7662 Claims Jobs - Page 31

Job Title: Assistant Manager (Property and Casualty Insurance) Location: Bangalore Department: Property and Casualty Insurance Reports To: Service Delivery Manager Division: Operations Position Summary Gallagher Service Center LLP is seeking a skilled and motivated Assistant Manager to join our Property and Casualty Insurance team. This role is pivotal in driving operational excellence, fostering a high-performing team environment, and delivering exceptional service to our clients. Reporting to the Service Delivery Manager , the Assistant Manager will play a key role in ensuring the seamless execution of processes and team effectiveness within the Property and Casualty Insurance domain. Prim...

Openings for Executive - Freshers Key Responsibilities: Data Validation and KYC Validation Candidate can join immediate Job Location - Kilpauk,Chennai Working days - Monday to Saturday Interested Candidate can apply here, you will get a call back from us shortly. Regards Uday HR Vidal Health Insurance TPA Pvt Ltd.,

As a Team Lead at Gallagher Service Center LLP, you will play a crucial role in the Non-voice Service Team, reporting directly to the Process Manager. Your proven people management skills, service delivery expertise, and knowledge in premiums and claims will be essential for success in this position. Key Responsibilities: - Understand operational requirements, research best practices, and assist in designing and implementing new processes and tools. - Cultivate a team environment focused on exceptional customer service and ensure all staff members perform at a consistently high level. - Motivate, instill accountability, and achieve results within the team. - Monitor the effectiveness of a te...

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 Produc...

We foster an inclusive culture and are always looking for diverse, talented people to join Alcon. Currently, we are seeking a highly analytical and detail-oriented HEOR Specialist, Data Analysis with deep expertise in real-world data (RWD) analysis to join our Global HEOR team and be based in AGS, Bengaluru . Partnering with platform teams, the Specialist will focus on designing and executing studies using secondary data sources such as insurance claims, electronic health records (EHR), registries, and other real-world data assets. The ideal candidate will also play a key role in protocol development, statistical planning, and results dissemination, while collaborating across multiple platfo...

To bear full responsibility for ensuring payments correctly and promptly as per guidance laid down as under : 1. Checking all claims (For new agencies - 3 months) received from PAN INDIA - Outsourced FVOs & Private Investigator Agencies for Payment processing. 2. Checking 20% of claims for old agencies (after 3 months of rendering services). 3. Calculation & Consolidation of PAN INDIA Inhouse FVOs Travel Allowances & PAN INDIA Outsource Professional Fees. 4. Calculation of Payments to PIAs as per SLAs - Excel breakups and getting invoices from Private Vendors. 5. Follow-up for approvals for all IH FVOs, OS FVOs and PIAs Payments. 6. Analysis of Hit rate every quarter and alert to PIAs when l...

maintaining the establishment of claims philosophy & procedures. to ensure that the claims activities are well managed at the branch / hub training of the vendors to ensure quality output; compliance to regulatory, IFIM & other internal guidelines Required Candidate profile Responsible to identify and prevent payment of fraudulent claims. Assess claims and ensure a periodic review of pending claims for expediting decisions. Monitor,generate understand&interpret reports

Dear Candidate, We are hiring Deputy Manager & Manager - Claim and Fraud Detection Salary upto 16 LPA The Manager Claims is responsible for maintaining the establishment of claims philosophy and procedures. The role is also responsible to ensure that the claims activities are well managed at the branch / hub; training of the vendors to ensure quality output; compliance to regulatory, IFIM & other internal guidelines; prepare periodic metrics on claims; implementation of the claims system; assessment and review of claims on an ongoing basis and team management within the Claims Function. Key Responsibility Areas Assessment of claims Claims Process and Procedure Leadership & Teamwork Operation...

Handle customer queries for insurance and banking processes, assist with policy/account information, resolve issues, maintain CRM, achieve daily/weekly targets, work in day/rotational shifts, ensure excellent customer experience and compliance. Required Candidate profile Candidates with strong communication skills, fresher or 1–3 years insurance/banking experience, CRM proficient, target-driven, customer-focused, flexible with day/rotational shifts. HR - 78140 65191

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Desktop Investigation Trigger identification through data at intimation/Referral stage Social media searches Cold calling using digital platforms Identify key business people, link analysis Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers Follow up for IR and TAT management Level 1 QC clearance & validate the submissions against shared triggers Success in claim investigation based upon strong medical & legal evidences Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law Report submission and coordination with claims team. Evidence Ma...

Analyze different pharmaceutical / life sciences data sets like claims data, electronic medical records, anonymous patient level data, prescription data & sales data, promotional data. Communicate results to clients and onshore team members. Develop client relationships and serve as an offshore key point of contact for the project. Understanding business objectives and developing models that help to achieve them, along with metrics to track their progress. Analyzing the AI/ML algorithms that could be used to solve a given problem and ranking them by their success probability. Exploring and visualizing data to gain an understanding of it, then identifying differences in data distribution that...

Develop applied analytics frameworks and models that help clients understand dynamic business issues and design analytic techniques primarily in excel, power-point or in SQL server, R, Tableau, Power BI, Visual Basic and to analyze the business need. Analyze different pharmaceutical / life sciences data sets like promotional data, claims data, electronic medical records, anonymous patient level data, prescription data & sales data. Communicate results to clients and onshore team members & clients. Develop client relationships and serve as an offshore key point of contact for the project. Guide and mentor analysts on the team. Consultant: As a consultant, you are expected to lead the offshore...

Job Description: AR Caller (US Healthcare Voice Process) Job Summary The AR Caller (Accounts Receivable Caller) is a vital part of the Revenue Cycle Management (RCM) team. This role is responsible for proactively following up Required Candidate profile nsurance Follow-up: Make high-volume outbound calls to US insurance companies . Denial Management: Thoroughly investigate and analyze denied or underpaid claims.

1. Risk Assessment and Underwriting Review technical proposals received from various locations / Zones basis the existing guidelines / norms and discuss with superiors where required in case of deviations Evaluate proposal thoroughly considering past claims / cases and assess conformance with the set underwriting guidelines; seek more information on proposals, customers, if required Identify business opportunity with business team and Set standard terms and conditions for the proposal 2. Premium Growth and Audits Visit the locations and meet major IMDs; understand problem areas and issues / concerns Provide guidance, if required and resolve any issues / concerns from IMDs Clarify organizatio...

This role involves developing and optimizing personal care and cosmetic formulations that align with Soulflowers clean and natural philosophy The individual will ensure regulatory compliance with both domestic and international standards, including BIS, FSSAI, CDSCO, EU, GCC, and US FDA They will oversee the validation of product claims through clinical testing, manage ingredient safety databases, and ensure packaging and labeling meet all safety and regulatory requirements Additionally, the role includes maintaining accurate documentation for product registrations, clinical trials, and audits, ensuring that Soulflower s products are both effective and compliant across all markets

About Rentokil PCI Rentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, Rentokil PCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number one pest control company in India, and Rentokil, the world s leading pest control brand. Rentokil PCI aims to set new standards for customer service having operations across 300 locations in India. For more details: About the Role: The incumbent will report to the Territory Manager. The incumbent will have to work as part of a multi-functional team and this involves collaboration with the internal team and external stakeholders. Job Responsibilities: Sales & collection Achieving sal...

Sr. Business Analyst - Duck Creek Claims - 6+ Years - PAN Inida (Hybrid) Are you passionate about leveraging your analytical skills to deliver innovative solutions? Heres your opportunity to take your career to new heights! We are looking for a dynamic Senior Business Analyst with expertise in Duck Creek Claims to be a part of our cutting-edge team. Enjoy working in a challenging and rewarding hybrid work environment, spread across PAN India. If you love problem-solving, analytics, and collaboration, this could be the role for you! Location : Noida/Gurugram/Pune/Bengaluru (Hybrid) Your Future Employer : Join a reputable organization thats paving the way for tech-driven innovation. Our team i...

About The Role Skill required: Provider Network - Life Sciences Regulatory Operations Designation: Health Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and r...

As a Senior Secrets Management PAM Engineer, you will play a key role in designing, deploying, and managing enterprise-wide secrets management solutions with a primary focus on HashiCorp Vault. You will work closely with Cybersecurity Architects, IAM, PAM, and DevSecOps teams to deliver secure, scalable, and automated credential management across HPE s hybrid infrastructure. You will serve as a technical SME and hands-on implementer, ensuring seamless integration of secrets management with privileged access and identity platforms, while strengthening the company s overall security posture. Key Responsibilities Implementation & Engineering Deploy, configure, and manage HashiCorp Vault Enterpr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 co...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song" all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 co...