4480 Claims Jobs - Page 37

Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility, the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating...

The purpose of the job role will be to provide support to Procurement for Project Development sites as a part of the business expansion journey of the company. Total Process of PQ to PO, taking Care of payment, Vendor creation in SAP and Maintained cost saving sheet. Principal Account abilities (Role & responsibilities): Work collaboratively with the management and internal purchase and project team to coordinate supplier selection, credit, and terms, track supplier performance standards, and conduct ongoing evaluations. Conduct research via the Internet, catalogues, trade publications, and trade shows to identify potential suppliers. Interview prospective suppliers either face-to-face or ov...

Principal Accountabilities How they are achieved/measured Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to drive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partner s Zonal Leadership team, Ops & Credit Team, DSAs, SMs, Field Sales Staff at al...

Some careers open more doors than others. If you re looking to unlock new job opportunities, take a look at the possibilities right on your doorstep here at HSBC. We are currently seeking an experienced professional to join the INM GTS, Guarantees team . Job Introduction We are currently seeking an experienced professional to join the Commercial Banking GTS, Guarantees team . Principal Responsibilities To ensure that the vetting of the Bank Guarantee format is taken as per the Bank Guidelines taking into consideration that the Bank s interest is safeguarded and also ensure compliance with the Legal / Regulatory Requirement. To ensure that the guarantee texts are vetted for all Local, Counter...

We are seeking a detail-oriented and analytical Accounts Receivable Executive to join our team in Mysuru, India. In this role, you will be responsible for managing and optimizing the accounts receivable process, ensuring timely collection of payments, and maintaining accurate financial records. Supervise and coordinate the activities of the Accounts Receivable department Assist the Credit Manager in efficient and timely collection of receivables Ensure proper accounting of cash receipts, claims, and unpaid invoices Calculate and enter charges for interest, refunds, or related items Generate and review account statements and financial reports Investigate and resolve collection issues, working...

Company Description: AllianceBernstein is a leading global investment management firm that offers high-quality research and diversified investment services to institutional clients, individuals, and private clients in major markets around the world. AllianceBernstein employs more than 500 investment professionals with expertise in growth equities, value equities, fixed income securities, blend strategies, and alternative investments, and, through its subsidiaries and joint ventures, operates in more than 20 countries. AllianceBernstein s research disciplines include fundamental research, quantitative research, economic research, and currency forecasting capabilities. Through its integrated g...

This position is located within the Transformation Practice Group in GOSC, which provides actionable reporting & BI reporting solutions. The incumbent would work as part of this team to support the projects and engagements with Excel, Power BI, SQL, Cognos Support Customer related reports and work closely with US Group Business - Claims stateside partners / SPOCs for validation, delivery of regular and adhoc reports Identify issues/risks and bring them to closure before report out Support activities to ensure data analysis & reporting availability with 100% accuracy & timeliness B. Tech / Graduation from Tier 1/ Tier 2 College Excel, Power BI, SQL, Cognos working knowledge Good written and o...

Career Category Human Resources Job Description US Benefits Sr Associate Role Name: US Benefits Sr Associate Department Name: Total Rewards ABOUT AMGEN Amgen harnesses the best of biology and technology to fight the world s toughest diseases, and make people s lives easier, fuller and longer. We discover, develop, manufacture and deliver innovative medicines to help millions of patients. Amgen helped establish the biotechnology industry more than 40 years ago and remains on the cutting-edge of innovation, using technology and human genetic data to push beyond what s known today. ABOUT THE ROLE Role Description: We are seeking a detail-oriented and experienced U.S. Benefit Sr Associate based ...

Job Tile : Claims processing Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Tre...

About the Role: As a Control and Oversight Lead, you will have the opportunity to work as an integral part of a highly motivated, dynamic Operations Risk and Compliance (R&C) team. You will be reporting to Head R&C Control & Oversight to deliver strong performance aligned with a strong risk culture. This position demands a balance between analytical rigor and a business-driven mindset, focusing on testing processes, synthesizing insights from multiple sources, and challenging constructively to ensure risk and control initiatives are aligned and effective. Your responsibilities will include: Monitoring performance monitoring via ongoing testing of Operational Risk Controls. Working with globa...

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...

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...

Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Assi...

Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Assi...

Maneja, Gujarat, India Job ID: R0102455 Date Posted: 2025-08-27 Company Name: HITACHI ENERGY INDIA LIMITED Profession (Job Category): Quality Management Job Schedule: Full time Job Description: The opportunity Manufacturing Quality Assurance work includes: Defining and specifying activities, processes, and standards to fulfill the quality requirements for a manufactured material, component, or product. Building and maintaining the infrastructure and systems necessary to consistently ensure the timely delivery of quality products. Auditing, monitoring, and determining the quality of manufacturing processes and/or outputs against defined internal and regulatory standards. Reporting and trouble...

Career Category Research Job Description Do you want an exciting position working with multiple teams to generate real world evidence supporting a wide variety of business needs Amgen focuses on areas of high unmet medical need and leverages its expertise to strive for solutions that improve health outcomes and dramatically improve people s lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world s leading independent biotechnology companies, has reached millions of patients around the world, and is developing a pipeline of medicines with breakaway potential. Observational research (OR) is an increasingly important component in drug development and commercialization....

Who we are Tractable is an Artificial Intelligence company bringing the speed and insight of Applied AI to visual assessment. Trained on millions of data points, our AI-powered solutions connect everyone involved in insurance, repairs, and sales of homes and cars helping people work faster and smarter, while reducing friction and waste. Founded in 2014, Tractable is now the AI tool of choice for world-leading insurance and automotive companies. Our solutions unlock the potential of Applied AI to transform the whole recovery ecosystem, from assessing damage and accelerating claims and repairs to recycling parts. They help make response to recovery up to ten times faster even after full-scale ...

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 Product...

Job Description Financial Outcomes Primary Sales - Develop the channel partner network and implement the distribution objectives to drive reach penetration across the territory Secondary sales (Retail Distribution) - Increase number of retail outlets, maintain high service level, drive visibility of all categories of products and ensure commercial hygiene (usage of technology while placing retail orders) in the territory Customer Service Provide ground-level inputs for promotions, local activations demand forecasting exercise Ensuring timely submission of stockiest claim along with supporting documents adhering to the company s guidelines Internal Processes Regular analysis of primary second...

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...

Position Summary We are seeking a skilled Business Analyst with specialized supply chain expertise to analyze data gaps, gather comprehensive business requirements, and optimize Oracle Demantra implementations to enhance overall supply chain performance and efficiency. Key Responsibilities Requirements Analysis: Gather, document, and analyze detailed business requirements for supply chain optimization initiatives Oracle Demantra Management: Configure, customize, and provide ongoing support for Oracle Demantra systems focusing on demand planning and forecasting modules Data Analysis: Develop and execute complex SQL queries to extract, analyze, and interpret supply chain data from multiple sou...

Job Summary This position is responsible for providing on-ground support for a wide range of HR activities, primarily focused on managing a workforce of approximately 650 individuals, including staff-based (SB) employees, hourly workers, and contract personnel. The role ensures smooth day-to-day HR functioning across vendor coordination and statutory compliance . Job Responsibilities Workforce Management Support HR operations for a diverse employee base, ensuring timely resolution of workforce-related matters. Maintain accurate employee data and coordinate with internal teams for operational alignment Vendor Coordination Manage manpower vendors to ensure compliance with contractual obligatio...

Insurity empowers insurance organizations to quickly capitalize on new opportunities by delivering the world s most configurable, cloud-native, easy-to-use, and intuitively analytical insurance software. Just as importantly, we empower our people providing the tools, support, and opportunities they need to grow and succeed. We don t just make bold promises we deliver results. As the largest cloud-based software provider for the Property & Casualty market, Insurity is trusted by 22 of the top 25 P&C carriers and 7 of the top 10 wholesale brokers in the MGA space. Behind that trust is a team that delivers exceptional value and deep industry expertise. While our technology sets us apart, it s o...

Operations Experts help deliver efficiencies and insights within our Americas Central Operations Services team. We generate impactful benefits through offshore management, and process improvements, with a strong emphasis on performance management through data, reporting, and analytics. About the Role: This team works with all of Corporate Solutions US and Canada Operations on an ongoing journey to transform our landscape, our assessment of operations and drive decision-making. On that journey this role may Oversee and manage relationships between regional teams worldwide to deliver service to Operations units across all lines of business, claims and regulatory operations liaising heavily wit...

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. About the Role- Google Cloud Engineer The Google Cloud Engineer will be a key member of the Cloud Center of Excellence (CCoE). They will provide best practices on secure foundational cloud implementations, automated provisioning of infrastructure and applications, cloud-ready application architectures, an...