6255 Claims Jobs - Page 33

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Legal 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

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...

The Fulfillment Support role is responsible for ensuring smooth end-to-end logistics operations by coordinating with logistics partners, monitoring shipments, resolving tracking and claim issues, and managing returns. This position plays a critical role in maintaining customer satisfaction, minimizing financial losses, and streamlining internal processes. Key Responsibilities Coordinate with logistics partners to resolve tracking discrepancies, delays, and no movement shipments. Monitor shipment progress and proactively follow up on exceptions. Process and manage returned packages, ensuring timely reconciliation and restocking. File and track claims with carriers for lost, delayed, or damage...

SUMMARY About The Client : A Fortune 500 global leader in technology services and digital business solutions, this company delivers comprehensive Business Process Services (BPS) and IT-enabled solutions. With a worldwide presence, it serves diverse industries including banking, healthcare, retail, manufacturing, and communications. The firm's expertise spans a broad spectrum of critical processes from finance and accounting to human resources, customer service, and supply chain management - enabling clients to enhance efficiency, drive innovation, and achieve business agility on a massive scale. Job Title: Senior Process Executive (SPE) Domain : P & C Insuranc e operations ( Guidewire with c...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Position Summary: The WebPT Accounts Receivable Team Lead for WebPT, you will supervise the day-to-day activities of the AR staff to ensure maximum productivity, completion, and resolution of assigned projects and duties. This includes achievement of established monthly and quarterly accounts receivable goals in accordance with WebPT policies, practices and procedures. Responsibilities Identify, analyze, and manage all issues pertaining to accounts receivable. Coordinate, assign, audit and supervise work of the staff assigned to ensure productivity standards and goals are consistently met. Review and analyze past due receivables on a weekly basis. Monitor AR reconciliations, and related adju...

" Who we are: Nirvana is on a mission to harness the power of data to revolutionize commercial insurance and enable a safer world. We are bringing much-needed innovation into the legacy, trillion-dollar commercial insurance industry. We have developed cutting-edge predictive models that use real-time IoT data from billions of connected devices, allowing us to better understand and price risk. Our AI-driven platform fundamentally changes the way an insurance company operates with personalized risk scoring, faster underwriting, modernized claims, and proactive, data-driven insights to help customers prevent accidents. We ve already proven the scale reaching well over $100 million in premiums a...

Desired candidate qualification and experience: Must have prior working experience of at least 3 years in Construction companies / Real estate development companies Must have excellent familiarity and knowledge of construction materials, electrical, plumbing and sanitary fixtures, interior/finished materials and tools Candidates who s previous job designation/nature of work includes any of Purchase assistant, Procurement assistant, Stores assistant, Material purchase assistant or related may apply Qualification may be B.Com, BBA, BA or equivalent degree in English medium and full time courses (part time / distance education not considered) Good command over both English and Tamil is essentia...

Introduction We believe that every candidate brings something special to the table, including you! So, even if you feel that you re close but not an exact match, we encourage you to apply. We d 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+ profe...

Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD Business Health Insurance Unit Aditya Birla Health Insurance Company Ltd Location Mumbai Poornata Position Number of the job Reports to: Poornata Position Number Poornata Position Title of the job ASM - Group Reports to: Poornata Position Title Zonal Manager Group Function Sales Group, Social & Rural Reports to: Function Sales Department Sales Group, Social & Rural Reports to: Department Sales Designation of the Employee Cluster Manager - Group Designation of the Manager Zonal Manager - Group Date of writing/updation of JD August 2017 1) Job Purpose: Write the...

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...

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...

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

1. 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 2. 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...

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...

As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily activities of the Human Resource Office including oversight of recruitment, total compensation, and training and development. Additionally, he/she focuses on delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensures compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Reso...

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc. ), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i. e. a broader view of the market we operate in /competitors details for formulating ...

Job Description The Medical/Scientific Editor is a junior-level role for an individual with experience in Veeva and other pharmaceutical marketing approval systems, along with a scientific or medical background sufficient for understanding, checking and referencing claims. The successful candidate must be diligent and proactive, using their initiative to check work quality whilst identifying and rectifying or communicating errors effectively. Essential duties and responsibilities: Including, but not limited to, the following: Anchor references to promotional pharmaceutical materials within Veeva or other approval systems when provided with an offline reference pack Review existing reference ...

Job Purpose To organize, control and monitor direct sales & Marketing activities in OTC Business segment, & to achieve business targets Achieve sales objectives by forecasting and developing annual sales quotas for location based area in OTC; projecting expected sales volume and profit for existing and new products. Maintains sales volume, product mix, and selling price by keeping current with supply and demand, changing trends, economic indicators, and competitors. Job Context & Major Challenges Job Context: Stakeholder Management (Maintaining the equilibrium between Internal & External) Market Penetration given the aggressively increasing competition Job Challenges: Key Result Areas KRA (A...

Summary ofrole The roleinvolves building robust fraud detection frameworks, managing investigationsthrough empanelled risk agencies, engaging with law enforcement and businessteams, and driving awareness across teams Key Responsibilities Develop and implement fraud risk frameworks across customer and distributors life cycle Monitor transactions, claims and sales practices to identify red flags and fraud patternsLead and manage investigations of suspected fraud cases through empanelled risk agencies, ensuring timely closure with quality reporting Evaluate and monitor performance of risk agencies to ensure adherence to defined SLAs and investigation quality standards Drive vendor staff trainin...

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc. ), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i. e. a broader view of the market we operate in /competitors details for formulating ...

Will be responsible for overseeing the company s receivables, collections and related operations. Needs to ensure proper follow-up and timely collection of outstanding from the market by efficiently managing tele callers and executives. The role also involves verifying all expenses before forwarding them to the General Manager for approval. Verifying all the lists for payments to suppliers and maintaining the company s overall financial discipline. Preparation of Cash flow statement and overlook the account reconciliation statement with all dealers and suppliers. Actively involve in the smooth implementation and working of new ERP system. Key Responsibilities: 1. Receivables & Collections Mo...

Key Responsibilities: Review and audit healthcare claims for accuracy, completeness, and compliance with payer policies. Identify and resolve discrepancies, errors, and inconsistencies in claims adjudication. Ensure adherence to HIPAA and other regulatory requirements. Work with internal teams to improve claims processing accuracy. Generate reports and document audit findings. Provide feedback and training to claims processing teams. Required Skills & Qualifications: Bachelor's degree or equivalent experience in healthcare or related fields. Must have: Facet tool experience. Experience in claims adjudication, auditing, or US healthcare payer operations. Strong analytical skills and attention...

Need 1 to 2 years of experience into US Insurance/Claims. Responsible for Policy administration of Market Insurance Policies. Candidates must possess good communication skills. Open to work in Night Shift.

We are looking for a highly motivated and enthusiastic individual to join our team as a Helper in the hospitality industry. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Assist with daily tasks and operations to ensure smooth service delivery. Provide exceptional customer service, responding promptly to guests' needs and resolving issues professionally. Maintain high standards of cleanliness and hygiene in all areas. Collaborate with colleagues to achieve common goals and objectives. Participate in ongoing training and development to enhance skills and knowledge. Contribute to the overall success of the organization through positive attitude and teamwork. ...