7662 Claims Jobs - Page 38

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...

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 Acquisition...

Planning Research and analyze the internal and external performance of the various products through multiline channels. Study how the various products are performing, market demand, competitors, customer segmentation etc. Identify opportunities for driving growth for BAGIC and propose strategy. Align on business targets and key initiatives to be worked on. Product performance Track top line and product mix on a regular basis. Review against targets and analyze deviations. Push Marketing teams and channel partners to drive sales. Conduct research on market and competitors. Meet Marketing teams and channel partners for additional market insights. Analyze and identify opportunities to grow the ...

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...

Planning Research and analyze the internal and external performance of the various products through multiline channels. Study how the various products are performing, market demand, competitors, customer segmentation etc. Identify opportunities for driving growth for BAGIC and propose strategy. Align on business targets and key initiatives to be worked on. Product performance Track top line and product mix on a regular basis. Review against targets and analyze deviations. Push Marketing teams and channel partners to drive sales. Conduct research on market and competitors. Meet Marketing teams and channel partners for additional market insights. Analyze and identify opportunities to grow the ...

1. Business planning Work closely with the product and underwriting team to create unique offerings as per the current market trends to suit the channel partner s requirements and requisite approvals for the same from the Bank Head Office Work with the Brand team to create collateral designs for campaigns and products Understand what competitors are doing, liaison with the third party product distribution department to formulate business planning for increasing penetration at the Bank of India branches Analyze data related to customer mix, segmentation, identify opportunities and then propose products accordingly Study the PSU Banassurance competitive landscape, customer segmentation, loss r...

This role demands a candidate who brings deep fraud domain expertise consulting acumen, the ability to translate technology and analytics into measurable business outcomes. Minimum Qualifications 6-9 years of experience in Fraud anaytics, Strategy, or Risk Management , preferably across Banking, Fintech, or Payments. Proven ability to lead multi-dimensional transformation integrating analytics, digital, operations, and advisory levers. Deep domain understanding across the fraud lifecycle including application, transaction, merchant, and dispute/chargeback management. Experience with AI/ML-driven fraud platforms , rules strategy configuration, and decision orchestration tools. Strong client e...

This role demands a candidate who brings deep fraud domain expertise consulting acumen, the ability to translate technology and analytics into measurable business outcomes. Minimum Qualifications 10+ years of experience in Fraud anaytics, Strategy, or Risk Management , preferably across Banking, Fintech, or Payments. Proven ability to lead multi-dimensional transformation integrating analytics, digital, operations, and advisory levers. Deep domain understanding across the fraud lifecycle including application, transaction, merchant, and dispute/chargeback management. Experience with AI/ML-driven fraud platforms , rules strategy configuration, and decision orchestration tools. Strong client e...

Asset Management: Roles and Responsibilities: Manage end to end of lifecycle of IT asset from requisition to disposal. Maintain accurate records of all IT assets across the repositories & tools (Service Now CMDB). Work closely with vendor for addressing warranties & insurance claims. Responsible for maintaining up to date inventory of all IT assets with their precise location & assignment details. Ensure assets are tagged when inducted and corresponding records are updated in CMDB/Fixed asset register. Manage inventory of desktops, laptops, desk phone, mobile phones, desk monitors, consumables, etc. with accuracy. Dispose obsolete assets through e-waste process within regulatory & STPI guide...

Job Summary: Review incidents in incident logging system (Origami applications) for unexpected event resulting in injury or having a serious potential for injury or damages. Review date, time, and location where the accident took place, review extent of damage to a person or property. Incident reportable or not reportable to Insurance company. File a claim with your insurance company and ask them to assign a surveyor to evaluate the loss. Common incidents are car accident, or property damage. Investigating incidents if need to report for insurance claims or fraudulent activity by reviewing records, and reviewing documents like PMA, certificate of insurance, coverage, contract dates. Essentia...

DuckCreek Claims Developer Position : Senior Engineer / Technical Lead / Senior Technical Lead Experience : 04 to 08 Years. Job Location : Greater Noida, Pune & Hyderabad & Mumbai. Mandatory Skills: P&C, Property & Casualty, DuckCreek, Claims, V9, V10, V11 & Insurance. Job Description: Configure Duck Creek Claims systems including: Claims workflows Business rules Data models User interfaces Develop and maintain system configurations and documentation. Duck Creek Claims platform XSLT transforms SQL database queries XML/XPATH Troubleshoot and optimize system performance. Ensure seamless integration with other enterprise applications. Participate in Agile ceremonies (sprint planning, reviews). ...

JOB DESCRIPTION: As a claims processor, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims WORK LOCATION - MDC7 WORK STYLE - WFO. SHIFT - 4 PM to 2 PM. Role & responsibilities Preferred candidate profile

We are hiring for Leading US Healthcare Company for Sr. AR Caller - Profile Location: Hyderabad Salary: Upto 33k in hand Responsibilities: > Minimum 1 year experience in AR Calling in medical billing field > Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. > To work closely with the team leader. > Good Knowledge of RCM and Denial management. > Ensure that the deliverables to the client adhere to the quality standards. > Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. > Calling the insurance carrier & Document the actions taken in claims billing summary notes. > To review emails for any updates >Identi...

As the Head of Software Engineering at our company, you will play a crucial role in leading the complete technology roadmap for our next-gen Healthcare ERP & Revenue Cycle Management (RCM) platform, MEDAURA. Your responsibilities will include: - Leading end-to-end engineering for RCM modules such as claims, billing, coding, authorizations, and insurance workflows - Architecting and owning the design of the RCM system, focusing on scalability, performance, and security - Building and mentoring the engineering team with a strong emphasis on RCM product delivery - Ensuring secure and compliant handling of RCM data, adhering to regulations such as HIPAA, GDPR, and FHIR - Driving sprint planning,...

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...

SUMMARY About the Role: We are looking for dedicated and proactive professionals to join our Revenue Cycle Management (RCM) team as Process Executives and Senior Process Executives . The role involves managing the accounts receivable process, following up with insurance companies, and ensuring timely resolution of medical claims. This position offers an excellent opportunity to build a rewarding career in the healthcare BPO industry with structured growth pathways. Designation & Experience: Process Executive: 0 1 year of experience Eligibility Criteria: Qualification: Non-Technical Graduates (B.Tech graduates are also eligible) Experience: Freshers and experienced candidates in Revenue Cycle...

We MEIL are looking for Contracts Engineer for Head office Job Location - Hyderabad, Telangana Qualification - Nicmar with QSCM & ACM, B Tech - Civil Responsibilities - Review contract agreements, BOQs, tender documents, specifications, and drawings. Prepare and manage contractual correspondence, claims, EOT, variations, and cost implications. Coordinate with project sites for contract compliance, risk identification, and change management. Support pre-bid and post-bid activities including technical/commercial evaluations. Ensure adherence to contractual terms, statutory requirements, and client/consultant conditions. Draft letters, notices, and contractual communications as per contract cla...

About Us: At HCP Wellness , we believe in innovation, quality, and customization As a leading Private Label manufacturer of Skin Care, Cosmetics, and Oral Care products, we empower brands with cutting-edge formulations and reliable manufacturing Our culture is rooted in integrity, collaboration, and continuous improvement, making us a trusted partner in the beauty and wellness industry Job Overview: We are seeking a dynamic and detail-oriented R&D Project Manager to lead and oversee the development of innovative personal care products from concept to commercialization This role bridges the gap between R&D, marketing, production, and quality assurance ensuring that new product development pro...

Company Overview At HCP Wellness Private Limited , we are a trusted name in private label manufacturing for skin care, cosmetics, and oral care products Guided by innovation, sustainability, and a commitment to excellence, we help our partners bring safe, high-performing, and market-ready products to life Our culture thrives on integrity, scientific rigor, and customer-centric solutions Position Summary We are seeking a passionate and experienced Sr Research / Research Scientist with specialized expertise in sunscreen and skincare formulation This role is key to leading the design, development, and optimization of innovative and effective topical formulations that align with international st...

HTC A brief profile Established in 1990, HTC Inc., a company with headquarters in Troy, Michigan, is a leading global Information Technology solution and BPO provider. HTC assists clients across multiple industry verticals, offering turnkey project lifecycle in, e-business, data warehousing, embedded systems, ECM, SCM, CRM, and ERP solutions. HTC Inc. offers ConnectIT, our Global Delivery Methodology that enables the seamless delivery of outsourced IT services. HTC has global delivery centers across the globe. About the Job We are seeking a seasoned Technical Delivery Manager with over 10 years of hands-on experience in Duck Creek Technologies to lead complex insurance platform implementatio...

Job Description Summary All activities providing the necessary support on pre- and post-contractual administration & management , Terms & Conditions of the contract and the Management of claims Also involves definition, management, and execution of risk modeling activities in support of the contract or project Also involves definition, management, and execution of contract estimating processes and activities to support tenders and project reviews Impacts departmental operations and responsible for planning/execution The role has some autonomy but is focused on execution of activities within an operating discipline covered by standard functional practices and procedures Some judgment may be r...

The Associate would need to Validate the following and process claims to pay:1 Authorization2 Financial risk per DOFR3 If all codes are payable and if so how (applying multi procedure reductions and NCCI/PTP edits as necessary)4 Validating copay and coinsurances on payable codesOnce all the above are validated, the associate would then add EOB codes per instruction as well as update supplemental screen per instructionstyle=white-space: normal;>The Associate would need to Validate the following and process claims to pay: 1 Authorization 2 Financial risk per DOFR 3 If all codes are payable and if so how (applying multi procedure reductions and NCCI/PTP edits as necessary) 4 Validating copay an...

International Voice Process We are seeking a dedicated and enthusiastic International Voice Process Executive to join our Healthcare BPO team The ideal candidate will handle inbound and outbound calls related to international healthcare services, resolve patient and provider issues, provide accurate information regarding healthcare plans and policies, and ensure a high level of customer satisfaction Key Responsibilities: Answer inbound calls and respond to inquiries from international patients, providers, and other healthcare stakeholders in a timely and professional manner Make outbound calls to follow up on unresolved issues, appointment reminders, and feedback collection Resolve customer ...

Job description Sales and Marketing Intern Internship Details: Duration : 3 months Location : Your respective College campus Stipend : 5000 per month (performance-based) Roles and Responsibilities: 1 Campus Ambassadors: Interns will serve as ambassadors of Health Gennie representing our brand with integrity and enthusiasm They will embody our commitment to promoting health and wellness within the college campus 2 Sales of Health Gennie s Subscription Plans: Interns will be tasked with promoting and selling our health-related subscription plans to fellow students within the college community You will be stationed in the admission cell, with direct access to potential customers 3 Convincing St...

Responsibilities : Responsible for calling insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable Should be able to convince the claims company (payers) for payment of their outstanding claims Sound knowledge of U S Healthcare Domain (Provider side) methods for improvement of the same Should have basic knowledge of the entire Revenue Cycle Management (RCM) Manage & develop collaterals as required Compliances: Adherence to company policies, rules and regulations To follow quality processes thoroughly using checklist standards Adherence to HIPAA guidelines and policies for the process Qualifications: Any graduation Mandatory Skill Sets: Exc...