+ years Industry experience in handling large-scale infrastructure/EPC projects is highly desirable. You May share your CV at gajan.singh@draipl.com

Role & responsibilities My client is looking for an independent Senior Guidewire consultants (CC/PC/BC - configuration , integrations) who is willing to work on US time. Interested people can share their resume to info@nastechconsulting.com Experience : 6 - 15 years Location: Remote Immediate joinee Responsibilities 6 - 15 years (with 6 years of experience in Guidewire Configuration / Integration) Exposure and Awareness of Property and Casualty Insurance Business Working and delivering in the Agile/Scum practice is highly desirable Guidewire Certifications highly preferred Java/J2EE resource with Guidewire Experience (Policy Center/Billing Center/Claim Center) Should be able to design and develop Guidewire Integration Components/ Configure PC or BC or CC Should have Guidewire Platform Upgrade Experience (Upgrade and Cloud experience would be preferred) Hands-on experience with GOSU, Web Services and XML Experience on any database Oracle / SQL Server and well versed in SQL Implementation proficiency and hands-on experience in GW Integration viz. Integration with ESB, Legacy application, and/or Third party Vendor Applications Experience with common integration mechanisms including Service Oriented architecture, web services (SOAP), Messaging (JMS,MQ) Experienced in GOSU, Rules Engine, Data Model and workflows Should have Unit test(gunits) and Technical Design Documentation experience Good experience in Incident management, Problem management, Request Handling for Guidewire PC/BC/CC configurations, customizations and third party integrations Hands on exposure to GIT, Jenkins, JIRA, Rally, SVN, JMS messaging queues Must have estimation, team leading, code review and mentoring skills Preferred candidate profile