6244 Claims Jobs - Page 14

Drive the execution of our payer segment strategy through the application of advanced AI and GenAI Build, manage, and deepen executive relationships with key healthcare payer clients Design and deliver GenAI-powered transformation programs that improve care delivery, reduce cost of care, and enhance member engagement Develop proprietary frameworks and accelerators using LLMs, knowledge graphs, and agentic AI systems Mentor cross-functional teams and evangelize the responsible use of AI in healthcare Key Responsibilities Partner with payer clients (e.g., health plans, PBMs, ASOs) to solve strategic and operational challenges using AI/GenAI Lead large-scale AI consulting engagements from scopi...

Drive the execution of our payer segment strategy through the application of advanced AI and GenAI Build, manage, and deepen executive relationships with key healthcare payer clients Design and deliver GenAI-powered transformation programs that improve care delivery, reduce cost of care, and enhance member engagement Develop proprietary frameworks and accelerators using LLMs, knowledge graphs, and agentic AI systems Mentor cross-functional teams and evangelize the responsible use of AI in healthcare Key Responsibilities Partner with payer clients (e.g., health plans, PBMs, ASOs) to solve strategic and operational challenges using AI/GenAI Lead large-scale AI consulting engagements from scopi...

Drive the execution of our payer segment strategy through the application of advanced AI and GenAI Build, manage, and deepen executive relationships with key healthcare payer clients Design and deliver GenAI-powered transformation programs that improve care delivery, reduce cost of care, and enhance member engagement Develop proprietary frameworks and accelerators using LLMs, knowledge graphs, and agentic AI systems Mentor cross-functional teams and evangelize the responsible use of AI in healthcare Key Responsibilities Partner with payer clients (e.g., health plans, PBMs, ASOs) to solve strategic and operational challenges using AI/GenAI Lead large-scale AI consulting engagements from scopi...

Responsibilities: * Manage accounts receivable process from patient billing to payment posting. * Execute denial management strategies to minimize write-offs.

Medcare Hospitals Medical Centres is looking for Assistant manager - Insurance to join our dynamic team and embark on a rewarding career journey Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards. Disclaimer: This job description has been sourced from ...

3+ Yrs in End to end claims, P&C, Claims Adjudication, General & Property Liability. (Voice) Salary: Upto 10 LPA Location: Viman Nagar, Pune Only graduates. Connect: 9049866622 // shweta@talentams.com Required Candidate profile End to end claims, P&C, Claims Adjudication, General & Property Liability. Insurance Support Only Voice experience. Perks and benefits Good Salary Bracket. Both way Cabs. Hybrid.

Job Title Project Engineer - QS (High Rise Residential Project) Job Description Summary We are seeking a skilled Project Engineer QS to support cost estimation, budgeting, and contract administration for a high-rise residential construction project. The role involves preparing quantity take-offs, assisting in cost planning, evaluating contractor claims, and supporting procurement processes. The Project Engineer QS will work closely with the site team, contractors, and senior QS managers to ensure accurate cost control, track variations, and support timely billing and payment processes. Attention to detail, a good understanding of construction drawings, and familiarity with relevant contracts...

Firstsource Solutions Ltd is looking for Senior Analyst - Underwriting to join our dynamic team and embark on a rewarding career journey Analyze and assess insurance applications and risks. Develop and implement underwriting policies and guidelines. Monitor and analyze underwriting performance and make improvements. Collaborate with sales and claims teams to ensure underwriting alignment. Prepare and present underwriting reports to management. Provide training and support to junior underwriters. Ensure compliance with regulatory requirements and industry standards. Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clari...

1. Responsible for independently achieving the zone budget for the segments 2. Plan and visit regularly to customers for sales activity. 3. To ensure timely submission of offers to customers and convert the same to orders 4. To Liaise with Customers and maintain good relationship 5. Implement Sales promotion activity 6. Ensure timely receivables within 30 days 7. Facilitate warranty resolution with the help HO coordinator for Nuclear claims mgmt. dept. 8. To intervene and resolve issues pertaining to order execution as and when required 9. Ensure proper documentation with respect targets, MOUs, Agreements and Tender, Enquiry base and enquiry updates 10. Ensure proper approvals of project pri...

Sales planning Study and research the market - growth, competitors, broker ecosystem, past performance etc. Based on this, propose the targets for the region to Senior Management. Discuss and align on the targets including renewal versus fresh premium, projections by month, composition by different lines of insurance etc. Break down the targets by brokers, lines of business and allocate to the team. Analyze the past performance and relationship with each broker. Make plans for increasing/ decreasing business with existing brokers and signing up new brokers. Sales management Track renewals and new deals in the pipeline. Create a weekly plan for numbers to be achieved and communicate to the te...

We are looking for a highly skilled and experienced Project Engineer to join our team at Jones Lang LaSalle. The ideal candidate will have 2 to 10 years of experience in the field. Roles and Responsibility Manage and coordinate project activities to ensure timely completion. Develop and implement project plans, schedules, and budgets. Collaborate with cross-functional teams to identify and mitigate risks. Conduct site visits to monitor progress and ensure compliance with safety standards. Coordinate with clients to understand their requirements and provide regular updates. Ensure all projects are delivered within budget and meet quality standards. Job Requirements Strong understanding of pro...

We are looking for a highly skilled and experienced Transportation Specialist to join our team at Amazon Development Centre (India) Pvt. Ltd. The ideal candidate should have 0 to 5 years of experience in transportation management. Roles and Responsibility Manage and coordinate transportation operations for timely and efficient delivery. Develop and implement logistics strategies to optimize costs and reduce delays. Collaborate with cross-functional teams to resolve issues and improve processes. Analyze data and metrics to identify areas for improvement and implement changes. Ensure compliance with regulatory requirements and company policies. Coordinate with vendors and suppliers to negotiat...

HEMM Insurance Executive is not a standard job title, as HEMMrefers to Heavy Earth Moving Machinery, not an insurance industry specialization. The user is likely conflating two distinct roles: an Insurance Executive and a Heavy Earth Moving Machinery (HEMM) Manager or Service Engineer. The following are general job descriptions for both positions. Insurance Executive An ... HEMM INSURANCE EXECUTIVE FOR MINING INDUSTRY IRON ORE/COAL RAIPUR CHHATTISGARH Raipur - Apply JobItUs ATS HEMM INSURANCE EXECUTIVE FOR MINING INDUSTRY - IRON ORE/COAL - RAIPUR , CHHATTISGARH HEMM INSURANCE EXECUTIVE FOR MINING INDUSTRY - IRON ORE/COAL - RAIPUR , CHHATTISGARH Qualification: B.Com - Commerce; B.Tech/B.E. - ...

Country: India State/Province/County: Maharashtra City: Pune Remote vs. Office Hybrid (Remote/Office) Company Siemens Energy Industrial Turbomachinery India Private Limited Organization Transformation of Industry Business Unit Compression Full / Part time Full-time Experience Level Experienced Professional A Snapshot of Your Day The Service Sales Manager is responsible for leading and managing the regional Services client Managers team in India to achieve year-over-year bookings growth, and development of the selling organization. This position reports to the Head of Service Sales Asia Pacific for the services compression Business and it includes the tasks as described hereunder. We are look...

Roles & Responsibilities: The primary role of an Estimator includes calculating the budget based on the consumer s requirement and preparing an effective budget estimate to assist Lead Estimator. Also develop strong relationships with intra departments within the company to ensure everyone is working toward the same targets and goals. Bid on new projects and negotiate contract terms. Prepare tender and contract documents, including bills of quantities. Undertake cost analysis for repair and maintenance projects work. Assist in establishing a client s requirements. Advise on a procurement strategy. Identify, analyse and develop responses to commercial risks. Develop risk assessments and prici...

: Provide expert procurement, commercial and contract support through the pre-construction and construction stages of the project Support nimble project management and clear decisions through excellent cost documentation and timely communication Enable the preparation and agreement of final accounts, including the handling of any claims to ensure the client gets best value from works undertaken Proactively lead all commercial risk management efforts Be a visible leader onsite, assessing progress and ensuring safe work practices Foster top performance and growth for your employees via excellent mentorship and leadership We would love to hear from you if you: Have grown your cost management ex...

Lumen connects the world. We are igniting business growth by connecting people, data and applications quickly, securely, and effortlessly. Together, we are building a culture and company from the people up committed to teamwork, trust and transparency. People power progress. We re invested in providing the flexibility you need to thrive and deliver lasting impact. Apply now to continue digitally connecting the world and shaping the future Job Title: Change and Release Manager Job Summary The Change and Release Manager is responsible for overseeing the lifecycle of IT changes and releases, ensuring minimal disruption to services while maintaining compliance, performance, and security standard...

About DP World Trade is the lifeblood of the global economy, creating opportunities and improving the quality of life for people around the world. DP World exists to make the world s trade flow better, changing what s possible for the customers and communities we serve globally. With a dedicated, diverse and professional team of more than 111, 000 employees from 159 nationalities, spanning 77 countries on six continents, DP World is pushing trade further and faster towards a seamless supply chain that s fit for the future. We re rapidly transforming and integrating our businesses -- Ports and Terminals, Marine Services, Logistics and Technology and uniting our global infrastructure with loca...

As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily activities of the Human Resource Office including oversight of recruitment, total compensation, and training and development. Additionally, he/she focuses on delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensures compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Reso...

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 Assi...

Req ID: R-1168465 Job Title: Key Account Executive - E-com Location: Mumbai EXPECTED WORK In Stock Excellence The KAE is accountable for efficient online availability of the portfolio on their respective platform. This requires her/him to work on demand forecast, customer ordering, fulfilment and go live Execution Rigor The KAE is responsible for configuration of offer and its compliance, media assets and content upload across the assortment Budgeting She/he must have the ability to work with data comfortably to forecast and budget for optimized brand investments on the respective platforms Financial Hygiene The KAE is responsible for maintaining collection efficiency, customer claims and ot...

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...

Non-Motor Claims Scrutiny and claims processing for settlement Coinsurance Claims Process, Reconciliation of Incoming Coinsurance Claims Branch Office / Other Insurers Claims Query handling Coordination with IT Department for Bugs and Developments Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team Coinsurance Claims Scrutinizing the document/ survey report Verify the assessment of claims as per terms and condition of the policy Preparation of the Claim note & obtain necessary approvals. Review /Payment entry in system & approvals. Attending meeting with Stakeholders MIS Reports and Data Preparations Support Audit and Incidental Activities allocated by RA Location...

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...