6255 Claims Jobs - Page 31

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Tech Product Owner role is responsible for overseeing technology solution design, delivery of tech products to enable the realization of business outcomes, as well as the smooth transition into BAU and Technology Execution and Support...

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Tech Product Owner role is responsible for overseeing technology solution design, delivery of tech products to enable the realization of business outcomes, as well as the smooth transition into BAU and Technology Execution and Support...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Credit Collection Executive for Patient Financial Services, India, this role is responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innov...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Billing Senior Executive for Patient Financial Services, India, this role is responsible for ensuring the accuracy and completeness of billing and charges within the revenue cycle. This role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Cash Posting Executive for Patient Financial Services, India, this role is responsible for accurately posting and reconciling all payments received from patients, insurance companies, and other third-party payers within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide cu...

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Billing Executive for Patient Financial Services, India, this role is responsible for ensuring the accuracy and completeness of billing and charges within the revenue cycle. This role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials within Patient Financial Services. The Diabetes Operating Unit ...

Requisition No - R-1167585 Position Title: Hospital Sales Executive Grade:1A Reporting: Zonal Hospital Sales Manager Location: Hyderabad Job Purpose: Hospitals are the first point of care for patients in top tier markets because of the need for quality healthcare and assured health services. To harness the opportunity that lies within hospitals, a dedicated Key account management team with customized Marketing interventions. The purpose of this role would therefore be to: Scan the hospital environment for new business opportunities for hospital consumed HUL brands Identify opportunities in different type of hospitals by evaluating risks, formulating action plans, implementing key strategies ...

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...

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...

1. Risk Assessment and Underwriting - Underwriting decisions based on underwriting authority and individual policies/programs - Provide technical inputs and advisory to the market on emerging risks and changing scenarios -Review technical, highly complex, large and inherently risky proposals -Evaluate proposal thoroughly considering past claims/cases and assess conformance with underwriting guidelines -Conduct 360 degree review of risks along with any associated loss ratio; decide on standard terms and conditions for the proposal -Arrive at the quotes to covert large accounts with substantial premiums in our favour 2. Premium Growth and New Client aquisition - Develop profitable relationship...

Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters, explanations, and reports to explain medical reimbursement approaches and communicate this information. Provide input for new process development and continuous improvement. Supplier will share daily production report with stateside manager for review and feedback. Maestro Health will provide all applications and accesses required for cla...

Insurance supports the Insurance Manager in overseeing the company s insurance operations, ensuring proper risk management, policy administration, and claims processing. The role involves coordinating with insurance providers, managing compliance with regulatory requirements, and contributing to the development of insurance strategies to minimize risk exposure. Bachelor Degree in relevant field with 4 - 6 years of relevant experience Assist in managing the day-to-day insurance operations, including policy issuance, renewals, and claims processing. Liaise with insurance companies, brokers, and other stakeholders to negotiate terms and ensure best coverage at competitive rates. Review and anal...

Receiving Inbound Calls and providing customer service support Review Medical Claims Check debit card status Assist members in filing their claims Website assistance 1 - 3 Years exp. With good communication & Graduation Must. Provides high quality customer service in resolving queries of PayFlex FSA & H.S.A customers by obtaining, analyzing and verifying the accuracy of their queries or funding transactions in a timely manner. o Provides inbound phone support on FSA & H.S.A Product lines. o Initiates required action for response to customer service requests for claims status/inquiries and communicates changes to the appropriate departments. o Ensures and provides quality service to both Aetn...

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Job Opportunity: Senior Manager - Operations ( Claim Experience)at IGT Solutions Location: Gurgaon IGT Solutions is seeking a highly skilled and experienced Senior Manager of Operations to oversee and lead multiple client business operations in our Global Digital BPM Contact Center Services environment. As a key member of our leadership team, you will report directly to the GM/VP Global Operations and manage a large team of 500-1000 FTEs across multiple business accounts. Key Responsibilities: Take ownership and responsibility for the P&L and overall Operations Management of 500+ FTE International Voice Customer Service Operations. Lead and drive both strategic and tactical operational direc...

Position: Senior Manager Airlines (Operations) Location: Gurgaon About IGT Solutions IGT Solutions Pvt. Ltd. is a leading IT and BPM services provider, delivering innovation and business excellence across the Travel, Transportation, and Hospitality industries. With over 10,000+ travel industry professionals and 15 global delivery centers , IGT offers a comprehensive suite of services including Application Development, Contact Center Services, Analytics, Testing, and Digital Transformation Solutions. We proudly serve top-tier clients globally including leading airlines, OTAs, cruise liners, railways, and hotel chains. IGT is deeply committed to fostering a diverse, inclusive, and harassment-f...

Job Opportunity: Senior Manager - Operations at IGT Solutions Location: Gurgaon IGT Solutions is seeking a highly skilled and experienced Senior Manager of Operations to oversee and lead multiple client business operations in our Global Digital BPM Contact Center Services environment. As a key member of our leadership team, you will report directly to the GM/VP Global Operations and manage a large team of 500-1000 FTEs across multiple business accounts. Key Responsibilities: Take ownership and responsibility for the P&L and overall Operations Management of 500+ FTE International Voice Customer Service Operations. Lead and drive both strategic and tactical operational direction for the operat...

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon work from Office only Timings: 9:30am to 5:30pm (Monday-Saturday) Contact No-9971006988 through whats app ch...

Hiring for KPO insurance company for Deputy Manager Min 8 years exp with 2 years as a DM Strong knowledge of insurance claims (General Liabilities, Auto/Motor, Direct & Property & Casualty) Team Handeling exp is MANDATE Pckg- 16 LPA CALL 8237076800

Role & Responsibilities: Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules. Claims Specialists spend their entire day working through the automatically fed claims queues within OnBase in the designated order to ensure turnaround times are met for our clients. Preferred Candidate Profile A candidate with claims adjudication experience is preferred. Freshers are also encouraged to apply. (Should have provisional / Consolidated certificate) The candidate should be flexible with working in 24-hour rotational shifts. "Sutherland n...

Overview This role will be responsible to perform and keep a track business deliverable 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...

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

About this role: Wells Fargo is seeking an Associate Fraud & Claims Operations Representative. In this role, you will: Support and capture all pertinent information from customers about their claims Conduct research and provide updates on status of new and existing claims Identify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claim Perform routine customer support tasks by maintaining balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment Receive direction from team lead and escalate questions and issues to more expe...