6255 Claims Jobs - Page 40

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MCA,MTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

1. Commercial Skills: Good commercial sense in business applications Sales Strategy 60% To expand Distributor and Retail coverage to enhance business opportunities. Develop area strategy to incorporate basis Plans. Monitor implementation of Distribution plan across territories in line with Trade S&D plans Monitor pipelines across the Region (C&F) and Distributors Plan & Monitor execution of the secondary sales plan through the rea wise, SE wise, Brand wise, SKU wise To develop strategies plans for the team, set monthly, quarterly and yearly targets for team. Achievement & monitor progress of Redistribution value and volume targets for various locations Monitor on the target achievement of th...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

As a Senior within the Actuarial team your role involves developing and implementing solutions both within the Insurance service line and in collaboration with other services lines . On engagements, you will Be responsible for providing high quality results and generating effective solutions working along with Senior Consultants, Managers or Senior Managers in delivering the project Provide focused solutions and training to Staff members Be responsible for ensuring all engagement are delivered within time Deliver engagements in line with our values and commitment to quality and ensuring that work is of high standards Establish/manage priorities, communicate the status of activities, and accu...

An associate analyst in the team will be primarily responsible to develop working knowledge of firm level Independence concepts. The individual will be performing work procedures as laid down in the EYG Independence policies along with attaining hands-on experience in research/analysis and making updates post review by project managers to various Independence workpapers, thereby helping client serving/audit/pursuit teams in mitigating independence-related risk. In this role, candidate will be required to perform a review of submissions of documents/ requests from client serving/pursuit teams to evaluate completeness, accuracy, of requests raised and then perform the procedures as laid down i...

A senior associate/ Lead Analyst in the team will be primarily responsible to develop good working knowledge of firm level Independence concepts The individual will be performing/reviewing procedures as laid down in the EYG Independence policies along with hands on experience in research and evaluating procedures as mentioned in standard operating model, thereby helping client serving/audit/pursuit teams in mitigating independence-related risk In this role, candidate will be required to communicate with senior team members from audit/pursuit teams to resolve queries and gather information, thus would be expected to become a subject matter expert in Independence processe. Technical expertise ...

The Demographic Data Entry Specialist is responsible for accurately entering and maintaining patient demographic and insurance information received from client healthcare providers. This position plays a critical role in ensuring clean claims submission and timely reimbursement by verifying the accuracy and completeness of registration data within the internal and external practice management and electronic health record systems. Review incoming registration or encounter information from client sites for completeness and accuracy Enter and update patient demographic, insurance, and guarantor data in client systems according to established workflows and SLAs Identify and correct data discrepa...

Strategic Project Leadership Lead cross-functional programs and transformation initiatives from strategy to execution, including multi-cloud migration efforts across AWS, Azure and GCP platforms . Ensure alignment with organizational goals, managing scope, timelines, budgets, risks, and change. Serve as a strategic advisor to senior leadership, facilitating governance and stakeholder alignment. Portfolio & Process Optimization Enhance project delivery using Agile, Scrum@Scale, and Waterfall methodologies. Promote adoption of modern tools (e.g., Jira, Power BI) for improved transparency and performance. Drive standardization and optimization of cloud migration processes, ensuring scalability,...

1. Contract Management & Legal Documentation Review, standardize, and finalize agreements for group companies (including from tax angle). Ensure timely execution of contracts with and maintain a centralized repository of executed agreements and legal documents. Develop and manage MIS for legal documentation and set renewal alerts via Lexcare. 2. Intellectual Property Rights (IPR) Oversee patent and trademark filings, oppositions, and renewals. Maintain updated records of IPR assets and coordinate with internal teams for filings and responses. Ensure strategic protection of Company IP across all group entities. 3. Statutory Compliance Conduct factory audits across all manufacturing units to e...

Roles & Responsibilities Accountable for achieving sales goals through the acquisition of new customers and expansion of product lines within the existing customer base. Schedule appointments across the assigned territory (primarily doctors) and engage with both new and existing customers to grow market share. Deliver product presentations and demonstrations to generate interest in surgical solutions and drive adoption. Maintain regular and consistent contact with channel partners to strengthen business relationships and ensure alignment on sales objectives. Execute product promotion activities in line with corporate marketing strategies. Manage administrative responsibilities, including cla...

Roles & Responsibilities Accountable for achieving sales goals through the acquisition and development of new customers and expansion of the product line within the existing customer base. Schedules appointments for a medium territory/client base (doctors) and meets with new and existing customers, seeking to expand the business market share Making presentation to the clients to make them interested about the Surgical product To maintain regular & frequents contacts with Channel Partners Product promotion activities Related Administrative work (Claims and Expense Reporting etc.) Negotiates, closes orders and prepares quotes. Provides information and support as required to secure sales Utilis...

Responsible for support and development of product features in Trade Management and RGM Claims in S/4HANA with high levels of coding and quality standards. Ability to analyse and solve issues in existing and new code. Demonstrates full responsibility for accepted tasks and therefore demonstrates a high level of quality, speed, reliability and efficiency. Enhances skills beyond own core functional focus and works on other tasks for the benefit of the team Experience building highly available, secure and scalable enterprise products Flexibility to work with teams distributed across different geographies Has basic knowledge of products and processes with limited design responsibility What You B...

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...

1. 15% Designing Benefit Programs and plans: Recommend benefits programs to management by studying employee requirements and trends and developments in benefits offered by other organizations. Supports managements decision making by analyzing benefit options and predicting future costs. Competitive benefits offerings to the employees 2. 30% Operations: Comply with federal, State, and local legal requirements by studying existing and new legislation; obtaining qualified opinions; enforcing adherence to requirements; advising management on needed actions. V alidating invoices and endorsements, Employee database management of beneficiaries, Partner with Insurance vendors and TPA s to prepare re...

Analyze and code patient diagnoses, treatments, and procedures using recognized coding systems such as ICD-10-CM, CPT, and HCPCS. Ensure that all codes are applied correctly during the billing process, including special cases such as therapies, and diagnostic tests. Review and interpret patient records, doctor s notes, lab results, and other documentation to determine appropriate codes for services rendered. Ensure coding practices comply with legal and medical regulations (e.g., HIPAA, CMS guidelines). Assist with correcting denied or rejected claims due to coding errors and follow up to ensure payment is received. Accurately input data into electronic health records (EHR) systems and codin...

Lead and manage the finishing and interior works at site, ensuring alignment with project timelines, budgets, and quality standards. Review GFC drawings, work orders, and BOQs; provide value engineering solutions to optimize cost, time, and quality. Act as the key point of coordination for architects, consultants, MEP teams, subcontractors, and vendors to ensure sequencing of activities and issue resolution. Ensure all materials are as per approved specifications, oversee MITC approvals, and monitor on-site usage of finishing materials. Develop and monitor micro-level finishing schedules, integrating them effectively with the overall project schedule. Supervise daily site activities, includi...

Capture, organise, and standardise structured and unstructured data for modelling and insight generation. Build and maintain predictive models (e. g. , QSAR, ML, statistical) to support material and formulation innovation. Apply AI/ML techniques and LLM based approaches to extract insights, optimise formulations, and accelerate decision making. Curate and analyse experimental and literature data, ensuring data quality and integrity. Develop user friendly tools, dashboards, and visualisations to make models and insights accessible to scientists. Translate business needs into technical solutions and deliver modelling projects in collaboration with subject matter experts. Stay updated on emergi...

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...

Hiring For US Healthcare Voice Any graduate 3+ Yrs exp in CTC: Upto 10 LPA Location: Pune. (hybrid) NP: 0-30 Days 9049866622 | shweta@talentams.com Required Candidate profile 3 + yrs exp in healthcare voice P&C Voice EXCELLENT COMMUNICATIONS ONLY Perks and benefits Both way cabs Hybrid after 6 months Joining.

Preparing terms and placing aviation policies Assisting in the management of Fac placements Handle administrative tasks related to Fac placements, including documentation, communication with reinsurers, and tracking of agreements Make relevant system entries as per the Facultative placements Ensure compliance with regulatory requirements and internal policies related to Fac placements Support the development and implementation of systems and processes to streamline Fac placement administration Roles and Responsibilities 3

As a Claims professional at Paramount Health Services and Insurance TPA Pvt. Ltd., you will play a crucial role in the organization's success by consulting policies, checking hospital records, and examining property harm to determine the extent of claims. Your responsibilities will include reviewing provided documents such as photographs, videotapes, or written statements. Key Responsibilities: - Consult the policy, check hospital records, and examine property harm to find out the extent. - Review the provided documents or files like photographs, videotaped, or any written statements. Qualifications Required: - Graduate - 0 - 5 years of experience At Paramount, we value our human capital of ...

As a Quantity Surveyor with 2 to 4 years of experience in the construction industry, your role will involve: - Cost estimation and management - Quantity takeoff and measurement - Preparing bills of quantities - Tendering and procurement - Contract administration - Valuing variations and claims To qualify for this position, you should have: - Diploma/Degree in Civil Engineering - 2 to 4 years experience in Residential/ Commercial Projects Please note that female candidates are preferred for this role. Freshers are also welcome to apply. Company Benefits: - Provident Fund Please ensure that you are able to commute or relocate to Mangalore, Karnataka for this full-time, permanent position. Work...

As a Lead International Voice Process at UST, you will be responsible for managing and driving performance in a global customer support environment. Your role will involve leading a team of customer support executives, monitoring daily operations to meet service levels and KPIs, conducting team huddles and performance reviews, resolving customer issues efficiently, and ensuring process compliance and adherence to global standards. You will also be required to analyze metrics, generate reports for leadership and client presentations, and manage shift schedules effectively across different time zones. Key Responsibilities: - Lead and manage a team of customer support executives handling intern...

Hiring: Online Quoting Specialist Insurance (P&C Domain) Location: Kodigehalli, near Hebbal, Bangalore Experience Required: 3+years Domain: Property & Casualty Insurance Salary: Up to 7 LPA (with 25% hike) Shift Allowance: Up to 8,000/month Performance-Based Incentives + Variables Free Cab Facility (up to 22 km) Contact for More Info / To Apply: Alvin david +91 9513900438 Rivera Manpower Services (SEND CV ON WHATSAPP IF LINE IS BUSY) Job Summary: We are hiring an Online Quoting Specialist to support GGB US Select Client Servicing Managers (CSMs) by providing accurate and timely insurance quotes through online platforms. You will be responsible for ensuring a smooth customer experience by lev...