4480 Claims Jobs - Page 25

Role Overview We are looking for a Lead Engineer who will play a key role in designing, building, and scaling Fold Healths healthcare platform. The ideal candidate will be a hands-on technologist with strong leadership skills, capable of guiding engineering teams, setting best practices, and driving the delivery of high-quality, scalable solutions. Responsibilities Technical Leadership Lead design and architecture discussions for scalable, secure, and resilient systems. Define and enforce coding standards, best practices, and technical guidelines. Mentor and coach engineers, fostering a culture of learning and innovation. Product Development Collaborate with product managers, architects, and...

Role & responsibilities Take ownership of Guidewire ClaimCenter development to implement and adapt to evolving business requirements. Collaborate with Business Analysts , Development, and QA teams to scope, size, plan, develop, implement, and support projects within the Claims portfolio . Ensure solutions include robust unit and functional testing with a high level of code coverage. Oversee the support and maintenance of the ClaimCenter ecosystem , including integrations with Policy, Financial, CRM systems , external bureaus, third-party vendors, and service providers. Develop, manage, and maintain comprehensive technical and solution documentation, such as architecture diagrams, sequence di...

Apex Insurance Broking is looking for Claims Manager - Corporate Claims to join our dynamic team and embark on a rewarding career journey Oversee the claims processing department and ensure timely settlements. Verify and validate claims documentation and eligibility. Handle complex or disputed claims and resolve issues efficiently. Coordinate with other departments for claim investigations. Train and guide claim processors to maintain accuracy and efficiency.

In the above context, the RMrole is responsible to supervise the business delivery under Banca team and Tie Ups& primarily grow the business with profits, Channel Management Managing Banks, NBFCs and other Micro Finance companies. Also liaising with Operations & Product tower, Process Excellence group, Claims,Finance,legal, Business Intelligence, marketing & Human Resource teams for the process. Ensuring that we deliver best of our services to client as well as to banks. Key Accountabilities/ Responsibilities Responsible for Achieving overall Gross Written Premium Team Management. Channel Relationship. Visit Branches Conduct Meetings Regular training of Bank employees regarding TAGIC Product...

QA/Quality Lead-Insurance background Quality roles Graduate/PG Excellent communication Exp: 3.5 Years to 15+ years **Relevent exp into Insurance domain ,Claims and Quality mandatory** US Shift Both way cab Location-Noida Contact-9220771924 Akanksha Required Candidate profile - Graduation mandatory - Min exp 3.5 yrs to 15+yrs - Mandatory exp in Insurance background (voice/non voice/baackend) - **Specifically into Claims and Quality Expert**

Railways for the world of tomorrow . Responsibilities For a future rail project in India we are looking for a Chief Expert Contract. Deutsche Bahn s expertise is in high demand all around the world. As a leading engineering and consulting company in the rail sector, DB Engineering & Consulting offers that knowledge starting with an idea and continuing all the way to operations. We advise our customers in Germany and around the globe, develop technically sophisticated and customized infrastructure, mobility and transport solutions. With sustainable concepts, we ensure the future success of economic regions, make important contributions to the protection of the environment and help shape the w...

For a future rail project in India we are looking for a Chief Expert Contract. Deutsche Bahn s expertise is in high demand all around the world. As a leading engineering and consulting company in the rail sector, DB Engineering & Consulting offers that knowledge starting with an idea and continuing all the way to operations. We advise our customers in Germany and around the globe, develop technically sophisticated and customized infrastructure, mobility and transport solutions. With sustainable concepts, we ensure the future success of economic regions, make important contributions to the protection of the environment and help shape the world of the future. Since 1966, DB Engineering & Consu...

Main Purpose of Job Ensure availability of materials to fulfill the requirements of the production plans within the agreed stock cover targets. Key Outputs: 1. Create an optimized replenishment plan for raw and pack material for short term ensuring zero loss of production due to material availability. 2. Create an optimised replenishment plan for raw and packaging materials over an 18 month horizon that ensures supply of material to production whilst ensuring that the working capital targets for raw and packaging materials are met and waste is reduced by minimizing write-offs 3. Monitors supply signals through the use of MRP purchase requisitions ensuring delivery dates, lead times and requi...

As an Account Manager, you will be responsible for ensuring long-term commercial success and customer satisfaction for ongoing HARMAN programs for your customer. You will ensure adherence to customer expectations and work closely with your customer counterpart(s) to maintain and grow the existing business with healthy commercials. What You Will Do Capture and propagate the commercial voice of customer for ongoing programs Manage commercial agreements and drive customer negotiation for awarded business (i.e., APR, CR, customer claims) Closely track customer satisfaction at all levels, and drive course corrections when required Drive to achieve commercial targets (revenue, EBIT, Cash Flow) for...

Develop compelling, compliant project descriptions and case studies that evidence client outcomes and align to scoring criteria. Own the build-out of project sheets and narratives across pursuits, integrating metrics, roles, methods, and benefits. Job Duties: Responsibilities Translate RFP evaluation criteria into structured project write-ups; build go-by outlines and storyboards with proposal team. Interview PMs/SMEs to capture scope, approach, innovations, schedule/budget adherence, and measured outcomes. Author and edit 1 2 page project sheets; ensure compliance with page limits, font/margin rules, and tab naming. Maintain evidence tables (references, KPIs, safety metrics, awards) and cro...

We are looking for a detail-oriented and process-driven Total Rewards Operations professional to join our People team. This role will be responsible for the day-to-day execution, administration, and continuous improvement of compensation, benefits, and equity programs . You will ensure our Total Rewards programs run seamlessly, data integrity is maintained across HR systems, and employees have a clear and smooth experience accessing their rewards. You ll partner closely with the Total Rewards team, HR Business Partners, Finance, and external vendors to deliver high-quality and efficient operations. Responsibilities Benefits Administration Manage day-to-day administration of employee benefits...

We are looking for a detail-oriented Payroll Executive to join our Finance & HR Operations team. This role involves handling complete payroll processing, statutory compliance, and employee benefit administration to ensure accurate and timely salary disbursements. Key Responsibilities Payroll Management: End-to-end payroll processing with accuracy and within timelines. Statutory Compliance: Calculation and processing of PF, ESIC, PT, LWF, and related monthly/annual filings. Taxation & TDS: Working knowledge of payroll taxation, TDS computation, and return filing. Accounting & Reporting: Maintain payroll cost records, journal entries, and prepare month-end schedules in prescribed formats. Empl...

Supervise and lead a group of associates to meet all SLA s relatives to all functions in the department Maintain daily, weekly, and monthly production reports along with MBR and QBR including preparing Decks across all processes managed including circulating minutes Monitor work allocation, pipeline management daily across all processes managed Coordinate activities of the department with the manager to include workflow monitoring, process improvement, training, reporting and special projects Provide recommendations for strategies and process improvements to add value to teams and clients Coordinate with other internal support teams to ensure seamless production by the operations team Respon...

" Who we are: Nirvana is on a mission to harness the power of data to revolutionise commercial insurance and enable a safer world. We are bringing much-needed innovation into the legacy, trillion-dollar commercial insurance industry. We have developed cutting-edge predictive models that use real-time IoT data from billions of connected devices, allowing us to understand and price risk better. Our AI-driven platform fundamentally changes the way an insurance company operates with personalized risk scoring, faster underwriting, modernized claims, and proactive, data-driven insights to help customers prevent accidents. We ve already proven the scale, reaching well over $100 million in premiums ...

Overview We are PepsiCo PepsiCo is one of the worlds leading food and beverage companies with more than $79 Billion in Net Revenue and a global portfolio of diverse and beloved brands. We have a complementary food and beverage portfolio that includes 22 brands that each generate more than $1 Billion in annual retail sales. PepsiCos products are sold in more than 200 countries and territories around the world. PepsiCos strength is its people. We are over 250,000 game changers, mountain movers and history makers, located around the world, and united by a shared set of values and goals. PepsiCo brands can be found in just about every country on the planet, and globally we re transforming how we...

Overview Quaker portfolio, leading the Nutrition agenda for PepsiCo India is an independent standalone category and therefore requires independent management of product, stakeholder alignments and differentiated GTM approach. The role is responsible for delivering top-line (NR Growth, Share) and bottom-line (GM %, MC) results for Quaker Portfolio in India BU. All brand related activities: Developing strategy, product & packaging development, pack - price architecture, brand communication and activation are managed locally and are under scope for this role. Responsibilities Lead business and portfolio strategy for Quaker Portfolio Collaborate with multi-functional teams to ensure communicatio...

We Offer As an employee with Maersk GSC you will be part of a working environment as diverse as the APMM group. Maersk strongly encourages continuous learning at work and sharing of best practices by rewarding innovations. We aren t all about work, we believe in a holistic development of our employees and so regularly organize recreational activities giving our employees a chance to unwind and showcase their creative side. As an organization we strongly believe in a people-centric approach with emphasis on employee engagement and work-life balance. Key Responsibilities Performs Intermodal/Landside Operations related tasks assigned in the respective sub process. Achieves expected productivity...

ensures the manufacturing quality, reliability, and compliance of our gensets, acoustic enclosures, and noise control products. The incumbent will be responsible for quality inspections, process audits, defect analysis, and continuous improvement to meet industry standards and customer expectations. Key Responsibilities : 1. Quality Assurance & Inspection Conduct incoming, in-process, and final inspections of gensets, acoustic enclosures, and raw materials. Ensure dimensional accuracy, material quality, and assembly integrity as per specifications. Implement and maintain ISO 9001, CPCB, and other industry-specific quality standards. 2. Process Control & Compliance Monitor production processe...

The 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 programs to im...

Position Summary: Were looking for a self-motivated employment legal Senior Specialist. This critical position will be primarily responsible for the effective and efficient management of US litigation departments resources and systems. This legal professional will assist in opening matters, closing matters, maintaining files, summarizing litigation matters, preparing and administering legal holds. Key duties & responsibilities Manage legal inbox and route appropriate matters to responsible attorney on a daily/regular cadence. Catalogue and calendar any key dates/deadlines Manage legal hold process: Draft initial legal hold, manage acknowledgements, periodic update/distribution of legal hold ...

About You Experience, Education, Skills, and Accomplishments Masters degree in Epidemiology or Public Health Atleast 3 years of Systematic literature review experience A strong methodological background in epidemiology Familiar with MS Office including MS Word, Power Point, and Excel. It would be great if you also have Experience with client interaction Experience analyzing large data sets Claims data analysis experience in SQL and/or Python Oncology experience RWD and SAS experience About the Team We are a global team approximately 40+ team members located across U.S. Canada and India, specialized in Epidemiology. Work hours Monday to Friday (Hybrid work model) 12PM 9 PM

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : Net Revenue AdditionyNet HC AdditionyPricing Strfixed feeif ContractSoW is in placey number 9940478345Valid Emp No for that skill13229353 Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will be responsible for managing the team and ensuring successful project delivery. Your typical day will involve collab...

Skill required: Property & Casualty- Underwriting - Underwriting Designation: Underwriting Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? Analyze and evaluate credit portfolios and financial reports including interpreting financial data and assessing market trends and volatility that has potential impact on the operations and financial performance of the client. This includes climate risk assessment and industry research. Assess credit worthiness and financial strength of client through critical financial and risk analysis with the use of qualitative and quantitative data via recommended institutions such as S&P, Moodys and Fitch, and provide ...

Project Role : Product Owner Project Role Description : Drives the vision for the product by being the voice of the customer, following a human-centered design approach. Shapes and manages the product roadmap and product backlog and ensures the product team consistently deliver on the clients needs and wants. Validates and tests ideas through recurrent feedback loops to ensure knowledge discovery informs timely direction changes. Must have skills : Insurance Claims Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time educationJob Requirements:Key Responsibilities:A:Strong understanding of P&C Insurance End to End claims lifecycle ...

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com