4480 Claims Jobs - Page 14

Redressal of grievances of workmen to their satisfaction. Sustain Canteen services to workmen satisfaction. Key Result Areas KRA (Accountabilities) (Max 1325 Characters) Supporting Actions (Max 1325 Characters) KRA1 Accountability:1.Time Office: Monitor employees leave/attendance & take corrective actions to reduce absenteeism and discipline in workmen Monitoring Timekeepers work. Organizing shift schedules. Maintaining necessary records of attendance, on duty slips & compensatory leave registers. Monitor attendance & initiate control measures Night vigilance duty arrangement for surprise checkup Follow factory rules & regulations. Monitoring OD/ OT recording Follow up Packing plant workers ...

1Financial Ensure smooth functioning of the plant and for complying with EHS and other safety norms Provide cost estimates and technical support for proposals Provide promotional materials and develop and administer recognition systems to promote safe work performance Focus on safety as the key priority and try to achieve cost reduction while maintaining the safety of the plant workers and the equipment Drive loss control efforts utilizing up-to-date incident analysis data to achieve the greatest impact for continued reduction in injuries, property damage, and environmental losses Take initiatives to drive growth for DCBL and ensure sustained growth in line with long-term and short-term obje...

Financial Ensure smooth functioning of the plant and for complying with EHS and other safety norms Provide cost estimates and technical support for proposals Provide promotional materials and develop and administer recognition systems to promote safe work performance Focus on safety as the key priority and try to achieve cost reduction while maintaining the safety of the plant workers and the equipment Drive loss control efforts utilizing up-to-date incident analysis data to achieve the greatest impact for continued reduction in injuries, property damage, and environmental losses Take initiatives to drive growth for DCBL and ensure sustained growth in line with long-term and short-term objec...

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment iss...

Want to be part of a UK hub, in a global business that is scaling rapidly, evolving fast and radically changing the decades-old delivery universeIf so, read on, as were looking for an Insurance Manager to join our Finance team! Our missionTo switch up the status quo and become the UKs leading out-of-home business With a fast-growing network of thousands of smart lockers, hundreds of leading retail partners and the launch of our transformative Send service, were bringing freedom to anyone with a parcel, At InPost UK, were building an unparalleled group of talent thats committed to help us power our mission to reshape the way parcels move, and redefine eCommerce logistics Our team is packed fu...

Location : Mohali City : Mohali State : Punjab (IN-PB) Country : India (IN) Requisition Number : 41199 Job Description Business Title Process Executive PTP Global Function Business Services Global Department Finance Procure To Pay Reporting to TL / AM / Manager Size of team reporting in and type 5-8 direct reportees Role Purpose Statement This position requires experience as Subject Matter expertise in invoice processing/T&E claim processing/Payment Processing/PO Creation or modification etc Main Accountabilities Daily/Weeky/Monthly Management reporting KPIs, Challenges, focus areas, etc Subject Matter expertise in PTP subprocesses Invoice Processing of vendor invoices through VIM/SAP, Creat...

Overview: We are seeking an experienced Insurance Domain Expert to lead data migration projects within our organization. The ideal candidate will have a deep understanding of the insurance industry, data management principles, and hands-on experience in executing successful data migration initiatives. Key Responsibilities: 1. Policy Administration Handled quoting, rating, underwriting, policy issuance, endorsements, renewals, and cancellations. Exposure on Tools: Guidewire PolicyCenter, Duck Creek worked on policy admin Data components: Product models, customer attributes, risk factors supported Integrations with CRM, payment gateways, general ledger 2. Billing Management Managed the entire ...

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelin...

1. Handle Provider Chat queries and meet client SLA 2. 5-10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words

Position's General Duties and Tasks In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the teamRequirements for this role include: Abi...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

Position's General Duties and Tasks In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Ab...

"1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words"

In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Ability to work regularly scheduled sh...

Position's General Duties and TasksIn these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Abi...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Job Description Position Overview Position Title Key Account Manager Department Group Credit Life Level/ Band Executive (204) Role Summary: Achievement of annual sales and profit targets for credit life sales Develop business opportunity with banks / consumer finance / micro finance/ auto loans / financial public houses Lead and manage training and development programs for client s staff Develop the value penetration and wallet share in the business. Coordinating with internal stakeholder and partner team for issuance and other service related coordination Organizational Relationships Reports To Sales Manager/Area Sales Manager Supervises Job Dimensions Geographic Area Covered Branches / Clu...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

About Dylect Dylect a brand of eTrade , proudly recognized as a Great Place to Work and featured among the Top 30 FUTURE READY workplaces by Fortune India and CEIL HR in 2024 isn t just a brand; it s our bold take on what the future of lifestyle technology should feel like. Born in India, built for India, we re reimagining technology, electronics, and appliances for the modern Indian household with cutting-edge design, reliable performance, and prices that truly make sense. Dylect has quietly become a favorite in homes across the country. We re not just growing we re building the next big thing in lifestyle technology. In just a few months, Dylect has evolved from a challenger brand into a b...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...