6255 Claims Jobs - Page 28

Job Description Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers. Qualifacts has a l...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Walk-In Drive on 30th October 2025 at Cotiviti -Pune for US Healthcare Audit Walk-In Date: 10-October-2025 (Thursday) Time: 10:00 Am 1:00 Pm Venue: Cotiviti India Pvt Ltd Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune- 411006. We are hiring for the US Healthcare Data Audit process at Cotiviti. Please refer to the information below and required skill set for the same. POSITION SUMMARY: Specialist Payment Accuracy position is an Entry level position responsible for auditing client data and validating claims accuracy. A Specialist communicates audit recommendations and outcomes to supervisory auditor for evaluation, verification and continuous learning. POSIT...

As a Customer Service Professional- Voice (UHC) at Grace Staffing Services, you will be responsible for supporting US-based customers in the UHC Healthcare domain by handling queries with accuracy, professionalism, and timely resolutions. Key Responsibilities: - Answer inbound calls and assist UHC members and providers. - Provide support on claims, eligibility, benefits, and authorizations. - Ensure every interaction reflects empathy, accuracy, and compliance. - Achieve performance targets for CSAT, AHT, and quality. - Escalate complex cases to appropriate departments when required. Qualifications Required: - HSC with minimum 06 Months of BPO Experience or Graduate Fresher. - Excellent commu...

Role Overview: You will be responsible for leading the team of F&A, UWS & Claims resources supporting a large Global Re/Insurance Specialty P&C service provider with a presence across UK (London Market), Europe, Bermuda, US, and Latin markets. This niche functional lead role involves managing a span of approximately 250 UWS, Claims, F&A professionals across RI UWS, INS UWS, Delegated Authority, Claims, R2R, I2C, P2P, and Ceded operations. Key Responsibilities: - Demonstrate deep domain knowledge in all sub-service lines within the Insurance & Reinsurance UWS, F&A Domain for a specialty Insurance service provider, with a specific focus on F&A in London Markets. - Deliver value through transfo...

COMPANY PROFILE Bain & Company is one of the top management consulting firms in the world that helps the worlds most ambitious change makers define the future, Across 65 cities in 40 countries, we work alongside our clients as one team with a shared ambition to achieve extraordinary results, outperform the competition, and redefine industries We complement our tailored, integrated expertise with a vibrant ecosystem of digital innovators to deliver better, faster, and more enduring outcomes, The firm established several functions in the Indian market early 2000s and its remit across functions has expanded over time Since 2019, these functions have become part of Global Business Services (GBS)...

Designation : Assistant Manager -Insurance Operations (P&C Insurance) Experience 06+ years Location Trivandrum, Kerala, 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...

Introduction We believe that every candidate brings something special to the table, including you! So, even if you feel that youre close but not an exact match, we encourage you to apply Wed be thrilled to receive applications from exceptional individuals like yourself, Gallagher, a global industry leader in insurance, risk management, and consulting services, boasts a team of over 50,000 professionals worldwide Our culture, known as "The Gallagher Way," is driven by shared values and a passion for excellence At the heart of our global operations, the Gallagher Center of Excellence (GCoE) in India, founded in 2006, upholds the values of quality, innovation, and teamwork With 10,000+ professi...

We are looking for a skilled Deputy Manager to join our team in Kolkata, responsible for managing projects and ensuring controls assurance. The ideal candidate will have a strong background in accounting and auditing, with excellent project management skills. Roles and Responsibility Manage multiple projects simultaneously, ensuring timely completion and high-quality results. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and mitigate risks, improve processes, and enhance business outcomes. Conduct audits and reviews to ensure compliance with regulatory requirements and internal policies....

Company: Marsh Description: We are seeking a talented individual to join our Fiduciary team at Marsh. This role will be based in Mumbai. This is a hybrid role that has a requirement of working at least three days a week in the office. Specialist - Fiduciary We are seeking a Specialist Fiduciary who will work to ensure seamless accounting of Fiduciary portfolio assigned for either Client / Insurer or Third Party agents (Commission Agents). Accountable for collection and settlement of premiums/Claims from/to client /Insurer and ensuring resolution of Insurance queries raised, to ensure timely delivery of the routine task expected on the accounts/portfolio assigned Ensuring highest proficient h...

Azure AD B2C / Identity Experience Framework expertise Set up user flows for different user types (internal, clients, surveyors) Experience in creating the security layer between the application and the B2C Microsoft SSO tools. Experience with custom policy XML development Token configuration and claims mapping Expertise in JWT token authentication for APIs would help Build sample apps for each app type to authenticate with B2C. Create registration, forgot username/password, login pages in ADB2C. That would include an approach and sample of augmenting the token claims Testing and validation of authentication flows languages : Any of the languages :: Java/Springboot, .net, Node, Angular Azure...

A. Business Development & Client Acquisition Identify and prospect potential corporate clients across target industries, including Large Corporates, MSMEs, and sector-specific businesses. Identify engagement opportunities with companies in various industrial sectors to convert business across multiple insurance lines Property, Project, Liability, Group Health (GMC), Group Personal Accident (GPA), Marine, Engineering, and other commercial insurance products. Build and manage a strong sales funnel to achieve revenue growth, business targets, and overall profitability. Generate leads through networking, referrals, cold calls, digital outreach, and participation in business events or industry fo...

Plan and Execute assigned procurement of equipment, materials and services according to the supply plans. Execute (when/if assigned) procurement of assigned Global Category according to the supply plans Ultimately responsible for cost, time and quality for executed purchase orders including change requests and claims To continuously be updated with the latest category strategies and execution of category strategies in projects Liaise with project management, production or other function to specify the need for procurement solutions Responsible for supplier mapping and sourcing activities to ensure sufficient supplier market knowledge and manage supplier relations Ensure Procurement of equipm...

Role Summary 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 ...

A Position Overview Position Title Key Account Manager Department Non TATA Group Credit Life Level/ Band 204 Count 32 Locations PAN India Role Summary/Job Specifications: Responsible for driving credit life business from allotted Partner branches Work in close association with partner employees in all segments Support partner employees with MIS and other insurance services, from login to claims B Organizational Relationships Reports To ASM/RSM Supervises IC C Job Dimensions Geographic Area Covered PAN India Internal Stakeholders Group Ops, Claims, Training External Non TES Partners of Group Credit Life D Key Result Areas Organization Process Key Contributions Sales Achievement of assigned bu...

We are looking for a detail-oriented and proactive Business Analyst with 3 5 years of experience in the insurance domain . The ideal candidate will have a strong understanding of insurance processes, products, and regulatory requirements, and will be responsible for bridging the gap between business needs and technology solutions. Roles & Responsibilties: Gather, analyze, and document business requirements from stakeholders across insurance functions (e.g., underwriting, claims, policy administration). Translate business needs into functional specifications and user stories for development teams. Collaborate with cross-functional teams including product owners, developers, testers, and busin...

This position requires strong ability to obtain and maintain thorough understanding of accounting, controls, financial reporting and general ledger structure and to possess strong financial modeling and analytical skills. Strong knowledge of General Accounting including compliance. Proficiency in Accounts Payable (AP) and Accounts Receivable (AR) processes. Responsible for ensuring travel and expense claims comply with company policies and regulations. Experience in T&E management and compliance is a plus. Prepares reports, maintains documentation, and collaborates with departments to improve controls. Strong analytical skills, and attention to detail. Flexible with shifts Proficiency in MS ...

Point to Point Integration Mater Data, ( Time Sheet and Time Off Optional) Configuration on ECP system as per the business need Understanding of HCM (PA and OM) Info types and Payroll configuration Detailed understanding of Payroll calculation process including payroll clusters, retro-calculation, taxation, arrears, claims cycle Payroll, process models Experience in creating and maintaining Payroll schemas and rules Proficient in wage types, taxes and garnishments Post Payroll activities posting, off cycle workbench, payment processing, bank DME, direct deposit and 3rd party remittance Good knowledge on workers compensation ( US & CA ) and ROE understanding Preparation on different legal rep...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents & processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

This position requires strong ability to obtain and maintain thorough understanding of accounting, controls, financial reporting and general ledger structure and to possess strong financial modeling and analytical skills. Strong knowledge of General Accounting including compliance. Proficiency in Accounts Payable (AP) and Accounts Receivable (AR) processes. Responsible for ensuring travel and expense claims comply with company policies and regulations. Experience in T&E management and compliance is a plus. Prepares reports, maintains documentation, and collaborates with departments to improve controls. Strong analytical skills, and attention to detail. Flexible with shifts Proficiency in MS ...

You ll provide exceptional customer service to internal and external customers within company guidelines. You ll make use of customer insights to provide direction for business initiatives You ll ensure best practice customer initiatives are adopted and applied You ll provide exceptional customer service to internal and external customers within company guidelines, regulatory obligations and SLA s You ll ensure all confidential information is handled in accordance with company and partner protocols and procedures You ll ensure high levels of customer relationship management are maintained You ll Ensure all contact and interactions are of the highest standards (written/phone/face to face), co...

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 Products...

Under the direction of RM, this person is responsible for the timely execution of tasks assigned in accordance with the yearly audit plan as well as assisting with other audit matters and projects. Responsibilities: 1. Verification of Payment & Journal vouchers which broadly covers the following: - - Adherences to internal payment approval policy (DOP) approved by the Board - Deduction of tax at appropriate rates - Adequacy of supporting documents for the processed claims - Categorization of expenses into Capex or Opex and is accounted under appropriate head of accounts - Budgets adherences - Providing all the above information in the Audit Questionnaire & the templates given 2. Verification...

We are seeking a highly skilled Senior Engineer (T&D) with expertise in Primavera P6 and dashboard reporting . The role will be responsible for planning, monitoring, and controlling project schedules, ensuring timely execution of Transmission & Distribution projects. The candidate will also develop and manage dashboards and reports to provide project visibility, track KPIs, and support decision-making for stakeholders. Key Responsibilities Develop, update, and maintain detailed project schedules in Primavera P6 for Transmission & Distribution projects. Create, configure, and manage Primavera P6 dashboards for real-time project tracking and reporting. Coordinate with cross-functional teams (E...

WJCF is supporting Madhya Pradesh State ABDM Office to strengthen the adoption of the Ayushman Bharat Digital Mission (ABDM) by demonstrating its value to both healthcare providers and seekers. To do this, WJCF is focusing on establishing Bhopal as Digital Health District where targeted interventions can be tested, refined, and scaled. The three key areas of intervention are: Facilitating digitization of healthcare facilities and enabling them to link records to patients ABHA Enabling the healthcare workers to activate the use of ABHA across the various government program portals they are leveraging for delivering healthcare services Enhancing community engagement by refining IEC campaigns, ...