6244 Claims Jobs - Page 23

At SolarWinds, we re a people-first company. Our purpose is to enrich the lives of the people we serve including our employees, customers, shareholders, partners, and communities. Join us in our mission to help customers accelerate business transformation with simple, powerful, and secure solutions. The ideal candidate thrives in an innovative, fast-paced environment and is collaborative, accountable, ready, and empathetic. We re looking for individuals who believe they can accomplish more as a team and create lasting growth for themselves and others. We hire based on attitude, competency, and commitment. Solarians are ready to advance our world-class solutions in a fast-paced environment an...

Voyager (94001), India, Bangalore, Karnataka Manager, Risk At Capital One, we re building a leading information-based technology company. Still founder-led by Chairman and Chief Executive Officer Richard Fairbank, Capital One is on a mission to help our customers succeed by bringing ingenuity, simplicity, and humanity to banking. At Capital One India, we are at the cutting edge of solving fundamental business problems using advanced data methodologies, statistics, and machine learning algorithms. We analyze data to derive valuable business insights, make decisions, and develop innovative and patentable products. As a Manager, you will have responsibilities associated with Capital One India s...

Manager / Assistant Manager Account Management - MediAssist Job Title: Manager / Account Management Company: Medi Assist Location: Bangalore CTC: 9 to 12 LPA Experience: 11 to 15 years Industry: Health Insurance / TPA / Healthcare Key Responsibilities:- Client Relationship & Strategy: Build and maintain long-term partnerships with insurers, corporate clients, and healthcare providers. Lead high-level review meetings and ensure strong relationship governance. Operations & Service Delivery: Oversee end-to-end account operations including claims, customer service, and issue resolution. Ensure compliance with TATs and SLAs. Performance Analysis & Reporting: Monitor KPIs, analyze client data, and...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Qualification - Graduate/Postgraduate Skills Required : Property & Casualty Insurance, Policy administration, Underwriting, Team Management Job Descriptions 6 to 10 years of experience with P&C Insurance background (Mandatory) in an MNC Preferable domain experience in claims, submissions, Underwriting & Support , Policy Administration et Excellent communication & Stakeholder management skill Team Handling Experience (exposure in performance management, attrition management, grievance management) - Mandatory Graduate/ Post Graduate in any discipline & willing to work in US shift

Title: Manager - C&B Department: HR Location: Navi Mumbai - Nerul Role/Objective: We are seeking a highly skilled and detail-oriented Compensation and Benefits Specialist to join our Human Resources team. In this role, you will be responsible for developing, implementing, and managing our compensation and benefits programs, ensuring they are competitive, fair, and aligned with company goals. You will play a key role in providing comprehensive compensation and benefits services to all employees and will collaborate closely with HR management to ensure compliance with legal requirements and industry standards. Duties and Responsibilities: Compensation Management: Develop and maintain competiti...

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...

Participate in technical and US healthcare domain training sessions as needed, based on existing skillsets. Deliver standardized reporting suites to internal and external stakeholders, ensuring thorough quality checks under senior guidance. Support ad-hoc reporting and analytical requests, including: Creating new reports and dashboards Automating and optimizing existing reports or processes Collaborating with senior team members for execution Communicate insights, challenges, or anomalies encountered during report delivery, and document them using standardized templates. Continuously build domain expertise in US healthcare. Actively engage in regular stand-up calls with onshore and offshore ...

Provides support to the organization in regards to the processing of various Pharmaceutical data sources likeIQVIA , TSA, Hospital and Claims Data Supporting product launch activities by coordinating cross functionally and producing product launch presentations Supporting pricing analysis by creating excel files and executing it into an SSIS tool (SQL) for further analysis. Troubleshooting of errors is performed as and when required. Ad hoc analysis to support strategic decisions, working on product data, secondary research. Portfolio analysis/Therapy area analysis such as marketed/pipeline products, competition analysis, portfolio overlap & value, market share analysis etc. Sound Knowledge ...

Sales & Distribution Excellence Implement, monitor, and continuously improve the region s sales and distribution infrastructure, processes, and performance metrics. Develop and execute regional sales plans and programs to meet or exceed revenue and market share goals. Drive sell-out at retail through demand generation activities, visibility, merchandising, and in-store execution initiatives. Ensure product range availability, right product placement, and width of distribution across channels. Team Leadership Lead, coach, and develop a team of Territory/Area Sales Managers to achieve sales targets and operational KPIs. Build a performance-driven culture with strong focus on capability buildin...

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...

Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. Conducts complex research, review and analysis of medical records, treatment plans and claim information. Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans. Assess training needs and creates, authors, and presents medical training to claim and business par...

Requirements: Access Service Request (ASR) experience. Able to use LEC web tools. Understand all ASR ordering requirements. Able to translate transport requests into ASR submissions. Knowledge of VOIP network circuit configurations. Description: Proficient in Basic Telecom concepts. Good knowledge of POI Architecture building and voice traffic planning. Good Knowledge of Vendor orders ASR writings and Design. Responsible for Various work functions in support of the Network Provisioning team. Designing and augmenting DS1 circuitry for existing/NEW POI Connectivity and Coordinating Circuit Installation between Vendor and Operation teams. Managing the order process encompasses order tracking, v...

Monitor and resolve settlement discrepancies across multiple global markets, including handling of fails, reconciliation issues, and trade breaks Process and validate trade settlements through various clearing systems while ensuring compliance with marketspecific settlement cycles and regulations Manage allegements (claimed trades) by investigating unmatched trades, coordinating with counterparties, and implementing resolution strategies to prevent settlement failures Key Domain & Technical Skills Understanding of Capital & Financial Markets Familiarity with financial instruments and their impact on business Understanding of risk management Knowledge of regulatory frameworks and compliance r...

Ensure that the customers requirements are all identified and well understood by the project teams. Determine the sales price objectives according to his knowledge of the market and competitors position. Implement the pricing strategy in the CAA. Work together with KAMs in other regions to ensure global pricing consistency Initiate and conduct all possible actions in order to be able to submit, within the time limits, a competitive quotation technically and economically. Participate in project teams in order to explain and defend the customer s viewpoint in terms of quality, costs, delivery times and in order to satisfy their requirements. Teach the customer about new technologies / products...

Summary ofroleThe roleinvolves building robust fraud detection frameworks, managing investigationsthrough empanelled risk agencies, engaging with law enforcement and businessteams, and driving awareness across teams Key ResponsibilitiesDevelop and implement fraud risk frameworks across customer and distributors life cycle Monitor transactions, claims and sales practices to identify red flags and fraud patternsLead and manage investigations of suspected fraud cases through empanelled risk agencies, ensuring timely closure with quality reporting Evaluate and monitor performance of risk agencies to ensure adherence to defined SLAs and investigation quality standards Drive vendor staff training ...

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...

Role & responsibilities Work on end-to-end Cards & Payments systems POS terminals, Payment Gateway, Switch, and acquiring/issuing platforms. Develop, configure, and maintain systems supporting ISO8583, POS ISO, and PACS messaging protocols . Ensure smooth transaction processing across Debit/Credit/Prepaid cards . Integrate and support Payment Gateways, POS machines, and Mobile Payments solutions . Collaborate with product, business, and operations teams for new payment product rollouts . Perform troubleshooting, testing, and support of payment transactions and card-based services. Ensure compliance with industry standards (PCI-DSS, EMV, ISO, NPCI, UPI, RBI guidelines) . Participate in requir...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...

Job Purpose This position is open with Bajaj Finance ltd. Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo €“ expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productiv...