2820 Claims Jobs - Page 25

Assists the Director of Human Resources in executing strategies that serve to attract, retain, and develop diverse premiere talent. Position directs and works with human resource employees to carry out the daily activities of the Human Resource Department, including recruitment, total compensation, employee relations, and training and development. Executes against objectives outlined in the Human Resources Business Plan and delivers services that meet or exceed the needs of employees and enable business success. Ensures compliance with applicable regulations and Standard Operating Procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 4 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; 2 years experience in the human resources, management operations, or related professional area. CORE WORK ACTIVITIES Managing the Staffing and Recruiting Process Ensures open positions are advertised in appropriate venues to attract a diverse candidate pool. Ensures the open position listing is in a visible location for both internal and external candidates. Works with Employment Administrator to establish and maintain contact with external recruitment sources (eg, state job service, local colleges, recruiting agencies, and community based organizations). Networks with local organization and peers to source candidates for current or future openings (eg, Hotel Association). Facilitates interdepartmental transfers and promotions and transfers or promotions to other properties within this property brand. Oversees the selection and offer processes for hourly employees to ensure proper procedures are followed (eg, valid reasons for selection/non-selection are documented, applicants receive status notifications). Partners with department managers and recruiting professionals to recruit management positions, make hiring decisions and negotiate job offers in accordance with SOPs. Managing Legal and Compliance Practices Ensures compliance with key policies (eg, Sexual Harassment, Non-Harassment, Non-Discrimination, No Solicitation). Ensures interviews are conducted according to recommended guidelines, consistent screening criteria is used, and only job-related questions are asked. Ensures wages are paid in accordance with Standard Operating Procedures and federal and state laws (eg, employee pay for meeting attendance, wages limited to maximum rate of pay, entry level rates paid to new hires, overtime provisions in place, separation pay). Ensures drug screening and background checks are completed in accordance with brands Standard Operating Procedures. Managing Benefits Education and Administration Manages Workers Compensation claims to ensure appropriate employee care and costs management. Educates employees on benefits package. Educates HR team on the various types of benefits available and eligibility requirements. Provides an overview of employee benefits to the management team enabling them to educate their employees and answer routine questions. Ensures that department has the available resources on hand to administer employee benefits. Managing and Conducting Staff Development Activities Ensures hourly performance appraisal processes are in place. Assists in identifying key drivers of employee satisfaction and supports managers in addressing issues with written plans and actions. Coaches managers on progressive discipline process. Ensures development plans are in place (eg, goals documented, progress towards goal achievement is measured). Managing Employee Relations and Human Resources Communication Utilizes an open door policy to address employee problems or concerns in a timely manner. Ensures effective employee communication channels are established and active in. Analyzes accident trends and reports these trends to the management team. Monitors work environment for signs of union organization. .

As a Operations Manager Service line, you will play a vital role in managing projects related to respective service line. You will be responsible for overseeing the growth of the service line ensuring adherence to DNV governance procedures and also, sustainability standards and regulations. Your role will involve Service line operation management, stakeholder engagement, Team management including competency management and forecasting & budgeting for service line. You will also act as Project Manager/Lead Verifier in projects as well. Key Responsibilities: Operations Management: Coordinating with sales team on enquiries, proposals, estimating the MDs, ensuring complete contract documents in the system. Coordinating with client and team on executions in their verticals. Serve as a primary point of contact for client inquiries, concerns, and feedback. Monthly forecasting and tracking of revenue and invoicing. Ensuring the quality and timely delivery to customer as per agreed scope of work Build and maintain strong relationships with clients, regulatory agencies, and other stakeholders. Monitor the chargeability of resources by optimizing the portfolios and minimum unplanned man days. Forecast and manage new hires timely. Ensure onboarding, induction, and qualification of the new resources. Ensure IORA are created before scheduling the resources. Identify subcontractors and utilize them to ensure that we maintain the committed profitability of the project. Ensure all DNV governing process for subcontractors from registration till maintaining the qualification. Ensure the coordination of Subcontractors to achieve the established business goals. Subcontractor s timesheets and expenses to be reviewed and approved timely. Monitor the level of the performances of the people reporting to the function, to evaluate the achievement of pertinent KPIs. Collaborate with industry partners and experts to stay updated on sustainability trends, best practices, and regulatory changes. Continuously evaluate the competencies and qualifications of the resources considering demands, projections and needs of the business. Monitor, upgrade the qualifications and competencies of the resources to keep them updated with the latest requirements including regulatory and statutory requirements. Project Management: Lead and manage projects from initiation to completion. Develop project plans, timelines, and budgets to ensure timely and successful project delivery. Coordinate with internal teams, external stakeholders, and clients to align project objectives and deliverables. Monitor project progress, identify risks, and implement mitigation strategies to ensure project success. Conduct on-site or remote assessments of organizations sustainability practices and performance. Evaluate compliance with sustainability standards, regulations, and certification requirements. Analyze data and documentation to assess environmental, social, and economic sustainability performance. Provide recommendations for improvement based on assessment findings. Prepare clear, concise, and accurate reports documenting assessment findings, recommendations, and decisions. Maintain detailed records of project activities, communications, and outcomes. Ensure compliance with documentation requirements and quality standards. What we offer Flexible work arrangements for better work-life balance Generous Paid Leaves (Annual, Sick, Compassionate, Local Public, Marriage, Maternity, Paternity, Medical leave) Medical benefits ( Insurance and Annual Health Check-up) Pension and Insurance Policies (Group Term Life Insurance, Group Personal Accident Insurance, Travel Insurance) Training and Development Assistance (Training Sponsorship, On-The-Job Training, Training Programme) Additional Benefits (Long Service Awards, Mobile Phone Reimbursement) Company bonus/Profit share. Qualifications and Skills: 15+ years of overall experience. Bachelors or Master s degree in environmental science, Engineering (Chemical, Electrical, Environment etc), Sustainability, or related field. Proven experience in project management, preferably in sustainability assessment/GHG Services. Strong understanding of sustainability principles and standards (e.g., ISO 14001, ISO 14064, ISO 14067, GRI or equivalent), and regulations. Excellent communication, negotiation, and interpersonal skills. Ability to manage multiple projects simultaneously and prioritize tasks effectively. Attention to detail and analytical mindset for assessing complex sustainability issues. Certification as a sustainability assessor or auditor/ISO 14064 Lead auditor/ LCA practitioner with hands-on experience is a plus. Proficiency in MS Office suite and project management software.

Market Functions: Territory planning to ensure optimal coverage, infrastructure, visibility and service levels Size and seize market level opportunities by building a strong business case around them and getting necessary investments and efforts to realize them Engage with distributors so as to create collaborative, long term relationships with them to support growth ambitions Manage trade spends as per agreed norms and deliver maximum results from them by innovative deployments Ensure delivery of In Store Visibility and execution as per MARS standards leveraging tools available People Function : Lead, Monitor, Motivate and drive performance by leverage selling tools and incentive programmes as designed by the company. Coach FSA s on the Mars Sales & Distribution system and drive desired productivity levels. Implement structured training interventions as per agreed calendar to continuously upskill his FSA team. Recruit desired numbers of FSA s of targeted profiles within specific timelines. Administration: Ensure timely submission of trade and distributor related paperwork such as claims, competitor information and any other information required from time to time. Effectively coordinate with CFA and Distributors to ensure adherence to PDP and delivery schedules. Key competencies required: Delivers Consistent Results Action Orientation Planning, Priority Setting Drive for results Creates Collaborative Relationships Customer Service Excellence Route to Market Optimization

Experience To guide the Service Mechanics in technical problem solving and de-bottlenecking at the dealerships. To increase dealers profitability by service schemes like annual maintenance contracts, service improvements etc. To project the service activities, initiatives taken in the area office in the organization for cross fertilization of ideas To provide a single window between the area office and the other departments of the company on all service matters. To provide feedback on competition new service schemes launched to the head of service and the zonal sales managers. To interface with the marketing service cell and the manufacturing cell at the HO for speedy resolution of service issues at the area office like pending warranty claims, chronic problems, TOFs etc. To audit new dealership for approving it for commissioning Conducting service audits periodically as per the company norms Product training of the dealer, workshop manager and service mechanics Industry Preferred Qualifications General Requirements

The purpose of this role includes Ensuring processing of claims on daily basis, ensuring control & Reporting to stake holders, Month End Closing related Activity, Statutory and Internal Audits, Identification of system issues and follow up with IT for closure. IT Spoc for Business Requirement from Insurance Accounting point of view Preparation of Balance Sheet GL Schedules and closure of Open items Job Context & Major Challenges Job Context/ Job Challenges: About the Health Insurance Industry - While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10, 000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Market Opportunities - With the advent of medical advancements, lifestyle changes, change in Indian socio-economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele. Increasingly Indian customers have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable revenue source for the company. About the Aditya Birla Health Insurance - Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 2016. ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of Health Insurance for All, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to ensure a customers experience of our proposition is continuous and seamless. ABHIs unique offering to market includes proposition includes - A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will motivate, guide and reward them to stay healthy A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hypertension from Day 1 ABHICL serves as an enabler and influencer of health and healthcare choices that customers make, in addition to being a payer of healthcare expenses. Thus, ABHICL would act like a much needed catalyst to grow the prevalent health insurance landscape in India through product innovations and a wider choice of consumer relevant products. ABHICLs vision has always been digital. The company has been successful in adopting paper-less approach right from identifying to on-boarding to delivering seamless experience of its customers & employees. Challenges - Claims payment on regular basis Ensuring control environment of transactions are effective Ensuring daily processing control Ensuring monthly GL Recon on timely basis Identifying gap & discussion for closure Gap analysis in process and working on improvement Monthly / Quarterly / Annual Closing - Ensuring closing process and accounting on timely basis Key Result Areas KRA (Accountabilities) (Max 1325 Characters) Supporting Actions (Max 1325 Characters) KRA1 Ensuring processing of claims on daily basis, ensuring control & Reporting to stake holders Processing of Claims payment on daily basis and ensuring no wrong/double payment Sharing the payment advice to claims team/customer Putting all control checks to ensure no error in payment file Timely closure of accounting entry on daily basis Analysing the system issues and co-ordinate with IT for rectification, if any Prepare and keep the updated register to ensure accuracy over payment and reporting Coordination with Claims team ensure their requirement are met Sharing the daily/weekly/monthly reporting all stakeholder KRA2 Month End Closing related Activity Coordination of Claims register and ensuring the completeness and accuracy of data Preparation of monthly accounting entries and matching with the payment file and recon with ITD register Doing the claims expense analysis and sharing with all stakeholder Checking all Audit related points in claims register and ensure no Audit issues are repeated Technical / operational accounting and reconciliation. KRA3 Preparation of Balance Sheet GL Schedules and closure of Open items Schedule preparation of Claims Reserve IRDAI Reporting tracker and Unclaimed payment and schedule preparation Ensuring daily recon in place to avoid any long pending open item Regular follow-up with concern stakeholder for open item & timely closer of open items KRA4 Statutory and Internal Audits Handling statutory and internal Audits related to above areas and ensure minimum issues/observation

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc. ), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i. e. a broader view of the market we operate in /competitors details for formulating internal strategies. Work in close coordination with the sales team on the available profitable business opportunities falling with the underwriting guidelines of the company. Review the risk based on the market intelligence and based on the third-party risk inspection reports Relationship management Interacting with internal stakeholders (Operations, Marketing, Finance, Claims etc. ) to meet the smooth proceedings of the business requirements at various stages Develop the key relationship with major clients and Intermediaries along with marketing team to develop long term sustainable business growth Analytics & MIS Reporting Analyzing the risk and identifying business that can be picked up in declined risk category and seek necessary approvals from seniors/HO for the same

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines.

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines.

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines.

Serves as a key lawyer for the South Asia Cluster on all legal matters including provide legal advice, leading drafting and negotiation of commercial contracts. Provide practical, business-oriented strategic advice for all product value streams and the value chains of both the global MedTech (CE) product portfolio as well as lead all legal initiatives for Care Delivery International for the countries in scope. Provide strategic thinking and be a credible and effective legal partner for the South Asia Cluster to deliver FMEs objective. Manage and work in close partnership with a variety of stakeholders and counterparts including regulators and external counsels. Execute strategic agenda and business plans for South Asia Cluster in collaboration with the business teams, taking into account the broader geopolitical, commercial, legal, industry and regulatory nuances and framework. Manage disputes, litigious matters (e.g. patient & employee claims, investigations etc.) and regulatory investigations in for the countries in scope. Monitor and support in corporate governance looking after the corporate secretarial portfolio for the countries in scope. Provide legal support for M&A and restructuring initiatives (if any) for the countries in scope. Provide support on data privacy matters for the countries in scope and act as the data privacy officer of the respective countries. Provide proactive, strategic and tactical legal advice and support in problem resolution, working as part of a cross functional team in the respective countries on projects and initiatives. Prepare and implement appropriate policies, procedures and control mechanism to ensure sufficient guidance, training and monitor system are in place for countries in scope. Ability to identify opportunities to bring consistency and uniformity to legal work and implementation of initiatives to enhance business operations for the countries in scope. Actively participate and collaborate with the rest of the Asia Pacific and Global legal teams in protecting FME s interest and being an enabler to the business. Qualifications and Experience At least 10 years post-qualification experience in India, preferably as leading law firm or in-house legal counsel in an MNC environment Experience working on matters in other countries within the South Asia cluster is a plus Experience in healthcare or similar industry will be highly regarded in for countries in scope. Possess strong contract negotiation and communication; both written and presentation; ability to influence across all levels and simplify complex legal topics to achieve FME outcomes. A can do attitude with a curious and enthusiastic approach to work Commercially minded and solutions driven lawyer with strong work ethic and exceptional business partner focus Agility and the ability to work effectively in a global matrix organisation across geographic and functional boundaries which includes understanding of working across various timezones, when required. Ability to identify opportunities to bring consistency and uniformity to legal work and implementation of initiatives to enhance business operations Strong collaboration skills and ability to work independently as well as being part of the cross function and cross jurisdictional team; sense of humour Business-minded; strong growth mindset and agile, affinity to numbers and financial KPIs Ability to be highly organized and effective; handle multiple competing priorities Ability to see the big picture yet attention to detail

Logistics Planning & Scheduling of Import / Export of parts Knowledge of Customs Rules, Regulations, Procedures, GST Rules & Bank formalities Knowledge of International Logistics Processes & documentation Experince in handling Service providers in International Logistics Experience in handling Customs Clearances Well versed with building RFQ & costing in International Logistics Preferred Industries Automobile Education Qualification Diploma in Engineering / Commerce Graduate + Import Export Diploma. General Experience 4 to 5 years of experience in following Job Profile preferably in Automobile Industry Critical Experience Logistics planning from Overseas suppliers & supply chain management. Handling service providers in International Logistics & Customs Clearances Handling Incentives, Remittances, Claims & Refunds, Tarriff & Classification disputes Operational Knowledge of SAP and GO Comet / Digital platform. RFQ & Costing for International Logistics System Generated Core Skills Data Mining Data visualization Communication Skills Financial Concepts Influencing Skills Logistics Management Logistics Planning Negotiation Project Management Project Planning & Execution Risk Analysis Supplier Management Cost Optimization Logistics Systems Contract Management Relationship Management Dispute Resolution Compliance Trend Analysis Benchmarking System Generated Secondary Skills

Overall Responsibility of Customer Care processes related activities- Dealer Management, On-field Service Delivery, Spares/Lubes/Warranty Management.Implementation of all processes and systems related to the service function at channel partners level.Ensuring standardized Service Infrastructure, facilities, quality manpower at channel partners level.To guide and conduct on the job training of the Service Mechanics for technical problem solving and debottlenecking at the dealerships.To attend and resolve the critical customer complaints and measure of customer satisfaction level.To work towards and increase dealer profitability by service schemes like service packages, service coverage improvements, free services, post warranty jobs, annual maintenance contracts.Ensure meeting spare targets of all channel partners and company promoted oil targets.Ensure coordination for timely spare parts orders execution for channel partners.Ensure dealer CSI score targets are met by driving improvement action plans.To provide feedback on competition new service schemes launched to the head of service and the Zonal/ Regional Customer Care Manager.To provide timely and qualitative Product feedback about critical and new defects to HO Product Monitoring Cell.Ensure warranty claims process adherence at the channel partners level.To ensure installation and establishing the entire service infrastructure, systems and processes at new dealerships.Conducting service audits periodically as per the company norms.Ensure Product training of the dealer, workshop manager and service mechanics Preferred Industries Agriculture Implemen Automobile Tractor Education Qualification Bachelors of Technology; Bachelor of Engineering; Diploma in Engineering; Bachelors of Technology in Mechanical; Bachelors of Technology in Automobile; Bachelors of Technology in Agriculture; Bachelor of Engineering in Mechanical; Bachelor of Engineering in Automobile; Bachelor of Engineering in Agriculture; Diploma in Engineering in Mechanical; Diploma in Engineering in Automobile; Diploma in Engineering in Agriculture General Experience 1-4 Years of relevant experience as CCM Critical Experience Minimum 1 year of on roll field service experience handling 7-10 dealers / workshops branches.Working Farm Knowledge of Tractors, Farming and Implements.Handling business volume of Spares and Oil of minimum 2 crore revenues System Generated Core Skills Change Management Channel Strategy Consumer Focus Customer Relationship Management (CRM) Product Knowledge & Application Service Management System Generated Secondary Skills

Process Associate is responsible for meeting individual key performance metrics related to business processes assigned while adhering to quality standards under the guidance/supervision of identified mentor/lead. The incumbent is accountable for following process standard operating procedures. Also needs to identify various process related scenarios, perform proactive analysis around it and propose a solution or process improvement. Competencies: Ability to understand the basic nature of the domain and relating that to entire value chain of mortgage and title insurance solutions, Time Share property, Claims Servicing & Claims Prevention etc. Working knowledge in all the Business Applications related to Processes. Ability to Retrieve relevant information using appropriate Online Business-related Websites Ability to use these tools to perform required search and collate information. Ability to identify ad notify team members and leads in case of rule break in the tool. Ability to Process Simple, Medium and High complexity tasks Ability to Create process related reports within the desired timeframe that is expected Follow the set guidelines/framework while structuring all work products Ability to provide implementable recommendations basis the gaps and problems identified Ability to identify process gaps and/or recommend improvement ideas (Ex - Kaizens) Maintain compliance to the Quality metrics Ability to display the culture of FTR (First Time Right) While processing orders Ability to understand the explicit and implicit need of the customer and deliver to meet / exceed the expectations consistently Ability to quickly unlearn / learn various tools, processes and controls to deliver effectively Ability to comprehend and come up the learning curve required to do his tasks as per the defined training timelines/training schedule using the right resources Technical Skills: Should have basic knowledge of MS office (Word, Excel & Power-point) Should have basic knowledge of Mortgage and Accounting principles Educational Qualification and Experience: Minimum of 15 years of formal education Diploma/Graduate (Commerce/Art/Business Administration) Professional work experience of 1 year.

Any graduation 2 to 4 years of Years of experience in accounts receivable follow-up / denial management for US healthcare customers Proficient computer skills. Excellent communication skills, both verbal and written Strong people skills & Outstanding organizational skills Ability to maintain the confidentiality of information Willingness to work continuously in night shifts Key Responsibilities: Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record aftercall actions and perform post call analysis for the claim follow-up Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on clients systems, interpret explanation of benefits received etc. prior to making the call. Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Prepare, review, and transmit claims using AR software, including electronic and paper claim processing Review patient bills for accuracy and completeness and obtain any missing information

Qualification: Graduate Experience: 6+ years Gender: Male/Female Industry: Must be from Real Estate or EPC Industry Job Responsibility: Building and maintaining relationship with clients & customers. Working to solve any business/technical challenges they face. Letting customers know about the new and existing company products. Well verse with collections and payment follow ups. Able to use CRM programs and CRM tools Able to handle client claims and escalation. Job Requirement: ERP Skill Strong written and verbal communication Experience in post-sales required Experience in real estate is a must. Job Category: Sales & Marketing Job Type: Full Time Job Location: Kolkata

ID Cards creation, replacement, issue, etc. Employee Master Creation and maintenancein SAP. Time attendance Payroll LTA Full and Final Settlement and Gratuity. Medical Claims/Reimbursements - Domiciliary, Hospitalization, Reimbursement, Special Sanctions, Panel Doctors/ Hospitals payments. ID Card - creation, replacement, issue, etc. ID Cardscreation, replacement, issue, etc. Time attendance, Payroll, LTA. Full and Final Settlement and Gratuity. Medical Claims/Reimbursements - Domiciliary, Hospitalization, Reimbursement, Special Sanctions, Panel Doctors/ Hospitals payments. Officers art KND -AD Plant, Worli, HO, Mahindra Tower, Area Offices, International Marketing, MIS. Leave accruals, DA projections. Audits under various Quality Systems. Time and Attendance System Upgradation, TPM, Soft Skill training to associates Preferred Industries Education Qualification Master of Labour Studies General Experience 3 to 10 years Critical Experience System Generated Secondary Skills

We are looking for an experienced CGHS Billing Executive with a minimum of 2 years of experience in hospital billing, specifically handling CGHS (Central Government Health Scheme) processes.

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities. Provides recommendations regarding claimants current/potential functional abilities and develops goal-focused return-to-work plans. To apply, Call HR Nikita Grover at 8800307658 Job Responsibilities 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 partner associates. Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining functional abilities. Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return-to-work potential. Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality. Performs other related duties as assigned or required Education, Technical Skills & Other Critical Requirement Bachelors degree (Medical) or diploma with a minimum of 15 years of education. Experience Current RN licensure 4+ years of experience as an RN with Clinical/Ops Experience Preferred 7+ years Disability claims and/or clinical experience. Disability claims experience Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler Department : Reinsurance Servicing Division : GGB Reinsurance Location : Mumbai ,Bangalore Work Arrangement : Hybrid Work Shift : Rotational shift Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare internal reports Perform document analysis and calculations Secondary Responsibilities : Contribute to team success through collaboration and continuous improvement Willingness to work extended hours when required Flexible with work shifts Skills and Competencies : Proficiency in MS Office Strong analytical and communication skills Attention to detail and deadline-oriented Team player with a proactive attitude Qualifications : Education : Bachelors or Masters degree (any discipline) Experience : 0- 2+ years preferred (open to freshers with good analytical and communication skills) Career Path : Entry-level to mid-level growth within the Reinsurance Servicing domain under structured career progression (Trainee > Advisor > Sr. Advisor > Specialist) Other Details : Selection Process: Interviews + assessments (as applicable) Salary & Benefits: As per company standards Perks: Hybrid work model, learning & development programs, global exposure -- Thanks & Regards, Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432405| deekshitha@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler Department : Reinsurance Servicing Division : GGB Reinsurance Location : Mumbai ,Bangalore Work Arrangement : Hybrid Work Shift : Rotational shift Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare internal reports Perform document analysis and calculations Secondary Responsibilities : Contribute to team success through collaboration and continuous improvement Willingness to work extended hours when required Flexible with work shifts Skills and Competencies : Proficiency in MS Office Strong analytical and communication skills Attention to detail and deadline-oriented Team player with a proactive attitude Qualifications : Education : Bachelors or Masters degree (any discipline) Experience : 0- 2+ years preferred (open to freshers with good analytical and communication skills) Career Path : Entry-level to mid-level growth within the Reinsurance Servicing domain under structured career progression (Trainee > Advisor > Sr. Advisor > Specialist) Other Details : Selection Process: Interviews + assessments (as applicable) Salary & Benefits: As per company standards Perks: Hybrid work model, learning & development programs, global exposure -- Thanks & Regards, Tanishaa.S HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 0867432404 | WhatsApp 7899490271 ****************************** DO REFER YOUR FRIENDS**********************************

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler Department : Reinsurance Servicing Division : GGB Reinsurance Location : Mumbai Work Arrangement : Hybrid Work Shift : Rotational shift Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare internal reports Perform document analysis and calculations Secondary Responsibilities : Contribute to team success through collaboration and continuous improvement Willingness to work extended hours when required Flexible with work shifts Skills and Competencies : Proficiency in MS Office Strong analytical and communication skills Attention to detail and deadline-oriented Team player with a proactive attitude Qualifications : Education : Bachelors or Masters degree (any discipline) Experience : 0- 2+ years preferred (open to freshers with good analytical and communication skills) Career Path : Entry-level to mid-level growth within the Reinsurance Servicing domain under structured career progression (Trainee > Advisor > Sr. Advisor > Specialist) Other Details : Selection Process: Interviews + assessments (as applicable) Salary & Benefits: As per company standards Perks: Hybrid work model, learning & development programs, global exposure -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432432/Whatsapp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler Department : Reinsurance Servicing Division : GGB Reinsurance Location : Mumbai and Bangalore Work Arrangement : Hybrid Work Shift : Rotational shift Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare internal reports Perform document analysis and calculations Secondary Responsibilities : Contribute to team success through collaboration and continuous improvement Willingness to work extended hours when required Flexible with work shifts Skills and Competencies : Proficiency in MS Office Strong analytical and communication skills Attention to detail and deadline-oriented Team player with a proactive attitude Qualifications : Education : Bachelors or Masters degree (any discipline) Experience : 2+ years preferred (open to freshers with good analytical and communication skills) Career Path : Entry-level to mid-level growth within the Reinsurance Servicing domain under structured career progression (Trainee > Advisor > Sr. Advisor > Specialist) Other Details : Selection Process: Interviews + assessments (as applicable) Salary & Benefits: As per company standards Perks: Hybrid work model, learning & development programs, global exposure Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489| WhatsApp 7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler Department : Reinsurance Servicing Division : GGB Reinsurance Location : Mumbai Work Arrangement : Hybrid Work Shift : Rotational shift Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare internal reports Perform document analysis and calculations Secondary Responsibilities : Contribute to team success through collaboration and continuous improvement Willingness to work extended hours when required Flexible with work shifts Skills and Competencies : Proficiency in MS Office Strong analytical and communication skills Attention to detail and deadline-oriented Team player with a proactive attitude Qualifications : Education : Bachelors or Masters degree (any discipline) Experience : 2+ years preferred (open to freshers with good analytical and communication skills) Career Path : Entry-level to mid-level growth within the Reinsurance Servicing domain under structured career progression (Trainee > Advisor > Sr. Advisor > Specialist) Other Details : Selection Process: Interviews + assessments (as applicable) Salary & Benefits: As per company standards Perks: Hybrid work model, learning & development programs, global exposure Thanks & Regards, Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432406 amala@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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 the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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. Skills (competencies) Verbal Communication

Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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 the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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.