6255 Claims Jobs - Page 32

Expertise in PP QM Module Must have full-cycle project implementation experience in PP/QM area S/4 HANA migration experience is added advantage Must have done Gap analysis, Functional specification, Unit and Integration testing and project relevant documents Location - Chandigarh,Dadra & Nagar Haveli,Daman,Diu,Goa,Haveli,Hyderabad,Jammu,Lakshadweep,Nagar,New Delhi,Puducherry,Sikkim

Around 4 to 6 yrs experience of Automation experience. Good with QA Functional Testing skills. Experience in Java Selenium (added advantage). Technically strong automation candidate having experience in Cypress-Playwright - Java script/typescript Should have hands on experience in automation using Cypress-Playwright- Java Script/typescript or Java Selenium. Well versed in designing scenario BDD- writing Feature Files / Steps file (script for the same). Good to have Investment Banking domain knowledge. Good Communication and Independently handing QA task.

In this role, you will: Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring the recovery, execution, and handling of claims Identify opportunities for process improvement and risk control development in fraud and claims management to maximize efficiency and enhance customer service Make supervisory decisions and resolve issues related to work distribution under direction of fraud and claims management Leverage interpretation of internal processes and procedures to establish performance standards, evaluate performance, develop training materials, and ensure compliance with internal policies, risk ...

Responsibilities: * Manage AR through calling, denial management & appeals * Post payments & cash credits accurately * Handle denials with RCM expertise * Ensure timely revenue cycle management Night Shift : 7:00 PM to 4:00 AM Food allowance Over time allowance Performance bonus Gratuity Maternity leaves

Sales planning Study and research the market - growth, competitors, broker ecosystem, past performance etc. Based on this, propose the targets for the region to Senior Management. Discuss and align on the targets including renewal versus fresh premium, projections by month, composition by different lines of insurance etc. Break down the targets by brokers, lines of business and allocate to the team. Analyze the past performance and relationship with each broker. Make plans for increasing/ decreasing business with existing brokers and signing up new brokers. Sales management Track renewals and new deals in the pipeline. Create a weekly plan for numbers to be achieved and communicate to the te...

Job Description Position Overview Position Title Key Account Manager Department Group Credit Life Level/ Band Executive (204) Role Summary: Achievement of annual sales and profit targets for credit life sales Develop business opportunity with banks / consumer finance / micro finance/ auto loans / financial public houses Lead and manage training and development programs for client s staff Develop the value penetration and wallet share in the business. Coordinating with internal stakeholder and partner team for issuance and other service related coordination Organizational Relationships Reports To Sales Manager/Area Sales Manager Supervises Job Dimensions Geographic Area Covered Branches / Clu...

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...

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...

A career at Flex offers the opportunity to make a difference and invest in your growth in a respectful, inclusive, and collaborative environment. If you are excited about a role but dont meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary To support our extraordinary teams who build great products and contribute to our growth, we re looking to add Subject Matter Expert - GBS Procurement position will be based in Chennai . What a typical day looks like: 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 confirmati...

Drafting and pleading skills will be considered as added advantage. The candidate should be conversant with mail culture and must know basic computer knowledge like Excel, word, Power point etc. , with typing speed Knowledge on Motor vehicle act or exposure in MV act will be considered as added advantage. Tracking of each Matter from Claims Dairy Co-ordination with other department of mandatory requirements - ILM, Operation, Underwriting etc. Smooth Processing of Claim

1. Management of corporate group - MNC Brokers Research the market - growth, competitors, brokers and their past performance etc. basis which align on the targets including renewal versus fresh premium, projections by month, composition by different lines of insurance etc. Develop an action plan for the team to drive the targets by brokers, lines of business and sales through the existing signature accounts, ensuring achievement of defined topline/ bottom-line targets. Support team in creating/ bundling appropriate deals for existing clients and managing the relationship effectively to ensure client acquisition, confidence, engagement and retention Discuss upscale/ cross-sell opportunities w...

About Lumen Technologies Lumen Technologies is a global technology company that delivers innovative communication and network solutions. Our mission is to empower businesses and individuals to connect, grow, and thrive in the digital age. With a focus on customer experience and operational excellence, we strive to provide cutting-edge solutions that meet the evolving needs of our customers. Key Responsibilities Solution Design & Configuration: Lead end-to-end SAP BRIM implementations, rollouts, and support projects. Design, configure, and implement BRIM solutions based on business needs, including CI, FI-CA and FICO. Business Process Analysis: Gather requirements from stakeholders and transl...

1. Management of corporate group - MNC Brokers Research the market - growth, competitors, brokers and their past performance etc. basis which align on the targets including renewal versus fresh premium, projections by month, composition by different lines of insurance etc. Develop an action plan for the team to drive the targets by brokers, lines of business and sales through the existing signature accounts, ensuring achievement of defined topline/ bottom-line targets. Support team in creating/ bundling appropriate deals for existing clients and managing the relationship effectively to ensure client acquisition, confidence, engagement and retention Discuss upscale/ cross-sell opportunities w...

Provide general administrative support including handling emails, filing, and organizing claim-related materials. Maintain accurate and up-to-date information in the claims database. Assist with bill processing, documentation production, and data entry. Use the Claims System for inquiries and to generate correspondence. Resolve routine administrative inquiries and ensure timely responses. Proofread and edit materials to uphold accuracy, thoroughness, and professionalism. Maintain confidentiality and comply with HIPAA regulations in managing sensitive information. Support the team in delivering exceptional service to our customers, reflecting MetLife s value of putting customers first

Urgent Hiring | Reinsurance Lead Specialist Mumbai (Relocation Required) Industry: Insurance, Risk Management & Consulting Division: Operations Location: Mumbai We are hiring a Lead Specialist Reinsurance (FAC Process) to support the operational excellence and client servicing for India business. The role focuses on ensuring compliance, accuracy, and efficiency in reinsurance placement and claims management as per IRDAI guidelines. Key Responsibilities: Manage FAC (Facultative Reinsurance) operations including placement, endorsements, renewals, and claims. Handle end-to-end client servicing of accounts from new business to renewals and mid-term adjustments. Ensure compliance with IRDAI regul...

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...

About The Role Skill required: Insurance Services - Insurance Claims Designation: Delivery Operations Team Lead Qualifications: Any Graduation Years of Experience: 7 to 11 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 worlds 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 countries. We emb...

We are hiring FRESHERS for "NON-VOICE / CLAIM BENEFITS PROCESS" for one of the MNC. Carries good analytical skills. Salary : 15k to 16K (In hand) Working Days : 5 Days Shift : Day Shift (9am to 6pm) ONLY GRADUATES CAN APPLY Work from office Required Candidate profile Claims processing/Verify Handle claim Denials and acceptance Create excel reports Handle clients call for new updates and quality feed backs Good comm skills and 25 WPM typing speed Call - 9643583769

* Processing of Cashless Requests & Health Insurance Claims for TPA / Insurance company * Process and Provide Medical opinion for Health Insurance Claims * Understanding of Claims adjudication / Claims Processing

Hiring for US Healthcare Product Owner with experience range 3-5 years Mandatory Skills: US Healthcare billing and claims Education: BE/B.Tech/MCA/M.Tech/MSc./MS Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specific...

Hiring for US Healthcare Product Owner with experience range 3-5 years Mandatory Skills: US Healthcare Premium billing and claims Education: BE/B.Tech/MCA/M.Tech/MSc./MS Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement ...

As a Senior within the Actuarial team your role involves developing and implementing solutions both within the Insurance service line and in collaboration with other services lines. On engagements, you will Be responsible for providing high quality results and generating effective solutions working along with Senior Consultants, Managers or Senior Managers in delivering the project Provide focused solutions and training to Staff members Be responsible for ensuring all engagement are delivered within time Deliver engagements in line with our values and commitment to quality and ensuring that work is of high standards Establish/manage priorities, communicate the status of activities, and accum...

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes