6244 Claims Jobs - Page 15

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...

Should be well versed with health insurance (In terms of Coverage s) , Provider Networks & Wellness Strong communication skills (Verbal as well as written) Should possess excellent soft and negotiation, Marketing skills Thorough knowledge of MS-Office especially MS-Excel & MS power point Strong in calculations & logical thinking . Willing to travel is must. Provider Management: Provider Relationship Management to achieve goal and objective as set including negotiation tariff, designing packages, customer service, maintaining a good relationship with existing providers Identification of Important Providers based on the requirements for Hospital Empanelment and works on strengthening relations...

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...

A career at Flex offers the opportunity to make a difference and invest in your growth in a respectful, inclusive, and collaborative environment. If you are excited about a role but dont meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary To support our extraordinary teams who build great products and contribute to our growth, we re looking to add Subject Matter Expert - GBS Procurement position will be based in Chennai . 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 confirmati...

Responsibilities: Coordinate across all departments to ensure optimal support for customers and beneficiaries. Register and track customer grievance cases accurately in the system. Handle and resolve customer grievances related to claims efficiently and with professionalism. Conduct regular follow-ups with customers regarding their registered cases and ensure timely resolutions. Maintain detailed records of grievances, resolutions, and escalations for reporting and analysis. Organize and manage relevant information and documentation from customers to support their cases. Collaborate with internal experts to develop solutions for customer complaints and queries. Requirements: Excellent commun...

Job Location: Kokilaben Dhirubai Ambani Hospital, Andheri (west) Job Description: We are seeking a dedicated and empathetic individual to join our team as a Patient Relations Specialist. In this role, you will be the primary point of contact for patients, assisting them in understanding the terms and conditions of their health insurance policies. Additionally, you will be responsible for facilitating the reimbursement process by accurately filing reimbursement forms on behalf of the patients. Responsibilities: Interact with patients to provide clear explanations of their health insurance policy terms and conditions. Assist patients in understanding coverage details, including copayments, ded...

Mercer is seeking candidate for following position based out of our office in Gurugram/Noida/Mumbai location. We are seeking a proactive and skilled Senior Data Insights Advisor to join our dynamic team, reporting to the Global Data Insights Leader. In this role, you will play a crucial part in supporting countries in the development and implementation of best practices in financial and actuarial modelling. You will also be responsible for coordinating new projects that drive innovation and enhance the solutions that we offer. Your expertise will be essential in facilitating knowledge sharing and driving the successful execution of initiatives.. We will count on you to: Facilitate the sharin...

Skills Required : Ensuring contract compliance, mitigating legal risks, and resolving disputes to protect the company's interests Key Responsibilities Administer the Contract Life Cycle Management which includes pre award and Post award Contract Management. Understand and analyze the complete scope of work, in terms of technically and contractually. Review of regular correspondence with Client with respect to all the contractual and on any other site related issues. Ensuring compliance with all contractual & statutory requirements of the project till closure. Formulating claims for variations, price escalation, extension of time, compensation for extended stay, etc. Reviewing key sub-contrac...

Job Purpose: The BDM (Domestic & International sales) will achieve sales Target in potential Domestic & Export market for pulses and other food products with knowledge of import and export documents in compliance with customs and government regulations. Countries to focus like :- Indonesia UAE ( United Arab ... Business Development Manager (Domestic International Sales) Ahmedabad - Apply JobItUs ATS Business Development Manager (Domestic & International Sales) Job Description: Job Purpose: The BDM (Domestic & International sales) will achieve sales Target in potential Domestic & Export market for pulses and other food products with knowledge of import and export documents in compliance with ...

Your role and responsibilities About the team - Engineering at HashiCorp On the HashiCorp engineering team, we build the Infrastructure Cloud which allows enterprises to take a unified approach to Infrastructure and Security Lifecycle Management: Infrastructure Lifecycle Management: Build / Deploy / Manage Terraform allows you to use infrastructure as code to provision and manage any infrastructure across your organization. Packer standardizes image workflows across cloud providers, allowing teams to build, govern and manage any image for any cloud. Waypoint makes infrastructure easily accessible at scale, enabling platform teams to deliver golden patterns and workflows with an internal deve...

We are looking for an Insurance Desk Executive with 1 year of hospital experience in handling cashless and reimbursement claims. The candidate will be responsible for coordinating with insurance companies and TPAs to ensure smooth claim processing.

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 opp...

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 Acqui...

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 opportunities to improve processes and procedures, including key performance metrics Ensures that positive customer relations are maintained, and customer claims and complaints are resolved fairly, effectively, and in accorda...

In this role, you willserve as a Virtual Finance Controller for a diverse range of clients acrossmultiple industries This position offers you the opportunity to gain valuableinsights into different operational models and the challenges they face In parallel,you'll thrive in a dynamic consulting environment, where you can develop you'rexpertise while making a meaningful impact on our clients financialstrategies DESIRED SKILL: o PrimaryResponsibilities Accounting for Sales, purchases & VendorInvoices keeping in mind the basic TDS & GST compliances Accounting for Bank & Cash transactions +BRS Accounting for Employee Expense claims andknow-how of perquisites o SecondaryResponsibilities Proficien...

Certified CPC/CCS coder with minimum 3 years of post-certification experience, experience and skillset, to review the medical records and determine the coding corrections E&M Coders Qualifications:CPC/CCS Certified Coder with minimum 3 years of experience after certification Credential should not have Apprentice (CPC-"A") Should have experience in E&M Outpatient, Inpatient and ED Coding along with minor surgery procedures E&M Inpatient coding experience is mandatory Experience in Multispecialty will be an added advantage Experience:Coding experience: Minimum 3 years (Post Certification)Auditing experience (Optional) Communication: Strong written (documentation) and oral communication skills ...

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 ...

Job Title: Insurance Executive Company: Kauvery Hospitals Job Description: We are seeking a motivated and detail-oriented Insurance Executive to join our team at Kauvery Hospitals. The Insurance Executive will be responsible for managing all aspects of patient insurance verification, processing claims, and ensuring compliance with healthcare regulations. This role involves collaborating with patients, insurance providers, and internal departments to facilitate smooth insurance operations and enhance the patient experience. Key Responsibilities: - Verify patient insurance eligibility and benefits before services are rendered. - Accurately process insurance claims and ensure timely submission....

Conducttracking ofshipmentsofcustomers"(other thannational ional keyaccounts)shipmentsas perthe definedstandard operating procedures(SOPs) Identifycases oflatedelivery , nondelivery , returntooriginand relatedexceptionsand follow upactively forclosureasperthe definedprocedures; prepareand send updatestotheTeamLead Identify instances of held backshipments andconduct clearances withinstipulatedtimelines; prepareupdateson held backsandsendto theTeam Lead Obtain customer claim requests / escalations from contact center for delivery of shipments and conductrequisiteaction forclosure asperthe definedprocedures Conduct directhandlingofspecific customer complaintsand ensurefrequent followupsfor reso...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 co...

About The Role Skill required: Record To Report - Balance Sheet Account Reconciliations Designation: Record to Report Ops Senior Analyst Qualifications: BCom/CA Inter/Post Graduate Diploma in Finance Years of Experience: 5 to 8 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity eve...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We ...

Key Responsibilities: 1. ESIC Billing & Claims Management Prepare, review, and submit ESIC bills and claims in compliance with government norms. Verify patient details, eligibility, and ESIC card information before billing. Coordinate with ESIC hospitals/dispensaries for pre-authorization and claim processing. Track claim status, follow up on rejections or pending claims, and ensure timely settlements. Maintain accurate documentation for audit and inspection purposes. 2. Compliance & Documentation Ensure all billing and claim procedures comply with ESIC rules and regulations. Maintain and update ESIC records, registers, and statutory documents. Assist in ESIC inspections and audits, providin...