7662 Claims Jobs - Page 14

Field Early Warning procedure Detect field claim spikes with FEW triangles, analyze factors, create red flag until 15 th of each month. Link VIM with Red flag within 48h: with VIM if known issue or VIM FEW to ensure the quick collection of the Right parts. Monitor the 3MIS claims for each claims categories and confirm efficiency of containment actions. Maintain customer part number in WINGS to ensure compliance with Valeo product hierarchy. Field returns analysis Warranty return sample must be secured, follow the Valeo warranty part analysis procedure, comply with Customer and Valeo Warranty QRQC requirement including respect of timing. OEM, Dealer and End user interface. Should able to inte...

Software Engineer- Networking This role has been designed as Onsite with an expectation that you will primarily work from an HPE office. : Job Family Definition: Designs, develops, troubleshoots and debugs software programs for software enhancements and new products. Develops software including operating systems, compilers, routers, networks, utilities, databases and Internet-related tools. Determines hardware compatibility and/or influences hardware design. What you need to bring : Experience Education: BS/MS in Computer Science, Computer Engineering, or a related technical field, combined with 3 to 7 years of progressive professional experience developing high-performance networking softwa...

Software Engineer, Networking This role has been designed as Onsite with an expectation that you will primarily work from an HPE office. : Job Family Definition: Designs, develops, troubleshoots and debugs software programs for software enhancements and new products. Develops software including operating systems, compilers, routers, networks, utilities, databases and Internet-related tools. Determines hardware compatibility and/or influences hardware design. Management Level Definition: Contributions include applying intermediate level of subject matter expertise to solve common technical problems. Acts as an informed team member providing analysis of information and recommendations for appr...

Alliance Business Manager This role has been designed as Onsite with an expectation that you will primarily work from an HPE office. : Global Sales at HPE is about building the future. We are redefining what s next and combining our legacy of innovation with a bold new goal to accelerate everything we do. Our sales organization is comprised of 10,000+ professionals in sales, presales, service, and support functions. Together with our partners, we deliver global, commercial, public sector small/medium business customers throughout 11 geographies. We re transforming businesses. Join us redefine what s next for you. What you ll do: Responsibilities: Influences large account sales teams to partn...

Software Engineer- Networking This role has been designed as Onsite with an expectation that you will primarily work from an HPE office. : Job Family Definition: Designs, develops, troubleshoots and debugs software programs for software enhancements and new products. Develops software including operating systems, compilers, routers, networks, utilities, databases and Internet-related tools. Determines hardware compatibility and/or influences hardware design. What you will do : We are seeking a Software Engineer with expertise in designing and developing carrier-grade networking software for large-scale, multi-core architectures. The role requires a strong understanding of operating systems a...

Job Title: Claims Expert PC (Treaty/Fac) India Branch Corporate Title: Vice President Division: BCM-Property Casualty Claims SID Mu Location: Mumbai, India Branch Hiring Manager: Sheema Khurshed 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. At Swiss Re we combine experience with creative thinking and cutting-edge expertise to create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 13,000 employees across th...

Business Function Group Legal, Compliance & Secretariat ensures that the banks interests are protected by zealously guarding and enhancing its reputation and capital. We also work to maintain a good standing with all our regulators, customers, and business partners. Because we believe that at the heart of business banking is to uphold the values of trust and integrity for all our stakeholders. Responsibilities With growing number of transactions in cards and digital platform hiring resources who will be responsible for the prevention and detection of potential fraud across all payment channels by reviewing customers transactions / accounts and they will monitor system alerts daily and take n...

Sr. Analyst, Business Performance plays a pivotal role in driving strategic insights and fostering systematic, data-driven decision-making to enhance business outcomes. The role includes gaining a comprehensive view of key performance indicators, Analytics for the design and implementation along with dissemination of accurate business performance information to all relevant stakeholders. Associate in this role will be responsible for preparation of key deliverables according to project needs, ensuring timely completion, collaboration and quality under the guidance of experienced team members (D, AD, SM, M, etc). About the Role Senior Analyst, Business Performance Location - Hyderabad #LI Hyb...

At EY, we re all in to shape your future with confidence. We ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Career Family Risk Management Services (Independence) Role Type Supervising Associate/Assistant Manager Supervising Associate - Independence - Risk Management Services This role requires the candidate to build and demonstrate an in-depth technical knowledge of specific Independence support processes which are developed globally in accordance with the EY Global (EYG) Independence policies aimed towards safeguarding EY as an Independent auditor. These processes are ...

Manage and oversees accounting activities related to receivables Bank payments cash book updates etc. Bachelors or Masters Degree in commerce or finance or qualified/semi-qualified professional accountant (Graduate (Finance) , Post-Graduate (Finance) , BBA, MBA, CA, CMA, CS) 8 - 10 Years Update daily cashbook Step 1: Login to bank portal Step 2: Download bank statement Step 3: Update cashbook in excel format using bank statement download from bank portal Step 4: Ensure both cashbook balance and bank statement reconciled Perform analyst on incoming receipts prior to system allocations Step 1: Open cashbook in excel Step 2: Select unallocated receipt Step 3: Open AR shared mailbox to search fo...

Job Description Position Summary: As a Customer Care Advocate, you are passionate about customer service and resolving issues to deliver a great customer experience every time! You will manage the facilitation of Warranty Claims, Order logging, Order processing, Reverse Logistics, and Invoice correction, allowing Rockwell Automation to meet the urgent demands of our global customers. Additionally, you will be focused on identifying process improvement opportunities and helping bring those opportunities to implementation. Integrated Focus: You will also support pre-sales and post-sales customer service functions by assisting customers, company sales, and service representatives with questions...

Reinsurance Administration process is part of finance team,which takes care the reinsurance administrative activities including - Reinsurance premium and claims computation. Products/treaty set-up in ReNova. Analysis and impact assessment on re-insurance process ofnew product launch Coordination with reinsurer for account settlement. Internal/regulatory reporting. Technical accounting. Automation and process improvement What are we looking for A dynamic and energetic Subject Matter Expert (SME) tosupport reinsurance team in managing overall reinsurance activities with a highlevel of integrity, faster execution, respect for timeline and efficientinteraction with internal and external stakehol...

Job Description Content & Campaign Manager (Mobile App & Remarketing) Location Mumbai Experience 3 5 Years Function Marketing (Digital / Content) Role Overview We are seeking a Content & Campaign Manager with strong life insurance industry exposure to lead campaign content development for our Mobile App and remarketing engine. The role requires deep familiarity with IRDAI marketing and advertising guidelines and the ability to balance speed, compliance, and customer-centricity. The candidate should be a self-starter with operational strength, agency/vendor management skills, and a data-driven mindset to continuously refine content effectiveness based on customer behavior and insights. Key Re...

Key Responsibilities: Handle customer dispute cases across key workflows - Researching & filing card disputes, challenging peer to peer disputes, recon of card disputes, fraudulent ACH research & filing, responding to enquiries via e-mail. General knowledge of banking and alternative payment channel operating rules. Investigate dispute claims and ensure compliance with Regulation E with respect to the timeframes that govern disputed transactions. Understand chargebacks involving fraudulent activity and provide resolution to prevent future cases. Investigate fraud notifications to protect the institution from high-risk activity related losses and improve customer experience. Collaborate and e...

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

The Software Engineering Lead Analyst provides input to Engineering assignments/projects. Under guidance, designs and develops a consolidated, conformed enterprise data warehouse and data lake which stores all critical data across Customer, Provider, Claims, Client and Benefits data. Designs, develops and implements methods, processes and systems and data mining tools. Analyzes large amounts of data stored in a data warehouse or data mart to find relationships and patterns. Supports and provides direction to more junior professionals. Works autonomously, only requiring expert level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard...

Farnell Farnell, an Avnet company, is a global high-service distributor of technology products, services and solutions for electronic system design, maintenance and repair. Customer Support Representative - NA Job Summary: Responds to customer inquiries, expedites critical orders, communicates dispositions, resolves issues, and researches orders. Principal Responsibilities: May provide quote preparation, order tracking, backlog processing, invoicing, returns, discrepancy resolution, customer credit issues, and/or other support to sales team members and/or external customers (including order expediting, stock inquiries, reporting, and stock rotation). May identify, investigate, and engage in ...

Farnell Farnell, an Avnet company, is a global high-service distributor of technology products, services and solutions for electronic system design, maintenance and repair. Job Summary: Responds to customer inquiries, expedites critical orders, communicates dispositions, researches and resolves issues, and researches orders. Principal Responsibilities: May provide quote preparation, order tracking, backlog processing, invoicing, returns, discrepancy resolution, customer credit problems and/or other such support to sales team members and/or external customers (including order expediting, stock queries, reporting and stock rotation). May Identify, investigate, and participate in opportunities ...

Farnell Farnell, an Avnet company, is a global high-service distributor of technology products, services and solutions for electronic system design, maintenance and repair. Job Summary: Responds to customer inquiries, expedites critical orders, communicates dispositions, researches and resolves issues, and researches orders. Principal Responsibilities: May provide quote preparation, order tracking, backlog processing, invoicing, returns, discrepancy resolution, customer credit problems and/or other such support to sales team members and/or external customers (including order expediting, stock queries, reporting and stock rotation). May Identify, investigate, and participate in opportunities ...

Role Overview We are seeking an experienced Guidewire QA with strong hands-on expertise in testing Guidewire PolicyCenter (PC), BillingCenter (BC), and ClaimCenter (CC) applications. The role involves end-to-end testing of insurance workflows, integrations, and billing/claims transactions. Key Responsibilities Perform functional, system, integration, and end-to-end testing for Guidewire PC, BC, and CC. Prepare and execute test plans, test scenarios, and test cases based on business and technical requirements. Validate policy issuance, endorsements, renewals, cancellations , and billing impacts. Test billing workflows including invoices, payments, delinquency, write-offs, and disbursements. V...

We are hiring for one of the prestigious MNCs. Job Description Guidewire Developer (ClaimCenter) Experience : 6-8 Years Location : Hyderabad Work Mode : 5 Days Work From Office (WFO) Job Summary We are looking for an experienced Guidewire Developer with strong hands-on expertise in Guidewire ClaimCenter and solid knowledge of the Insurance domain. The ideal candidate should have end-to-end experience in Guidewire implementations, customization, and integrations, and be comfortable working in an onshoreoffshore delivery model. Key Responsibilities Design, develop, and customize Guidewire ClaimCenter applications Implement business requirements using Gosu, PCF, and Guidewire configuration Work...

What youll be DOING What will your essential responsibilities include? Serve as the primary policy administrator to AXA XL underwriters and Middle Office, own the end-to-end policy lifecycle with precision and timeliness. Conduct name clearance and sanctions screening: screen insureds/counterparties, investigate matches, escalate to Compliance as needed, and document actions for audit readiness. Interpret instructions issued by producing office UAs, handle rejections and close relevant cases, communicating with UAs and MO to help resolve queries Manage bookings as per good local standard - process premium bookings basis instructions, update local deductions and taxes, validate update Reinsur...

Role Overview: You will be responsible for analyzing accounts receivable in the US Healthcare sector, specifically focusing on the end-to-end Revenue Cycle Management (RCM) process. Your key role will involve managing denials and claims efficiently while ensuring high-quality work output and production targets are met. Timely follow-up on outstanding accounts will be a crucial aspect of your daily tasks. As a valuable team member, your willingness to collaborate and contribute to the team's success will be highly appreciated. Key Responsibilities: - Analyze accounts receivable in the US Healthcare sector - Manage denials and claims effectively - Ensure high quality and production standards a...

Role & responsibilities Evaluates and processes claims in accordance with company policies and procedures per CMS guidelines/SOP Reviews and analyzes data for in-process claims in order to identify and resolve errors prior to final adjudication Exercises good judgment and remains knowledgeable in related company policies and procedures Achieves teamwork, production and quality standards in order to assure timely, efficient and accurate claims processing Extensive knowledge of Commercial, Medicaid, Medicare & TPA claims processing guidelines Knowledge of medical coding/billing including ICD-10, CPT, CMS-1500, UB-04 etc. Knowledge of different providers payment methodologies (i.e., capitation,...

Dear Candidate, Please find the details for the role of Medicos - Key Requirement: BPT/BDS/BAMS/BUMS/BHMS Job Description: "Claims Processing" + "Claims Settlement" + "Claims Management" for Retail Claims Review of A&H claims and assisting customers through call and email, where there is need or request of medico call back. Coordination with all the TLs & CSRs on the Contact Center floor to provide end to end resolution for the customer queries for better customer experience. Liaising between the internal teams- RLMU, Claims, U/W to provide faster processing of claims. Providing additional support to other support channels for health claims. Conducting induction programs for CSRs/TLs on clai...