6255 Claims Jobs - Page 35

About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. About the Role The Strategic Accounts Servicing Team is responsibl...

The Junior Analyst will be part of the operations team, supporting the Banking team with all operational tasks including but not limited to bank reconciliation, preparing and reviewing taxation trackers, managing fund transfers and case status reporting. Together, they will provide consistent superior client service. The ideal candidate will have excellent verbal and written communication skills, be consultative and solution-oriented, and be capable of managing multiple priorities. The Analyst must be a team player, committed to fostering a team environment and building cooperation between team members to provide the highest quality service to clients. The day-to-day responsibilities will in...

This role is with one of our portfolio companies. About the role We re looking for a Director of Strategy & Operations - a startup operator who can bring clarity and execution discipline to fast-growing teams, drive cross-functional alignment, and scale systems that actually work. You ll sit at the intersection of strategy, ops, and product, leading key initiatives that move the business forward - from improving sales-to-onboarding flows to optimizing our care and claims operations. This is a builder s role. You ll be hands-on in diagnosing bottlenecks, designing scalable processes, and driving measurable impact on growth, efficiency, and profitability. What you will do 1. Build and Scale Co...

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 ...

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross >2% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

Apply Job Type Full-time Description Why work at nimble This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are! nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financ...

About the Role: As a Product Owner in the Property & Casualty (P&C) Solutions Unit, you will drive the development of innovative products within the Solutions portfolio. You will own the product backlog, shape the product roadmap, and ensure the delivery of high-impact solutions that address critical business needs and strengthen Swiss Re s market position in the Solutions space. Key responsibilities include: Partner with the Product Management Group and Solutions business stakeholders to understand business challenges, customer needs, and define key product capabilities for assigned products. Work with the Leadership & Product management group to establish and monitor Objectives and Key Res...

Assists in the management of the daily functions of the department to provide protection of property assets, employees, guests and property. Maintains logs, certifications and documents required by law and Standard Operating Procedures. Assists in the training of staff in established emergency procedures and implements accident and fire prevention procedures. Promotes guest and employee satisfaction while achieving the operating budget. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the security/loss prevention or related professional area OR Bachelor s degree from an accredited university in Criminal Justice or related major; 1 year experience i...

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 Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with Bajaj General Insurance Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure e...

Join a dynamic team at the forefront of global ficial markets. Drive operational excellence and deliver innovative solutions for our clients. Be part of a collaborative environment where your expertise shapes the future of trade settlement Job Summary As a Trading Lifecycle Associate within the Operations team, you ensure accurate and timely settlement of trades. You collaborate with business and technology partners to resolve issues and implement process improvements. You play a key role in maintaining data integrity and supporting global initiatives Job Responsibilities Ensure transactions are correctly matched for smooth settlement Pre-match and settle Fixed Income trades, focusing on pri...

Join a dynamic team at the forefront of global ficial markets. Drive operational excellence and deliver innovative solutions for our clients. Be part of a collaborative environment where your expertise shapes the future of trade settlement Job Summary As a Trading Lifecycle Associate within the Operations team, you ensure accurate and timely settlement of trades. You collaborate with business and technology partners to resolve issues and implement process improvements. You play a key role in maintaining data integrity and supporting global initiatives Job Responsibilities Ensure transactions are correctly matched for smooth settlement Pre-match and settle Fixed Income trades, focusing on pri...

Join a dynamic team at the forefront of global ficial markets. Drive operational excellence and deliver innovative solutions for our clients. Be part of a collaborative environment where your expertise shapes the future of trade settlement Job Summary As a Trading Lifecycle Associate within the Operations team, you ensure accurate and timely settlement of trades. You collaborate with business and technology partners to resolve issues and implement process improvements. You play a key role in maintaining data integrity and supporting global initiatives Job Responsibilities Ensure transactions are correctly matched for smooth settlement Pre-match and settle Fixed Income trades, focusing on pri...

Join a dynamic team at the forefront of global ficial markets. Drive operational excellence and deliver innovative solutions for our clients. Be part of a collaborative environment where your expertise shapes the future of trade settlement Job Summary As a Trade Lifecycle Analyst within the Operations team, you ensure accurate and timely settlement of trades. You collaborate with business and technology partners to resolve issues and implement process improvements. You play a key role in maintaining data integrity and supporting global initiatives Job Responsibilities Ensure transactions are correctly matched for smooth settlement Pre-match and settle Fixed Income trades, focusing on priorit...

We have an exciting opportunity for you to enhance digital accessibility and inclusivity. As a Senior Accessibility Specialist within the Digital Accessibility team, you will ensure our digital products and services are accessible to all users, including those with disabilities. You will collaborate with cross-functional teams to address accessibility concerns and advocate for inclusive design. Job responsibilities Conduct comprehensive accessibility testing on digital products using assistive technologies and tools to ensure compliance with WCAG 2. 1 and 2. 2. Perform manual and automated accessibility testing using various tools and assistive technologies. Review and evaluate claims made i...

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 Job Description To support our extraordinary teams who build great products and contribute to our growth, we re looking to add Senior Analyst - 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 con...

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, youll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express. How will you make an impact in this role Provide functional expertise and ongoing support to operations and cross functional initiatives Handle Reconciliation proce...

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Bill...

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Bill...

About The Role About The Role - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified exist...

Role & responsibilities Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers. Should have exposure in handling PECOS and NPPES systems - Strong knowledge in CAQH application and Facilitate provider re-attestations of CAQH data as required by CAQH. Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers. Performs electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment for all providers, for all applicable payers. Compiles and maintains a list o...

The Fice Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controller-ship at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon s suppliers, invoice our customers and report ficial results. Amazon is quickly building the Fice Operations capabilities in the healthcare industry by creating the Healthcare Fice Operations Services. As part of the Healthcare Fice Operations Services team, you will find yourself working with exceptionally talented and determined people committed to driving ficial improvement...

The Fice Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon s suppliers, invoice our customers and report ficial results. Amazon is quickly building the Fice Operations capabilities in the healthcare industry by creating the Healthcare Fice Operations Services. As part of the Amazon Healthcare Global Fice Operations Services team, you will find yourself working with exceptionally talented and determined people committed to driving ficia...

Business Planning & P&L ownership Receive the finalized Annual Operating Plan (AOP) targets around sales, renewals, product mix etc. from the Country Head Geo, basis the last year business, company s growth agenda, etc. Analyze, review and communicate the breakdown across products, customer segment targets to the Region leads Own the P&L of assigned geographies & ensure profitability of the business sourced Motivate the team and drive the business targets; understand key issues and challenges, take decisive action in resolution of the same; escalate critical issues / concerns to the superior and seek resolution Create and track monthly execution plan based on targets received; account for ke...