4480 Claims Jobs - Page 27

Line of Service Advisory Industry/Sector Not Applicable Specialism Guidewire Management Level Senior Associate Job Description & Summary At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. As a Guidewire developer at PwC, you will specialise in developing and customising applications using the Guidewire platform. Guidewire is a software suite that...

Req ID: R-84148 Job Title: Sr. Key Accounts Executive / Key Accounts Executive (eCommerce) Function: Customer Development Location: Mumbai HO EXPECTED WORK: In Stock Excellence The KAE is accountable for efficient online availability of the portfolio on their respective platform. This requires her/him to work on demand forecast, customer ordering, fulfilment and go live Execution Rigor The KAE is responsible for configuration of offer and its compliance, media assets and content upload across the assortment Budgeting She/he must have the ability to work with data comfortably to forecast and budget for optimized brand investments on the respective platforms Financial Hygiene The KAE is respon...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 & a...

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...

Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the stand...

Team Management Participate in recruitment process to identify the right talent within the function. Guide and direct the team in efficiently achieving their targets. Establish individual performance expectations and regularly review individual performance of the team. Identify and create development opportunities for team members to enhance functional knowledge. 2. Non Motor Claims and Network Management Implement Claims SOP within the team and service network and ensure adherence of the same. Claims forecasting and workload distribution within the team and service providers based on claims volume, seasonality and ASP skill sets Claim processing an monitoring day to day claims activities an...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 & a...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. 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 & a...

Driving Scheme Profitability Ensure maximum coverage of scheme across assigned geographical spread & ensure scheme profitability is maintained. Drive maximum enrollments under the scheme for assigned cluster Regularly review the claims registered under the clusters & provide inputs to Zonal Head for course correction with concerned Govt. level authorities. Explore new business opportunities with government bodies / authorities & recommend the same to Zonal Head for implementation. Scheme Management & Implementation Managing the Business of the districts in the cluster based on Population Overall responsibility of driving the project as per the scheme guidelines in the districts under the clu...

Senior Associate SR&ED (Finance and Tax) Step into a role where your talent and motivation are not only recognized but are also essential. We invite skilled Engineers, Technologists, Scientists, and technically adept professionals to join our exceptional Scientific Research and Experimental Development (SR&ED) team. As a SR&ED consultant, you will play an integral role towards advancing our clients innovative research initiatives. You will assist a variety of clients with their SR&ED claims and become a trusted advisor through providing insightful best practices and immersing yourself in the diverse industries of our client base. At RSM, we combine the resources of a large professional servi...

Our Credits and Incentives practice (CIM) focuses on expansion and growth, with a history of nurturing the development and progression of our valued team members. We are a national team of engineers, scientists, technologists, and financial professionals who specialize in identifying and securing government funding, with teams focusing on SR&ED, Grants, Digital Media tax credits, and other incentive programs. Step into a role where your talent and motivation are not only recognized but are also essential. We invite skilled Accounting and Tax professionals to join our exceptional Scientific Research and Experimental Development (SR&ED) team. As a SR&ED consultant, you will play an integral ro...

Effective Follow up with Payers & get the claims status, work on denials, working on EDI Rejections, should do insurance verification, should be multi-tasking, background of physical billing, Ready to work in night shift, good written and verbal communication skills. Years Of Experience 6 months to 3 years Location Mysore (Work from Office) Leave Us a Message Thank you! Your submission has been received! Oops! Something went wrong while submitting the form. Send Us an Email Send your "resume" and simplifying contact with Our Email 372 1, Chamaraja Double Road, Subbarayanakere, Chamrajpura, Mysuru, Karnataka 570004 ACHT is a leading name in healthcare service and technology (HST)

Job Description & Company Profile Designation - Senior Executive - Taxation Business Unit - Finance Shared Services Grades E4/E5 Location - Bangalore Role - You will be responsible to ensure seamless service delivery of taxation processes as per the agreed service levels. You will further be responsible for ensuring that the team is effectively resourced and managing the relationships with business partners (internal & external) and support teams like HR, Admin, etc. About the Business Unit - Pierians E-Commerce Business Division offers a wide array of Managed Services encompassing financial and accounting, Business Process, and Data Analytics solutions for clients operating within the E-com...

We are seeking a detail-oriented and dedicated Assistant Advocate to support our legal team in managing real estate and property-related matters. The role involves drafting agreements, handling legal documentation, and providing assistance in litigation and compliance activities. Key Responsibilities Draft, review, and vet agreements, contracts, sale deeds, lease deeds, and MoUs related to real estate. Assist senior advocates in property due diligence, title verification, and litigation cases. Prepare legal notices, replies, and documentation for disputes and claims. Coordinate with government offices, courts, and regulatory authorities for legal formalities. Maintain records of legal cases,...

Career Category Sales Job Description Sr Associate - Field Effectiveness Join Amgen s Mission of Serving Patients At Amgen, if you feel like you re part of something bigger, it s because you are. Our shared mission to serve patients living with serious illnesses drives all that we do. Since 1980, we ve helped pioneer the world of biotech in our fight against the world s toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. As a member of the Amgen team, you ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people ...

Position : AM/Executive Claims Experience: Min 6 – 8 years Industry preferred: FMCG Location: Paradise, Hyderabad Job Summary: We are seeking a detail-oriented Claims Processor to review and process sales claims, tour claims, and travel claims. The successful candidate will ensure accurate and timely processing of claims, adhering to company policies and procedures. Key Responsibilities: - Review and process claims (sales, tour, travel) for accuracy and completeness - Verify claim documentation and supporting materials - Apply company policies and procedures to claims processing - Communicate with claimants, agents, or internal teams to resolve issues or request additional information - Main...

Job Title: AM/Executive Sales Admin Experience: Min 6 plus years Industry preferred: FMCG Location: Secunderabad/ Hyderabad Job Summary: We are seeking a detail-oriented Claims Processor to review and process sales claims, tour claims, and travel claims & Tracking of GPRS location & Settlement of Travelling Expenses for Sales Team, Also candidate will ensure accurate and timely processing of claims, adhering to company policies and procedures. Key Responsibilities: - Review and process of claims related to Sales Department (sales, tour, travel) for accuracy and completeness - Verify claim documentation and supporting materials. - Apply company policies and procedures to claims processing - T...

QA/Quality Lead-Insurance background Quality roles Experience: 3.5 Years to 15+ years ( Relevant Experience Only) US Shift Location Noida only graduation can be considered. Amit Gandhi 9910877518 amit.imaginators@gmail.com

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Analyst Qualifications: BE/Diploma in Automobile Years of Experience: 3 to 5 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesAnalyze, improve and optimize automotive supply chains to make them more effective, efficient and resilient through digitization. What are we lo...

Overview This role will be responsible to perform and keep a track business deliverables of timely manner. This role will need to partner with the finance and sales team to also manage Invoice/TPM related queries. Support Senior Associates to cater for a specific region, account or Finance teams requirements Responsibilities Functional Responsibilities Create and maintain performance reports by customer, region, brand, and account, districts and Zone Develop and manage complex Excel models and business reports. Manage trade promotions events in SAP TPM, handle event enrolments, claims, and calendar approvals. Process trade claims, deduction clearances, and manage trade accruals and assisting...

We do have urgent opening for Team Leader Operations-US Property & Casualty Insurance Voice (Customer Support) Role with one of the fortune 500 companies, US MNC. Before applying, kindly go through the below mentioned details. Profile : Team Leader- US Property & Casualty Insurance Voice Process (Customer Support) Job Location : Pune Shift : 24*7 Rotational Shifts Working Days : 5 Days Working Cabs : Both Side Cabs # Required Experience and Skills: 7+ years of exp. in any US Insurance Voice or Blended Process (US P&C/ Health Insurance/ General Insurance). Minimum 2 to 3 years of on paper exp. as Team Leader/Assistant Manager Should have exp. to handle a team of Voice process/Blended process....

About The Role Skill required: Finance & Accounting - Insurance Claims Designation: Business Advisory Analyst Qualifications: BCom Years of Experience: 3 to 5 years What would you do? You will be aligned with our Finance Operations vertical and will be helping us in determining financial outcomes by collecting operational data/reports, whilst conducting analysis and reconciling transactions.General Accounting practicesDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Pr...

Role & responsibilities Candidates with 1-3 years of experience in Insurances process Knowledge of commercial administrative processes. Basic knowledge of Casualty loss exposures presented by Fortune 1000 customer base preferred. Working Knowledge of MS Office. High Level of commitment towards given deadlines. Self-motivated, discipline, good time management skills & demonstrates high levels of energy. Good problem solving and trouble shooting ability as well as flair for improvisation. Preferred candidate profile Perks and benefits

We are looking for a highly skilled and experienced Medical Data Abstractor to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Chennai I. The ideal candidate will have 2-4 years of experience in the field. Roles and Responsibility Accurately and efficiently abstract medical data from various sources. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information. Collaborate with team members to achieve project goals and objectives. Develop and implement effective data abstraction processes to improve quality and productivity. Identify and resolve errors or discrepancies in data abstraction. Participate in ongoing training and professi...

ob Opportunity Join our team as a Senior Associate - Online Quoting Specialist for US insurance services . - Salary: Up to 7LPA - Location: Kodigehalli - Process: Non-voice, with cab service both ways In this role, you will: - Provide accurate and timely insurance quotes to GGB US Select CSMs through online platforms - Understand client needs and ensure a seamless customer experience - Utilize quoting tools to enhance efficiency Requirements: - Experience in Insurance Submissions, quoting, or customer service is beneficial - Proficiency in online quoting tools and CRM software - Strong communication and interpersonal skills - Detail-oriented with excellent organizational abilities - Ability ...