7662 Claims Jobs - Page 42

Role Overview: As a Sr. Product Test Specialist, you will play a crucial role in ensuring the quality and reliability of products, with a focus on NetworX and Facets. Your responsibilities will include developing and executing test plans, identifying defects, collaborating with cross-functional teams, and providing high-quality solutions. Your expertise in Enrollment and Claims will be valuable in understanding and addressing customer needs effectively. Key Responsibilities: - Develop comprehensive test plans and strategies to ensure product quality and compliance with industry standards. - Execute test cases, document results, and identify defects for improvement. - Collaborate with cross-f...

As the Business Process Excellence Manager Service to Customer at ZEISS, you will play a vital role in leading the transformation of service and customer interaction processes within the SAP S/4HANA framework. Your main focus will be to improve the efficiency and effectiveness of all customer-related processes, ensuring a seamless and high-quality customer service experience. **Key Responsibilities:** - **Workstream Ownership:** Lead the S2C workstream across design, deployment, and sustain phases for global S2C processes. - **Process Analysis & Design:** Identify inefficiencies, gather business requirements, and conduct Fit to Standard workshops. Develop AS-IS & TO-BE process maps leveragin...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! ALVIN-9513900438 alvindavid.rivera2003@gmail.com Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operat...

Job Title: Decision Analytics Associate Experience Required: 4 to 7 Years Location: Pune Notice Period: Immediate Position Type: Full-Time / Contract Job Description We are hiring a Decision Analytics Associate with strong analytical and problem-solving abilities. The ideal candidate should be able to interpret complex datasets, derive actionable insights, and support decision-making across business functions. Key Responsibilities Perform data analytics using sales, claims, and operational datasets Analyze trends, patterns, and anomalies to support business decisions Derive results from analytics and prepare concise, insight-driven summaries Create dashboards, reports, and data visualization...

SUMMARY About The Client : A Fortune 500 global leader in technology services and digital business solutions, this company delivers comprehensive Business Process Services (BPS) and IT-enabled solutions. With a worldwide presence, it serves diverse industries including banking, healthcare, retail, manufacturing, and communications. The firm's expertise spans a broad spectrum of critical processes from finance and accounting to human resources, customer service, and supply chain management - enabling clients to enhance efficiency, drive innovation, and achieve business agility on a massive scale. Job Title: Senior Process Executive (SPE) Domain : P & C Insuranc e operations ( Guidewire with c...

Responsibilities: * Ensure timely claim settlement within policy limits * Manage medical claims from start to finish * Collaborate with healthcare providers on claim resolution

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. W...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. W...

Share resume on shweta_jadhav@ajg.com ESSENTIAL RESPONSIBILITIES: Describe the essential responsibilities in order of importance: Begin each responsibility with an action verb. Claims Reporting Evaluate claims to ensure sufficient information is available for loss reporting. Submit claims to carriers and confirm receipt along with adjuster assignment. Manage claims intake queues, including new claims and exceptions. Ensure compliance with offshore reporting criteria for claims processing. Cross-verify reported claims and maintain accurate documentation. Claims Acknowledgment Send acknowledgment emails for claims information received via calls with insurance carriers. Follow special handling ...

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...

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...

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...

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...

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...

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...

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...

Roles and Responsibilities - Maintain and update multi-year property claim trackers ensuring accuracy and completeness Track receipt and allocation of claim checks Schedule and coordinate annual inspections for multi-family loans Coordinate with multiple teams like risk, accounting, property teams, inspectors etc. Share standardized documents (financials, rent rolls, Capex budgets) Manage weekly property tour schedules ensuring all deadlines are met Provide administrative support for claims and inspection processes Desired Skillset Min 1 year of relevant experience in Real Estate Project Management Effective verbal and written communication with organizational and project management abilitie...

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...

Role: FACETS Fullstack Developer Location : Chennai/ Bengaluru/ Hyderabad/Pune/ Greater Noida Mode: 5 Days WFO Job Description: TriZetto Facets product development (any version) + Dotnet full stack - Dotnet core, Angular, MVC, Entity, Web API, SQL + Exp working on extensions Overall IT Experience - 8+ Years 5+ years of Senior level Applications Developer with relevant experience 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI 4+ years of experience working with SQL Database, Stored Procedures 4+ years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development 2+ years of Agile experience CI/CD Experience...

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...

Qualification: B Tech Civil +NICMAR+LLB Experience:10 to 20 Years Hands on experience in Contract Management, Claims, Dispute Resolution, Arbitration for projects, Drafting Agreements. Handling contractual Disputes, Arbitrations and court matters related to Contractual disputes. Work Location at Corporate Office In addition, we request you to forward an MS WORD version of your updated CV madhavi.pyarsani@nccltd.in

About Company Founded in 2011, ReNew, is one of the largest renewable energy companies globally, with a leadership position in India. Listed on Nasdaq under the ticker RNW, ReNew develops, builds, owns, and operates utility-scale wind energy projects, utility-scale solar energy projects, utility-scale firm power projects, and distributed solar energy projects. In addition to being a major independent power producer in India, ReNew is evolving to become an end-to-end decarbonization partner providing solutions in a just and inclusive manner in the areas of clean energy, green hydrogen, value-added energy offerings through digitalisation, storage, and carbon markets that increasingly are integ...

Project Role: Patient Analytics Work Experience: 7+ years. Work location: Bangalore /Gurgaon/Pune/Hyderabad Work Mode: Hybrid Must Have Skills: Patient Analytics, APLD/LAAD,US Healthcare Job Description Summary Job Overview Responsible for the on-time completion of projects or components of large, complex projects for clients in the life sciences field. Identifies and elevates potential new business opportunities and assists in the sales process. Essential Functions Participates or leads teams in the design, development and delivery of consulting projects or components of larger, complex projects. Reviews and analyzes client requirements or problems and assists in the development of proposal...

As a Software Quality Assurance Sr. Specialist at NTT DATA in Hyderabad, Telangana, India, your role will involve ensuring the quality of software products with a focus on Property & Casualty (P&C) Insurance, particularly in Personal Lines. Your responsibilities and qualifications are outlined as follows: **Role Overview:** You will be responsible for: - Demonstrating strong domain expertise in Property & Casualty (P&C) Insurance, with a specific focus on Personal Lines. - Obtaining a minimum Guidewire Associate Certification, while an ACE certification is preferred. - Utilizing hands-on experience with Guidewire modules like Policy, Billing, or Claims. - Having experience with Earnix or oth...

Role Overview: Seeking an experienced TriZetto QNXT Consultant to review current configurations, optimize workflows, resolve inefficiencies, and deliver staff training. Strong knowledge of QNXT modules and payer operations is essential. Key Responsibilities: Review existing QNXT configurations, benefits, provider setup, claims rules, and integrations. Identify issues and recommend/implement configuration and workflow enhancements. Improve QNXT Workflow to reduce manual work and increase accuracy. Update benefit setup, DOFR, accumulators, and authorization logic. Provide hands-on QNXT training to internal teams. Support testing, validation, and issue resolution. Required Skills: 4+ years of Q...