6244 Claims Jobs - Page 16

Role & responsibilities Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS). Liaising with Claim handlers onshore, brokers, and underwriters. Manage all administration aspects of the claim Preferred candidate profile Graduate / Postgraduate with relevant years of experience within Insurance/Reinsurance industry. Positive, innovative, and make it better mindset to bring operational efficiencies. Experience in MS Excel and PowerPoint is required support segment KPI and management reporting.

What this job involves: Responsibilities: Review expense reports submitted by employees for overall reasonableness; ensure that users are not in violation of Corporate Travel Policy and Government regulations. Help Desk: Provide backup support and engage in solutions to user problems to ensure user satisfaction and productivity. Reports: Review all daily, weekly and monthly reports to ensure that data is processing correctly per audit rules and corporate policy. This includes ensuring receipt flags are set properly and employee data is updated properly. Auditing: Work with audit agencies (government, external and Internal) to assist with all required audits. This includes providing copies of...

Assists the Director of Security in managing security operations on a daily basis. Areas of responsibilities include the protection and safety of property assets, employees, guests and property, accident and fire prevention and response. Ensures the continuous protection of guests, employees and hotel assets. Maintains logs, certifications and documents required by law and Standard Operating Procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the security/loss prevention or related professional area. OR 2-year degree from an accredited university in Criminal Justice or related major; 1 year experience in the security/loss prevention or rel...

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. Identifies, investigates, and participates in opportunities to improve processes and procedures, to include various key performance me...

Role: Domain SME ensuring functional coverage for General Insurance (Motor, Health, Travel, etc). Responsibilities: Define end-to-end test scenarios for policy issuance, endorsements, renewals, and claims. Validate regulatory compliance for IRDAI and Bima Sugam guidelines. Ensure interoperability testing with insurers, distributors, and external systems. Work closely with automation team to build reusable regression packs. Act as the go-to expert for General Insurance testing queries.

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

About Company Founded in 2011, ReNew, is one of the largest renewable energy companies globally, with a leadership position in India. Listed on Nasdaq under the ticker RNW, ReNew develops, builds, owns, and operates utility-scale wind energy projects, utility-scale solar energy projects, utility-scale firm power projects, and distributed solar energy projects. In addition to being a major independent power producer in India, ReNew is evolving to become an end-to-end decarbonization partner providing solutions in a just and inclusive manner in the areas of clean energy, green hydrogen, value-added energy offerings through digitalisation, storage, and carbon markets that increasingly are integ...

Basic Summary: We are seeking a detail-oriented and execution-focused Product Owner to support the delivery of features and enhancements within our healthcare claims administration platform. This role is responsible for translating business and stakeholder needs into clear, actionable user stories and working closely with engineering teams to ensure timely, high-quality delivery. The ideal candidate brings healthcare domain knowledge, understands Agile processes, and is comfortable using AI-enabled tools to support requirements definition and backlog management. Essential Duties & Responsibilities: Backlog Ownership & Agile Execution Own and manage the product backlog, ensuring stories are w...

Welspun Enterprises Ltd. Job Description : Manager/Engineer Contracts, WEL Role Title: Manager/Engineer Contracts, WEL Reporting to: Project Manager, WEL Purpose: Lead the contract execution, administration and management process at the site. Ensure adherence to contract guidelines and swift resolution of contract related disputes. Key Responsibilities: A. To study the Contract conditions of the Contract Documents and prepare the CAD in consultation with Project Manager and Contract Head. B. To ensure proper and timely drafting of correspondences at Site level in consultation with the Project Manager and Contract Head. C. To ensure the correctness and sufficiency of Contractual provisions/ i...

Job Summary: We are seeking a highly skilled Patient Services Data & Analytics Specialist to support pharmaceutical business operations by transforming patient service, access, and adherence data into actionable insights. The ideal candidate will be responsible for analyzing patient experience, operational efficiency, and service quality metrics to drive performance improvement, enhance patient engagement, and support therapy adherence programs. This role will collaborate with cross-functional teams including Patient Support, Commercial, and Analytics to ensure data-driven decision-making across patient service operations. Key Responsibilities: Need Pharma Domain experienced. Analyze and int...

Manage the rebates process for assigned customers independently. Ensure claim/finance based rebates are validated & credits are processed on a timely basis. Monitoring the Deductions from customers & make sure that the deduction log is under control. Ensuring the SSA/FTS/ADHOC claims are validated and process through DM log. Monitoring DM log on regular basis and ensure to process the claims before deductions. Update the DM log. Assisting the controlling team with quarterly & monthly accruals. Handling the disputes with customers & ensuring the disputes are raised within specified timelines. Monitoring the case manager and ensure to have a case number for all claims. Providing insights/outco...

This Position reports to: Business Manager - Operations Your role and responsibilities In this role, you will have the opportunity to lead the local management of all project execution activities in the area of responsibility. Each day, you will ensure operations are executed in accordance with procedures, regulations, standards, specifications and targets. You will also showcase your expertise by coordinating and overseeing team development and standardized process development to continually improve the effectiveness of Project Execution teams. In this role, youll help run what runs the world, by taking on meaningful work that drives real impact. The work model for the role is: #Li-Onsite T...

1. Financial To support in executing the growth goals, organization transformation and protects and promotes the reputation of the business in the region Minimize excessive expenditure through effectively managing the CA Department budget whilst consistently identifying and initiating cost saving initiatives Liaise with relevant departments in the region to ensure mitigation of regulatory risks by way of identifying, assessing and creating mitigation plans for the same Take initiatives to drive growth for DCBL and ensure sustained growth in line with long-term and short-term objectives of the organization 2. Customer Support the development of the executive committee's reputation management ...

As a Senior Data Scientist at Oracle Health, you will independently design, build, and deploy AI/ML models and agents that automate workflows, generate insights, and improve patient outcomes. You will collaborate across product, clinical, and engineering teams to translate complex healthcare problems into scalable AI solutions. Key Responsibilities Own end-to-end development of AI/ML models and Generative AI agents. Analyze large, complex healthcare datasets to uncover actionable insights. Collaborate with clinicians, product managers, and engineers on applied AI use cases. Optimize models for accuracy, interpretability, and performance in production. Ensure solutions meet healthcare data pr...

JOB DETAILS 1. Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies 2. Adhere to the state and federal compliance policies and contract compliance 3. Assist the prospective team with special projects and reporting 4. This process works on identifying discrepancies between medical records and billed services 5. Identifying Up-coding, Duplication, and Misrepresentation of services 6. Managing and reporting adverse events and serious adverse events 7. Reviewing clinical study protocols, reports and study documentations 8. Supervising ...

Greetings From Scorelabs Inc! Claims Management Process for all the Health product line and portfolio Co-ordinate with multiple teams and stakeholders e.g. Underwriting, Hospitals, Claims. Evaluation of Health Claim Ratio Location - Hyderabad Required Candidate profile Any Medical Graduate like BAMS, BHMS, BUMS , MBBS etc. Minimum 1-3 years of relevant experience of practice or healthcare industry. Freshers & Exp both are eligible Hr Gowthami - 7842272470

Oversee all general and group medical insurance policies, timely renewals, and prompt premium payments. Work closely with HR, Finance, and insurance providers for employee coverage updates, premium settlements, and receipt of policy documents. Required Candidate profile Graduate with experience in handling General Insurance policies in large corporates are preferred. Must have very good relation with service provider for competitive quotations. Age : 34-46 yrs .

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:Life and Pensions- Digital ContactJob Role :Customer ServicePrimary Skills :Chat support What are we looking for? Skillset:Education:Bachelors degree in Communications, Business Administration, or a related field is preferred.Experience:Previous experience in customer service, digital support, or a similar role is desirable.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ab...

Skills: life insuracne, life, Bancassurance, Life Insurance, Call Center Development, insurance,. Company Overview. CN Solutions is a leading provider of IT staffing solutions and services. We specialize in web technologies, software testing, CRM, ERP, data warehousing, and more. With our dedicated team of professionals, we work closely with our clients to meet their manpower requirements. Our company has 11-50 employees and has established a strong reputation in the IT services and IT consulting industry. Job Overview. We are seeking a skilled and motivated individual to join our team as a Life Insurance Specialist. In this role, you will be responsible for promoting and selling life insura...

JOB TITLE Technical Business Analysis Engineer II RESPONSIBILITIES May perform one or more of the following: Requirement/Analysis Ability to comprehend Business Requirement Documents (BRD) Maintain and Update Data/Vendor Interfaces BRD Interprets requirements to create systems specifications documents to build and execute system. Perform Data Analysis, Audit, and associated research and provide subsequent resolutions. Understanding of database/SQL Query Writing Work alongside with Sr. members or individually (as required) to assist in smooth integration/transition of processes and create/maintain documentations for the same. Responsible for solving the data and Vendor files related issues an...

Job Track Description: Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Rece...

Graduate from recognized universities. (B Tech CSE/IT not eligible). Freshers and experienced candidates from 1-4 years are eligible Preferred candidates with Claims/Claims Adjudication Experience with BPO sector/ domain are preferrable Possess strong Problem solving skills, analytical knowledge and communication skills- both written and verbal. Collaborative, high-energy and diligent work ethics to be displayed at all times. Strong ability to multi-task and support different functions based on business requirements. Complete tasks according to the established standards with limited instruction and supervision. Should possess team-based working style coupled with the zeal to expand the learn...

Job Track Description: Performs business support or technical work, using data organizing and coordination skills. Performs tasks based on established procedures. In some areas, requires vocational training, certifications, licensures, or equivalent experience. General Profile Ability to perform in an analytical and operational process. Entry-level position with limited requirements for licenses, training, and certifications. Applies experience and skills to complete assigned work. Works within established procedures and practices. Works with a close degree of supervision. Functional Knowledge Basic skillset in a range of processes, procedures, and systems. Business Expertise Supports in the...