7640 Claims Jobs - Page 4

you'll work with internal stakeholders to determine procurement needs and requirements during sourcing and renewals. you'll guide stakeholders to adhere to established IT procurement practices. you'll manage the lifecycle of software and subscription renewals prior to expiry, ensuring alignment with the IT budget. you'll negotiate basic legal and commercial terms, including pricing, with vendors at the point of contract. you'll provide supply market insights and sourcing recommendations to stakeholders. you'll manage supplier bidding and evaluation processes in collaboration with stakeholders you'll manage suppliers according to the company s supplier management framework. you'll identify hi...

you'll provide exceptional customer service to internal and external customers within company guidelines. you'll make use of customer insights to provide direction for business initiatives you'll ensure best practice customer initiatives are adopted and applied you'll provide exceptional customer service to internal and external customers within company guidelines, regulatory obligations and SLA s you'll ensure all confidential information is handled in accordance with company and partner protocols and procedures you'll ensure high levels of customer relationship management are maintained you'll Ensure all contact and interactions are of the highest standards (written/phone/face to face), co...

Ensure rebate/VSP programs are configured correctly, claims are processed accurately and on time, and accruals reconcile with actuals minimizing margin leakage while enabling sales wins. A day in the Life Request Intake Requirements: Manage intake of rebate requests; gather commercial rationale, scope, and supporting data to ensure completeness and accuracy. Agreement Drafting Approvals: Draft Vendor Support Agreements using approved templates. Coordinate cross-functional approvals with Sales, Pricing, Finance, and Legal. System Configuration: Set up and maintain program parameters (rates, tiers, eligibility, caps, floors, stacking) in the rebate management tool. Accrual Enablement: Partner ...

Designation: Claims Executive Department: Revenue Cycle - Billing & Posting Reporting To: Team Lead - Billing & Posting Location: Pune, Work from Office Job Type: Full Time, Permanent Shift: US Shift / India Night Shift Role Overview: A Claims Executive is responsible for efficiently processing claims and posting payments, ensuring that claims are handled in compliance. Job Responsibilities: Prepare and submit insurance claims, ensuring completeness and accuracy. Verify patient and insurance information for each claim. Accurately post payments from various sources, including insurance companies, Medicare, Medicaid, and patients, ensuring the correct application of funds in the billing system...

You will be responsible for: - Having knowledge of the quality assurance methodologies for software development, including tools, methods, planning, design, defect management, and implementation, along with industry best practices. - Developing, writing, and executing test plans (Functional integration etc). - Having knowledge in HP ALM AGM or Azure DevOps. - Having automation experience in NUnit/Selenium and White, which is an added advantage. - Working with DBMS platforms such as MS SQL and Oracle. - Having FACETS experience preferred, especially in Facets Claims Membership and Billing area. - Having USA Health Care experience, which is a must. - Having experience in Agile methodology and ...

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

Candidate need to manage the entire lifecycle of ESIC claims, from documentation to settlement. He will be responsible for Client Communication & Service, Claim Processing, Documentation Management, Business Development, and Operational Excellence Required Candidate profile excellent communication client service skills, results-oriented approach drive to expand business. exposure to digital marketing prior experience in insurance, claims processing, customer service

Hiring Vice President - Operations. Candidate must have vast experience in TPA industry. Should have handled huge teams. Must have extensive knowledge of cashless and reimbursment claims. Interested candidates can connect on 8291886837- Paras Solanki

Qualification & Experience 8+ years of experience in BA roles, with insurance domain expertise. Experience leading workshops and client location experience preferred Strong experience in requirements engineering and agile delivery. Skilled in process modeling, stakeholder mgmt, and discovery facilitation Exposure to one or more core insurance domain areas such as Policy Administration, Product & Onboarding, Technical Accounting & Payments, Output Management, Risk Rating, Finance/Pricing, Claims, First Notice of Loss (FNOL), and Recoveries. Knowledge of ABS, BMP, Guidewire, or equivalent platforms. Skilled in Jira, Confluence, Visio, BPMN. IIBA CBAP or equivalent certification desirable.

Plum is looking for Associate, Cashless Claims (Mumbai) to join our team Roles and Responsibility Manage and process cashless claims efficiently. Ensure accurate and timely resolution of customer queries. Collaborate with internal teams to resolve complex issues. Develop and implement process improvements to enhance efficiency. Maintain high levels of customer satisfaction and service quality. Analyze and report on claim processing metrics to identify areas for improvement. Job Requirements Strong knowledge of cashless claims processes and procedures. Excellent communication and problem-solving skills. Ability to work in a fast-paced environment and meet deadlines. Proficient in using softwa...

Acko is looking for Associate OPD Claim to join our team Roles and Responsibility Manage and process OPD claims efficiently. Coordinate with various stakeholders to resolve claim-related issues. Analyze and identify trends in claim processing to improve efficiency. Develop and implement process improvements to boost productivity. Collaborate with cross-functional teams to achieve business objectives. Ensure compliance with regulatory requirements and company policies. Job Requirements Strong knowledge of claim processing and management principles. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment. Effective communication and interpersona...

Acko is looking for Associate 2 Motor Claims and Extended Warranty to join our team Roles and Responsibility Handle motor claims and extended warranty cases efficiently and effectively. Conduct thorough analysis of claims and determine the best course of action. Collaborate with internal teams to resolve complex claims issues. Develop and maintain relationships with clients and stakeholders. Stay updated with industry trends and developments in motor claims and extended warranty. Identify areas for process improvement and implement changes to increase efficiency. Job Requirements Minimum years of experience in motor claims and extended warranty. Strong knowledge of motor claims and extended ...

DKSH Scientific Solutions is looking for Executive Claims to join our team Roles and Responsibility Manage and process claims according to company policies and procedures. Analyze and resolve complex claims issues efficiently. Collaborate with internal teams to ensure seamless claim processing. Develop and implement effective claims management strategies. Ensure compliance with regulatory requirements and industry standards. Provide excellent customer service to clients and stakeholders. Job Requirements Strong knowledge of claims management principles and practices. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment. Effective communicat...

Acko is looking for Sr Associate/Specialist Home Insurance Claims Handler to join our team Roles and Responsibility Handle and resolve complex home insurance claims efficiently. Conduct thorough analysis of claim documents and policy terms. Collaborate with internal teams to ensure timely and accurate claim processing. Develop and maintain relationships with clients and stakeholders. Identify and mitigate potential risks and issues impacting claim settlements. Ensure compliance with regulatory requirements and industry standards. Job Requirements Strong knowledge of home insurance products and services. Excellent communication and interpersonal skills. Ability to work in a fast-paced environ...

Acko is looking for Associate OPD Claims to join our team Roles and Responsibility Manage and process claims related to OPD. Ensure accurate and timely processing of claims. Collaborate with internal teams to resolve claim-related issues. Develop and implement effective claim management strategies. Analyze and report on claim performance metrics. Identify areas for improvement in the claims process. Job Requirements Strong knowledge of claim processing and management principles. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment. Strong communication and interpersonal skills. Experience with claim management software and systems. Strong a...

Acko is looking for Assistant Manager Health Claims Investigation to join our team Roles and Responsibility Manage and investigate health claims to ensure accuracy and compliance with company policies. Conduct thorough analysis of medical records and claim documents to determine claim validity. Collaborate with cross-functional teams to resolve complex claims issues. Develop and implement effective strategies to improve claim processing efficiency. Provide excellent customer service to both internal stakeholders and external customers. Stay up-to-date with regulatory changes and industry trends to enhance processes. Job Requirements Strong knowledge of health claims investigation principles ...

Qualification - Any Graduate (MBA prefered) Experience - Relevent experiece of 4+ years Key Responsibilities: - Develop and execute territory sales plans to achieve revenue targets - Lead and manage a team of sales professionals, providing coaching and guidance - Analyze market trends, competitor activity, and customer needs to inform sales strategies - Build and maintain relationships with key clients, brokers, and partners - Identify and pursue new business opportunities, expanding market share - Conduct sales performance analysis and provide actionable insights - Collaborate with internal teams (underwriting, claims, etc.) to ensure seamless customer experience - Ensure compliance with in...

Qualification & Experience. 8 + years of experience in BA roles, with insurance domain expertise Experience leading workshops and client location experience preferred Strong experience in requirements engineering and agile delivery Skilled in process modeling, stakeholder mgmt, and discovery facilitation Exposure to one or more core insurance domain areas such as Policy Administration, Product & Onboarding, Technical Accounting & Payments, Output Management, Risk Rating, Finance/Pricing, Claims, First Notice of Loss (FNOL), and Recoveries Knowledge of ABS, BMP, Guidewire, or equivalent platforms Skilled in Jira, Confluence, Visio, BPMN IIBA CBAP or equivalent certification desirable

Amazon India Security and Loss Prevention (INSLP) team is seeking highly skilled, motivated and passionate security professional who could partner in developing and implementing a world class security program for India operations network. Amazon is one of the most recognizable brand names and we fulfill millions of products each year to our loyal customers. We look forward to hire the brightest minds by offering them an environment in which they can relentlessly improve the shopping experience for our customers by creating innovative secure supply chain solutions. The primary objective of the Loss Prevention Expert is to ensure the protection of people & assets of amazon sites in accordance ...

Amazon has one of the largest & most trusted shipping networks in India (ATS). We want to extend the benefits of these shipping services to D2C brands and SMBs for their own business to help them serve their customers better & in turn grow their business. This role will be responsible for managing and growing relationships with our key shipper accounts. We are seeking a street-smart, result-oriented candidate with B2B/SME sales and business development experience and preferably from the shipping & logistics industry. Candidate should be able to thrive and succeed in an entrepreneurial environment, and not be hindered by ambiguity or competing priorities and changing landscapes. One should be...

What you will do: Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims . What you will need: Must be a Graduate Good Communication skill (read and writing). ...

POSITION TITLE: Executive DEPARTMENT: Customer Care PROCESS: Voice LOCATION: Chennai, POSITION OVERVIEW The primary role of the Customer Care Officers is providing helpful information, answering questions, and responding to complaints. Theyre the front line of support for customers and they help ensure that customers are satisfied. JOB DESCRIPTION: Receive and handle inbound calls from customers / hospitals / agents / sales managers and branch managers, etc. Record customers complaints & requests When required support with outbound calls to customers/claimants. Follow up certain customers/internal departments based on claims, requests end to end solution Maintain effective and efficient work...

Position Title: Product Owner - Sr Business Analyst - BF - 27520 - 36518 - 2- J R174778 Job Family: BSP > Business Support Shift: 2nd Shift (India) Job Description: Job Title Senior Business Analyst Requirement Type Full Time Job Location Bangalore Requirement Level Senior Associate Hiring Manager Senior Manager Primary Skill Product Management Business Product Management - Data Analytics Skill Category Super Niche ABOUT ELEVANCE Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 46 million lives acros...

Position Title: Product Owner - Sr Business Analyst - BF - 27520 - 36518 - 2- J R174778 Job Family: BSP > Business Support Shift: 2nd Shift (India) Job Description: Job Title Senior Business Analyst Requirement Type Full Time Job Location Bangalore Requirement Level Senior Associate Hiring Manager Senior Manager Primary Skill Product Management Business Product Management - Data Analytics Skill Category Super Niche ABOUT ELEVANCE Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 46 million lives acros...

Amazon India Security and Loss Prevention (INSLP) team is seeking highly skilled, motivated and passionate security professional who could partner in developing and implementing a world class security program for India operations network. Amazon is one of the most recognizable brand names and we fulfill millions of products each year to our loyal customers. We look forward to hire the brightest minds by offering them an environment in which they can relentlessly improve the shopping experience for our customers by creating innovative secure supply chain solutions. The primary objective of the Loss Prevention Expert is to ensure the protection of people & assets of amazon sites in accordance ...