6244 Claims Jobs - Page 18

About The Role Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Duck Creek Claims, SQL Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Developer, you will design, build, and configure applications to meet business process and application requirements. A typical day involves collaborating with various teams to understand their needs, developing innovative solutions, and ensuring that applications are aligned with business objectives. You will engage in problem-s...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement ser...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced About Accenture 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 worlds 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. Visit us at www.accenture.com What would you d...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? Tower:UK Life and Pensions Claims processing Results-driven operations professional with over 8 years of experience in the UK Life, Pensions and Investment domain, specializing in Claims processing. Proven ability to manage end-to-end service delivery, lead high-performing teams, and drive operational improvements. Candidates with equivalent experience in U.S. retirement services will also be considered. What are we looking for? Skillset:Bachelor s degree in any disciplineExper...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Tower:UK Life and Pensions- Claims Processer- CL 11 What are we looking for? Skillset:Graduate in any discipline from a recognized institution. While a degree in finance, commerce, or business administration is an advantage, it is not mandatory. Experience in the UK Life and Pensions domain (Preferred, not mandatory)Open to flexible shifts based on business requirements.Strong verbal and written communication skills in English, with the ability to convey information clearly and pro...

Build and maintain operational dashboards, trackers, and reports using Excel and SQL-based tools Analyze large data sets to identify trends, process gaps, and opportunities for efficiency Collaborate with internal teams (claims, partner success, underwriting) to resolve operational issues Handle enrollment of programs with insurers Handle claim payments with partners Monitor SLAs, TATs, and other key metrics across protection programs Support process documentation and automation initiatives Assist in onboarding new partners, integrating plan workflows, and ensuring data quality Work closely with product and tech teams to troubleshoot system-level issues and suggest enhancements

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...

Job Title - Area Tax Associate Manager EMEA > Management Level : Location:Bangalore Must have skills: V&A, M&A Good to have skills: Job Summary : This is an exciting opportunity to join the Accenture EMEA tax team working primarily in the V&A function. This function is a key part of the tax team and provides the opportunity to work with all members of the EMEA and wider Accenture tax team. The role will focus primarily on providing tax due diligence and post-acquisition integration support on V&A deals. You will be working closely with other members of the tax team as well as other key functions such as Corporate Development, Legal, Controllership and Treasury. Roles & Responsibilities: Coor...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture 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 worlds 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 emb...

About The Role Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Developer, you will design, build, and configure applications to meet business process and application requirements in a dynamic work environment. Roles & Responsibilities:- Expected to be an SME- Collaborate and manage the team to perform- Responsible for team decisions- Engage with multiple teams and contribute on key decisions- Pr...

At Go digit, we are committed to building a culture of governance, transparency, and continuous improvement. As part of this journey, our Internal Audit team plays a key role in strengthening risk management and process assurance across our business operations. To strengthen the existing team , We are inviting applications for the position of Internal Audit Professional with an experience of 2-4 years an individual with comprehensive understanding of insurance processes and a passion for risk-based thinking. Ideal Background: Experience in General insurance domain / insurance broking (non-motor lines)/ insurance survey, or investigation firms Strong understanding of insurance operations unde...

Job Description Role : Analyst, Service Delivery at ReSource Pro Experience : 2 to 5 Years Work Mode : Onsite (5 Days) Location : Karle Town Center, Nagavara, Bangalore NOTE: 1 Year Underwriting experience into Property & Casuality is mandatory. Interested candidates can share your resume to the below mentioned email: Email- Sakshi_Gupta@resourcepro.in 1. Purpose of the Position Process moderately complex insurance tasks, perform auditing and trouble-shooting, deliver training, and be responsible for meeting quality, quantity, and time deadlines. Communicate with the client via email. Report operation problems and propose solutions to achieve operation optimization. 2. Principal Responsibili...

Preferred candidate profile Hiring for SME and TL Role Kochi location- walkin interviews Minimum experience of 4+ years into claims adjudication in US Healthcare Facets exposure is added advantage Budget upto 6.4 LPA for SME and 8.5 LPA for team lead Team lead on papers experience is mandatory with good team management skills US Shifts For more details, contact on below Aslam Khan 88909 36366. aslam@manningconsulting.in Chhavi Bhatt 8955611211 Chhavi.bhatt@manningconsulting.in

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 Attention to detail you will need to make sure that all conditions of a claim are met to make sure that the claim can be processed and validated. Performing quality checks on tasks performed by colleagues. Constantly elaborating existing processes and looking for improvement opportunities. Getting involved in testing and sharing results. Looking to engage in projects and opportuniti...

We are looking for a highly skilled and experienced Utility Cleaner to join our team in the Hotels & Restaurants industry. The ideal candidate will have 2-5 years of experience in a similar role. Roles and Responsibility Maintain high standards of cleanliness and hygiene in all areas. Perform routine maintenance tasks to ensure smooth operations. Collaborate with other teams to achieve common goals. Develop and implement effective cleaning schedules. Identify and report any maintenance or repair issues. Ensure compliance with company policies and procedures. Job Requirements Any Graduate degree from a recognized institution. Proven experience as a Utility Cleaner or in a related field. Stron...

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.

Greetings From Scorelabs Inc ! Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Qua - BAMS , BHMS & MBBS Freshers Are also Welcome ( If they Interested in Claims) Required Candidate profile Handle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and insurance officers for clarification or denials. Hr Mounika - 8688334476

Role & responsibilities Required candidate from science background/at least aware of medical terms. Ability to communicate clearly and professionally, both verbally and in writing. Strong decision making and analytical abilities. The candidate must have a basic understanding of medical billing and should be familiar with CPT codes. The candidate should be capable of interpreting notes and comprehending the requirements. Candidate should be knowledgeable about denials to avoid unnecessary appeals if necessary. The candidate should be well-versed in the various state insurances and policies for appeals. Preferred candidate profile Bachelors degree in a medical field (Preferred) Minimum of 2 ye...

Cognizant Walk-in drive for Freshers -US healthcare Process at Kochi location. Interview Date : 1st Nov 2025 (Saturday) Interview Time : 10:00 AM to 1:00 PM Venue - Cognizant, Infopark Phase 2, Kakkanad, Kochi, Kerala 682303 Building Details: 12th floor MPH POC:Raguvaran Preferred candidates Profile: Eligible --Arts Graduates B.Com/B.Sc/BBA/BA/BCA/B.Arch (2023/2024/2025 passed out only) Not Eligible -- BE/B.Tech/MBA/MCA Shift : US Night shift (5:30 PM IST 3:30 AM IST) Work Mode: only Work from Office (Kochi location) US Healthcare Non-Voice BPO process Candidates must have good communication. Interested candidates can walk-in to the Venue with the following documents : 1. Updated resume (2 h...

Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses ...

We are looking for a highly motivated and enthusiastic individual to join our team as a Guest Service Associate in the F&B service department. This role is suitable for candidates with 0-2 years of experience, providing an excellent opportunity to learn and grow with our company. Roles and Responsibility Provide exceptional customer service to guests, ensuring their needs are met and concerns addressed promptly. Manage front-of-house operations, including reception, concierge, and bell captain duties. Coordinate with other departments to ensure seamless guest experiences. Maintain high standards of cleanliness and hygiene in all areas. Develop and implement effective communication strategies...

Cognizant Walk-in drive for US Healthcare -Claims Process at Kochi location. Interview Date : 1st Nov 2025 (Saturday) Interview Time : 10:00 AM to 1:00 PM Venue - Cognizant, Infopark Phase 2, Kakkanad, Kochi, Kerala 682303 Building Details: 12th floor MPH POC: Raguvaran Preferred candidates Profile: Experience range required - 2 to 4 years Minimum 2 to 4 Years of experience in US Healthcare Claims adjudication Notice Period : Immediate to 30 days Preferred Education: Graduation is Must Must have good communication skills Should be ready to work in Night shift (US Shift) Mode of Work : Complete Work from Office Interested candidates can walkin to the Venue with the following documents : 1. Up...

Candidate must have worked in US healthcare with experience minimum of 7 years, especially in claims application as business analyst or consultant Membership and provider domain knowledge/experience is preferable, but must have claims knowledge FEP, ITS (Interplan Teleprocessing system)/Blue card claims and B2 application knowledge/experience is preferable Work experience in EHR/EMR is also considered, but must have worked or possess knowledge of claims submission to Payers Should have knowledge in working with all types of claim medical, hospital, Pharmacy, Dental, Vision, Blue card/ITS etc Should have the fundamentals of requirement gathering, elicitation, documenting, and transition over ...

SUMMARY About the Role: We are looking for dedicated and proactive professionals to join our Revenue Cycle Management (RCM) team as Process Executives and Senior Process Executives . The role involves managing the accounts receivable process, following up with insurance companies, and ensuring timely resolution of medical claims. This position offers an excellent opportunity to build a rewarding career in the healthcare BPO industry with structured growth pathways. Designation & Experience: Process Executive: 0 1 year of experience Eligibility Criteria: Qualification: Non-Technical Graduates (B.Tech graduates are also eligible) Experience: Freshers and experienced candidates in Revenue Cycle...