6255 Claims Jobs - Page 30

Processing invoices and recording payment for goods and services and related expenses in the General Ledger Setting up vendor accounts and reconciling statements Respond to AP inquiries and requests (from either vendors and/or business associates) Periodically perform reconciliation of vendor accounts and request for missing invoices and also vendor statements Responsible to adhering to applicable policy, procedures, standards and internal controls Competencies Required: Excellent communication skills both verbal and written Should be able to deal with a large amount of invoices Strong knowledge of MS Office Self-initiative, drive and zeal for continuous improvement Ability to discharge the ...

Job Description Position Title, Responsibility Level: Executive/Senior Executive Function: Operations Reports to - Assistant Manager/Lead Assistant Manager Permanent/ Temporary: Permanent Span of Control None Location: C 15, Noida Basic Function This position is responsible for reviewing, analyzing and interpreting medical Information to assess and determine appropriate next action steps which may lead to denial or payment of claims Work is performed under general supervision according to established guidelines This individual promotes capabilities from a customer perspective, aligning needs with the target offering by creating a customer self-service enabled platform for core customers Esse...

Accounting to book Accruals (Journal entries for premiums, commission, reserves etc) Monthly & Quarterly reconciliation of GL and SL balances and research for variances, as needed Strong accounting skills to understand the accounting treatment for corrections/errors/reclass etc Receivables Management - Preparation of invoices/billing statements to reinsurers, Tracking of outstanding receivables and Transfer of non-recoverable amount (>90 days) to non-admitted account Preparing wires/settlements Research and resolve queries pertaining to any adhoc tasks/audits/reports etc Coordinate with multiple stakeholders like Reinsurers, TPAs, Underwriters, Claims, Actuaries, Treasury etc on a regular ba...

Brief Processing invoices and recording payment for goods and services and related expenses in the General Ledger Verifying and processing of expense claims Setting up vendor accounts and reconciling statements Work with client contacts/vendors for timely resolution of pricing and quantity discrepancies on invoices and invoice exceptions Respond to AP inquiries and requests (from either vendors and/or business associates) Periodically perform reconciliation of vendor accounts and request for missing invoices and also vendor statements Update Vendor master information / changes as and when requested by vendors / business associates Responsible to adhering to applicable policy, procedures, sta...

Primary Responsibility Handling Contact Center (Life Policy Admin & Claims) for a US based client Performance Parameters Process performance as per agreed SLAs/ KPIs Quality and AHT Improvement Customer Satisfaction Level of subject matter expertise Monitor transactions on an ongoing basis and take corrective steps where necessary or make incremental improvements Provide coaching and feedback to team members to enable them to improve their performance Assist new hires such that they are productive on the floor in the shortest possible time frame Handle escalations/ Supervisor calls Provide inputs on process and system to the team members Client Interaction, where required at the level of Sup...

Managing the accounts receivable administration & General Ledger Checking and processing sales invoices Monitoring the continuity of accounts receivable Providing accounts receivable reports Maintaining contacts with debtors and handling correspondence Verifying bookings Applying aging analysis to outstanding items, sending reminders to debtors Cleaning up the accounts receivable list by matching receipts to invoiced amounts Monthly intercompany reconciliation Managing the accounts payable administration Coding purchase invoices Linking invoices to the purchasing system Authorizing invoices and expense claims and ensuring their return Archiving invoices Monthly intercompany reconciliation Ma...

As a QA RCM, you will be responsible for auditing the work of RCM Callers to ensure the highest standards of service delivery. REQUIRED EDUCATION/EXPERIENCE: ;Should be Graduate Should have worked as a ;Quality Controller for AR for at least one year ;with medical billing service providers or should have minimum 5 years experience into AR Must have very good knowledge of medical billing and be confident in process knowledge. Experience in the end-to-end Healthcare process and AR team for the ; audit Adapting to new situation challenges whenever required.Adhere to all company policies and procedures POSITION RELATIONSHIPS: Reports directly to the Assistant Manager ; JOB RESPONSIBILITIES: Revi...

Basic Function Receiving Inbound Calls, Navigate through 5-6 applications at the same time while providing customer service support, Strong Computer Navigation Skills and Excellent Customer Service Skills Essential Functions Provides high quality customer service in resolving queries of client customers by obtaining, analyzing and verifying the accuracy of their queries or funding transactions in a timely manner Provides inbound phone support on various Product lines Initiates required action for response to customer service requests for claims status/inquiries and communicates changes to the appropriate departments Ensures and provides quality service to while administering their account Pa...

JOB DESCRIPTION ;Position Title, Responsibility Level: ; Senior ExecutiveFunction: ;OperationsReports to ;- ;Assistant Manager OperationsPermanent/ Temporary: ;PermanentSpan of Control ;NilLocation: ;Gurgaon- ;C-61 ;Fraud Investigation Specialist ;We are seeking a talented and self-motivated Fraud/Dispute Investigator to join our Fraud/Dispute Operations team. Candidate will be responsible for all aspects of Fraud and Dispute investigations as it relates to Application Fraud, Transactional Reviews, Debit/Credit Card Fraud, Check Deposits, ACH/Check returns, Debit claims as well as the review of any/all related suspicious activity across all products (checking/savings, credit cards, loans and...

We are looking for a strategic and technically adept Solutions Lead to drive the design and delivery of winning BPM solutions for RFPs and proposals, with a strong focus on the Insurance industry. The ideal candidate will combine deep domain knowledge with expertise in digital technologies, AI, and data-driven transformation to craft innovative, scalable, and client-centric solutions. Key Responsibilities: Lead the solutioning and technical response for BPM-related RFPs, RFIs, and proposals in the insurance sector (preferably UK Commercial and Specialty Insurance) Collaborate with sales, delivery, product, and technology teams to design end-to-end solutions that align with client needs and s...

Roles Responsibilities: Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding and APC payments systems knowledge with minimum 3 years of experience in surgery Must possess good communication skill with neutral accent Initiate telephone calls to provider office to communicate the outcome of the denial review Must be spontaneous and have high energy level Minimum work experience in voice process will be an added advantage Manage claims with timely follow up Must be good with MS Office, especially Excel and PPT Understand the client requirements and specifications of the project Ensure that the deliverable to the client and adher...

EXL Decision Analytics EXL (NASDAQ: EXLS) is a leading operations management and analytics company that helps businesses enhance growth and profitability in the face of relentless competition and continuous disruption Using our proprietary, award-winning Business EXLerator Framework , which integrates analytics, automation, benchmarking, BPO, consulting, industry best practices and technology platforms, we look deeper to help companies improve global operations, enhance data-driven insights, increase customer satisfaction, and manage risk and compliance EXL serves the insurance, healthcare, banking and financial services, utilities, travel, transportation and logistics industries Headquarter...

Brief Processing invoices and recording payment for goods and services and related expenses in the General Ledger Verifying and processing of expense claims Setting up vendor accounts and reconciling statements Work with client contacts/vendors for timely resolution of pricing and quantity discrepancies on invoices and invoice exceptions Respond to AP inquiries and requests (from either vendors and/or business associates) Periodically perform reconciliation of vendor accounts and request for missing invoices and vendor statements Update Vendor master information / changes as and when requested by vendors / business associates Responsible to adhering to applicable policy, procedures, standard...

Basic Function- Handling inbound/outbound calls from the customers Customer service for claims & policy Admin Essential Functions- Ensure the activities are performed in accordance with compliance rules & agreed terms (internal and external) Follow-up with internal/ external customers for information/ query resolution Any other essential function that may occur from time to time as directed by the Supervisor to help to identify inefficiencies to the process and assist to drive process improvements activities Ensure that the assigned targets are met in accordance with SLA and Internal standards Ensure adherence to established attendance schedules Performance Parameters- Process performance as...

Basic Function Receiving Inbound Calls, Navigate through 5-6 applications at the same time while providing customer service support, Strong Computer Navigation Skills and Excellent Customer Service Skills Essential Functions Provides high quality customer service in resolving queries of client customers by obtaining, analyzing and verifying the accuracy of their queries or funding transactions in a timely manner Provides inbound phone support on various Product lines Initiates required action for response to customer service requests for claims status/inquiries and communicates changes to the appropriate departments Ensures and provides quality service to while administering their account Pa...

Basic Function Providing 1 st level support on client projects, including Voice calls Follow up for payments Update notes in case management system Creation of reports as per client s specifications Common Function Achieve individual productivity and quality goals Participate in training initiatives to develop knowledge Integrate procedural changes into daily routine Support other team members in meeting service expectations Adhere to Company policies and procedures Skillset 1-2 years experience in P&C Insurance - Property claims / Recoveries / Subrogation/ Claim adjudication Excellent telephone and communications ( written & verbal) skills Active Listening skills Should show capabilities to...

Oversee and manage day-to-day operations to ensure all SLA metrics are metImplement company policies in all areas of the operations establish goals for each team and monitor each team s performance and compared against Key Performance Indicators Recommend measures that will improve team performance and communicate clearly with Associates / Sr Associates client expectations and accountability Coordinate and participate in the completion of all production standards and/or makes recommendations for improvements in overall production, including policies and procedures Recognize performers and recommend development plan for qualified performers Ability to manage a US client independentlyEvolve jo...

Royal Sundaram General Insurance Co is looking for Lead - Legal & TP Claims to join our dynamic team and embark on a rewarding career journey A Legal Manager is responsible for overseeing all legal aspects of a company's operations and ensuring compliance with laws and regulations The role requires strong communication and negotiation skills, as well as a deep understanding of legal principles and practices Draft and solidify agreements, contracts and other legal documents to ensure the companys full legal rights Apply effective risk management techniques and offer proactive advise on possible legal issues Research and evaluate different risk factors regarding business decisions and operatio...

We are seeking a highly organized and detail-oriented Administrative Specialist to join our growing team. In this role, you will play a crucial role in ensuring the smooth and efficient case management. Your primary responsibilities will include triaging cases, accurately routing them to the appropriate queues, and verifying case alignment with relevant policies and entities. Additionally, you will be responsible for the efficient allocation of work to the claims/customer services team based on TAT. Key Responsibilities : Accurately assess and categorize cases based on their nature and urgency. Sorting, processing, and vetting of claims firsthand for claims payment and ensuring they are accu...

Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to drive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partners Zonal Leadership team, Ops Credit Team, DSAs, SMs, Field Sales Staff at all levels and across functions. Values add in key initiatives ...

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 RR 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 Acqui...

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 RR 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 Acqui...

As an Executive Assistant in Consumer and Community Banking , you will need to work we'll in a team environment, be able to represent the manager/group with professional courtesy and acumen, and deliver flawless work output. Your daily routine also includes interaction with various executive level internal clients across the lines of businesses. You will need to adapt procedures, processes and techniques to complete assignments in line with the departments activities and goals. Job responsibilities Maintain complex and detailed calendars Screen incoming calls and determine the level of priority, while using caution in dispensing information Manage the coordination and logistics of both inter...

Maintaining relations with the suppliers. Placing orders for necessary raw materials and purchased parts according to the requirements of the production. Receiving and handling the confirmations. Checking the purchase orders and modifying them according to the changes in the production plan with the help of the Shortage List and the Open Purchase Order List. Tracking shipments, urging them if needed. Regular, weekly check of the stocks, avoiding overstock. Minimizing the risk of obsolescence with the help of the weekly check of the obsolete report. Correspondence with the freight forwarders, warehouses, and in case organizing the transportation. Dealing with claims, settling debit and credit...

Insurity empowers insurance organizations to quickly capitalize on new opportunities by delivering the world s most configurable, cloud-native, easy-to-use, and intuitively analytical insurance software. Just as importantly, we empower our people providing the tools, support, and opportunities they need to grow and succeed. We don t just make bold promises we deliver results. As the largest cloud-based software provider for the Property & Casualty market, Insurity is trusted by 22 of the top 25 P&C carriers and 7 of the top 10 wholesale brokers in the MGA space. Behind that trust is a team that delivers exceptional value and deep industry expertise. While our technology sets us apart, it s o...