6255 Claims Jobs - Page 38

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

As a Tech Lead-AI at Carelon Global Solutions in Bangalore, you will play a vital role in leading the design and development of scalable data and AI solutions, guiding engineering teams, and driving technical excellence across projects. Your primary responsibilities will include: - **Technical Leadership:** Lead the design, development, and delivery of cloud-native applications and data platforms using Python, Kubernetes, and microservices architecture. - **AI/ML Strategy & Implementation:** Architect and oversee the integration of Gen AI, LLMs, and ML models into healthcare workflows to enable intelligent automation and insights. - **System Design & Scalability:** Drive the design of scalab...

As a Customer Service Specialist, you will play a crucial role in enhancing client satisfaction and streamlining processes. With a hybrid work model and night shifts, you will address customer inquiries and resolve claims efficiently, contributing to the company's reputation for excellence. - Address customer inquiries promptly and accurately to ensure high levels of satisfaction. - Resolve claims efficiently by applying your domain expertise and adhering to company policies. - Collaborate with team members to identify and implement process improvements for better service delivery. - Utilize customer feedback to enhance service offerings and address potential issues proactively. - Maintain d...

As an Operations Coordinator, you will be responsible for administering and supervising the day-to-day functioning of offshore teams handling various insurance operations. Your role will involve acting as the primary point of contact between the UAE Insurance Company and the offshore teams, ensuring smooth delivery, compliance with agreed standards, and efficient communication. Key Responsibilities: - Operations Oversight - Supervise the functioning of outsourced departments including: - Medical underwriting and claims - Motor underwriting and claims - Marine, general accident, and property underwriting and claims - Legal support - Compliance support - Accounting and finance assistance - Ens...

Job Title: Data Analyst (Contract 4 Months) Location: Remote Contract Duration: 4 Months Work Schedule: 5 Days a Week | 9-Hour Shift | Night Shift About the Role We are seeking an experienced Data Analyst to support our analytics initiatives on a short-term contractual basis. The ideal candidate will have expertise in SQL, Python or R, and experience working with healthcare datasets such as claims and Electronic Health Records (EHR). You will be responsible for deriving actionable insights through statistical modelling and robust data analysis. Key Responsibilities Extract, clean, and analyse large datasets, particularly claims and EHR data. Perform data-driven analysis using statistical tec...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

We are looking for a Medical Secretary to support our medical office. Patients, visitors and medical staff will turn to you for information and help with administrative issues. Our medical secretary should be efficient and well-spoken with experience running a medical office. If you are patient, computer-savvy and can multitask, wed like to meet you. Your goal will be to ensure the smooth workflow of our medical facilities, so that our patients receive the best possible care. Responsibilities Receive and assist patients as needed Type medical documents (e.g. physician dictations and patient charts) Maintain detailed patient and medical records Manage office communications (e.g. phone, corres...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services a...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

We are searching for a reliable quantity surveyor to join our capable team of professionals. The quantity surveyor will be tasked with analyzing existing budgets and making improvements, reviewing plans and preparing quantity estimates, negotiating with various contractors and vendors, as well as building relationships with clients and site managers. To be successful as a quantity surveyor, you should have a methodical approach and superb interpersonal skills. Outstanding quantity surveyors are not only great at analyzing costs, but they also know how to read people and tailor their negotiation strategies to ensure the best possible outcome.

Job Description: As the strategic planner, you will be responsible for managing timelines, resources, and teams to deliver projects flawlessly, turning visions into realities amid dynamic challenges. Key Responsibilities: - Utilize expertise in MS Project and planning software to create project timelines. - Demonstrate sharp analytical and problem-solving skills to overcome challenges. - Maintain strong communication and stakeholder management throughout project lifecycle. - Apply experience in planning Residential, Industrial, Institutional, Commercial, Hospital, and Factory projects. - Manage contracts, claims, and EOT effectively. - Provide team leadership as Deputy Manager. Qualification...

As Chief Manager in the Risk, Underwriting & Claims department at Mumbai location, reporting to the Head of Risk, your role involves monitoring the risk performance of the portfolio, predicting fraud detection, and deriving strategies to reduce the Loss Ratio. Your responsibilities include: - Calculating, monitoring, and publishing the claim ratio dashboard - Providing insights on loss ratios, risk dynamics, and their impact on business performance - Executing LIVE tracking of claim ratios through automated Dashboards - Devising strategies to lower the Loss ratios and partnering with Internal Stakeholders for execution - Building a fraudulent insights team leveraging data to provide product/...

As a Go To Market (GTM) planner for new products, repricing, migration, and riders, your responsibilities will include: - Completing GTM planning for all new products, repricing, migration, and riders. - Interacting with various teams such as Sales & Distribution, Underwriting, Marketing, Claims, Analytics, and Actuarial for reviewing, following up, and finalizing launch plans for all products. - Developing high-quality training materials like PPTs and FAQs, and executing training programs for channels. - Analyzing competition products in detail through activities such as mystery shopping, preparing high-quality notes and PPTs for top management updates and decision-making. - Coordinating an...

Role Overview: As a Guidewire Policy Center Business Analyst at Rapid Consulting Services, you will play a crucial role in various Insurance platform implementation projects. Your responsibilities will include collaborating with agile team members, working on Guidewire Policy Center configuration and integration, and contributing to Business Insurance Transformations. You will have the opportunity to work with cutting-edge technology and top leaders in the industry on international projects based on the latest data technologies and cloud platforms. Key Responsibilities: - Work on Guidewire Policy center module configuration and integration - Possess Guidewire Associate Certification or highe...

As a Lead Engineer at our company, you will have a crucial role in designing, constructing, and expanding our healthcare platform. Your responsibilities will include: - Providing Technical Leadership: - Leading discussions on design and architecture for scalable, secure, and resilient systems. - Establishing and upholding coding standards, best practices, and technical guidelines. - Mentoring and guiding engineers to promote a culture of learning and innovation. - Contributing to Product Development: - Collaborating with product managers, architects, and cross-functional teams to develop and deliver end-to-end features. - Directing the development of backend microservices, APIs, and frontend...

As a Guidewire Developer with 3 to 15 years of experience, you will be required to have expertise in one of the Guidewire products such as Claim, Policy, or Billing. Your role will involve hands-on experience in Guidewire development, including tasks like Admin data loading and modifying existing workflows for Billing Integration. Additionally, you should have a good understanding of the Insurance domain, specifically with a background in Property & Casualty. Key Responsibilities: - Utilize your skills in Guidewire development, particularly in areas like Policy, Billing, Claims, Integration, Configuration, Insurance Now, Portal, and Rating. - Demonstrate proficiency in Web services, XML, GxM...

You will be responsible for developing and maintaining software applications for the US Healthcare industry, specifically focusing on EDI and QNXT modules. Your key responsibilities will include: - Demonstrating strong proficiency in .Net, SQL, and in-depth knowledge of the Enrolment module, particularly EDI 837 and EDI 835 within the QNXT platform. - Utilizing your expertise in developing Claims applications using EDI 837 and EDI 835 resources, along with your skills in DotNet and SQL. - Engaging in excellent client communication as you will be required to interact with US clients effectively. To excel in this role, you should possess the following qualifications: - A minimum of 8 years of ...

Role & responsibilities Reviewing incoming Bordereaux (Claims/Risks/Premium) and updating the data inputs into client systems/Xchanging messaging. • Understanding of the Bordereaux management & uploading/extracting from IMR system, LPAN submission, MRC interpret necessary information for completing assigned tasks. • Preferred knowledge of Lloyds of London Market & Xchanging Responsible to handle high volume of transactions and identify scenarios demanding escalation to supervisor to avoid financial impact and escalations Candidate should have experience in lyods underwriting. Only Graduates allowed Recruiter Name- Sakina Preferred candidate profile Graduate Only. With mandatory UK experience...

Hiring for leading insurance company for US Claims process Graduate with min 3 years End to end Claims experience is mandate US shift SAT-SUN OFF Package upto 8 LPA Viman Nagar, Pune CALL US 9226639337 / 8983678989

Collaborate with the Claims head, claims processing and provider management team to gather and analyse business requirements related to claims processing. Required Candidate profile Conduct in-depth analysis of the existing claims systems and processes, identifying areas for improvement and optimization. Experience in understanding and working with ICD, PCS, and CPT codes

Roles and Responsibilities Manage end-to-end process for Renewals, including premium audits, claims processing, and underwriting. Coordinate with internal teams to resolve issues related to policy renewals and endorsements. Ensure accurate data entry and maintenance of records in the system. Provide excellent customer service by responding promptly to client queries and resolving their concerns. Maintain a high level of accuracy in all tasks performed. Desired Candidate Profile 2-4 years of experience in Property & Casualty insurance industry. Strong understanding of P&C insurance policies, procedures, and regulations. Proficiency in handling multiple tasks simultaneously with attention to d...

5 to 10 years in Project Execution/ Project Management /Planning for Oil & Gas / Power/ Petro-Chemical/ Chemical/Fertilizer industry. Knowledge of Primavera and PMO monitoring tool is mandatory Qualification: Minimum qualification: Graduation in Engineering. (BE/B.Tech) Candidates with certification in PMP / Prince 2 shall be preferred. Your work profile. Key Job Responsibilities Interact with the client representatives for the ongoing requirements of the project Consistently deliver quality client services and take charge of the project area assigned to him Monitor progress, manage risk and verify key stakeholders are kept informed about progress and expected outcomes Demonstrate in-depth t...

Medcare Hospitals Medical Centres is looking for Senior Associate Insurance to join our dynamic team and embark on a rewarding career journey As a Senior Associate in the insurance industry, you would hold a mid-level position with responsibilities that revolve around providing support and expertise in various areas of insurance operations Here are some key responsibilities and activities typically associated with this role:Underwriting Support: Assisting with the underwriting process by gathering and analyzing data, reviewing insurance applications, and conducting risk assessments Collaborating with underwriters to evaluate risks, determine appropriate coverage, and assist in making underwr...

Working within the Customer Service team supporting our Individual Protection business line, this role is responsible for delivering an exceptional customer service and is the first point of contact for our existing customers and advisers regarding claims queries and admin. The role consists of completing claims administration tasks following a customer, advisor, or internal request. This includes but not limited to, issuing, and reviewing claim forms, registering new claims, and setting reserves, manage claims queries and chasing information. These will include reinforcing the product features and creating an environment to maximize retention opportunities by understanding customer circumst...