6255 Claims Jobs - Page 42

Job Tile : Claims processing Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Tre...

To handle client claims with respect to commercial claims (non-health) & (non-motors) for clients of the Kolkata location , to ensure the highest standards of client satisfaction towards making Salasar the preferred insurance broking house for clients. Job Responsibilities: Financial Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in minimum time During processing of claim analyze the following and communicate to underwriters: adequacy of coverage wrt. location specifications e.g. Earthquake /flood etc. adequacy of sum insured anomalies in the policy scope of additional policies other relate...

Job Track Description: Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Rece...

Graduate from recognized universities. (B Tech CSE/IT not eligible). Freshers and experienced candidates from 1-4 years are eligible Preferred candidates with Claims/Claims Adjudication Experience with BPO sector/ domain are preferrable Possess strong Problem solving skills, analytical knowledge and communication skills- both written and verbal. Collaborative, high-energy and diligent work ethics to be displayed at all times. Strong ability to multi-task and support different functions based on business requirements. Complete tasks according to the established standards with limited instruction and supervision. Should possess team-based working style coupled with the zeal to expand the learn...

Job Track Description: Performs business support or technical work, using data organizing and coordination skills. Performs tasks based on established procedures. In some areas, requires vocational training, certifications, licensures, or equivalent experience. General Profile Ability to perform in an analytical and operational process. Entry-level position with limited requirements for licenses, training, and certifications. Applies experience and skills to complete assigned work. Works within established procedures and practices. Works with a close degree of supervision. Functional Knowledge Basic skillset in a range of processes, procedures, and systems. Business Expertise Supports in the...

Graduate from recognized universities. (B Tech CSE/IT not eligible). Freshers and experienced candidates from 2.5 to 4 years are eligible Preferred candidates with Claims/Claims Adjudication Experience with BPO sector/ domain are preferrable Possess strong Problem solving skills, analytical knowledge and communication skills- both written and verbal. Collaborative, high-energy and diligent work ethics to be displayed at all times. Strong ability to multi-task and support different functions based on business requirements. Complete tasks according to the established standards with limited instruction and supervision. Should possess team-based working style coupled with the zeal to expand the ...

Job Title: VP - Insurance Operations Leader - London/ Lloyds Experience: 15+ Years Location: Noida Work Shift: UK Work Shift About the Role: You will be responsible for leading the business unit of more than 300 resources to its maximum potential. You are encouraged to drive team performance, ensuring daily service level metrics are met while maintaining a high level of accuracy, providing mentorship and development to your direct reports and meeting defined quality, customer experience and efficiency requirements. Roles and Responsibilities: Drive transformation projects from operations, digital asset implementation, standard methodologies' framework, case studies, benchmarking for making p...

Educational Requirements Bachelor of Engineering,Bachelor Of Technology,Bachelor Of Computer Science,Intergrated course BCA+MCA,Master Of Technology Service Line Application Development and Maintenance Responsibilities Masters Degree with Minimum 6 Years of Experience or Bachelors degree or foreign equivalent with Minimum 8 Years of experience required. Experience in the full System Development Life Cycle (SDLC) on a variety of technologies and platforms preferably in Property and Casualty and or Life Insurance At least 4-8 Years experience in one or more of the following skills in P&C / Life Insurance domain - Scrum/Agile experience in a PO role or similar on an Agile Team environment. Exce...

HELLO JOB SEEKERS!! GREETINGS FROM SHININGSTARS!! ONLY GRADUATE FRESHERS AND GRADUATE EXPERIENCED CAN APPLY IMMEDIATE JOINERS ONLY. Are you ready to kickstart an exciting career with a dynamic multinational BPO in BANGALORE ? ShiningStars is on the lookout for enthusiastic individuals to join our team, and it could be YOU! PROFILE- CLAIMS ASSOCIATE PROCESS- BLENDED PROCESS LOCATION- BANGALORE ( KUNDANHALLI ). ROLES AND RESPONSIBILITIES- ELIGIBILITY- *Graduate Freshers / Experienced can only apply. *Minimum 2 years of experience is mandatory in Claims. *Freshers Must be from Commerce background. *Experience in voice or blended process is mandatory. *Communication Skills: Brilliant presentatio...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

As a Process Analyst– Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communica...

Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in ...

Job Title: Insurance Documentation Executive Department: Compliance & Risk Mitigation Purpose of the Position To manage the company's overall insurance operations and ensure legal and compliance efficiency. The role involves handling insurance documentation, coordinating with various departments and insurance providers, assisting in legal and contractual matters, and supporting risk management through compliance and audits. Key Responsibilities 1. Insurance Management & Cross-Department Coordination Oversee the company's overall insurance requirements, ensuring cost-effective coverage and timely renewals. Negotiate and acquire competitive insurance quotes aligned with company needs. Coordina...

Were Hiring | Assistant Manager Insurance Domain(End-to-End Claims (Mandatory) | MNC Opportunity Experience : 8+ Years (12 Years as ASSISTANT Manager on paper) Company Type: Global MNC Key Requirements: Hands-on experience in End-to-End Claims (Mandatory) Strong exposure to General Liability, Auto, Motor, or Direct Insurance (US / UK markets only) Experience across multiple lines of business & ability to handle complex scenarios Excellent communication skills verbal & written Proven team management experience with knowledge of performance metrics Do Not Consider: Candidates from Total Loss / Admin / Subrogation / Property & Casualty Insurance Please share the following details: Total Experie...

Hiring for RCM Manager US Healthcare || Vizag & Kolkata || 16 Lpa || WFO|| Designation : Manager Skills :- Overall 10 to 12 yrs of exp with 1 yr on paper manager into claims Adjudication , Payor side & Pre-authorization US Healthcare Good Managment Skills & Communications skills Looking for Payer side Experience Qualification :- Degree Mandate Notice Period :- Immediate Joiners or Else serving Notice period Only Package :- 16 LPA Interview Mode :- Virtual Interview Rounds :- 3 Round Intrested candidates can drop their CV to Mobile no( Only Whatsup ) : 8374730176 or else can forward their Cv to Bhavana.D@axisservice.co.in

Were Hiring | Deputy Manager Insurance Domain(End-to-End Claims (Mandatory) | MNC Opportunity Location: Bangalore / Mumbai / Pune Experience: 8+ Years (12 Years as Deputy Manager on paper) Company Type: Global MNC Key Requirements: Hands-on experience in End-to-End Claims (Mandatory) Strong exposure to General Liability, Auto, Motor, or Direct Insurance (US / UK markets only) Experience across multiple lines of business & ability to handle complex scenarios Excellent communication skills verbal & written Proven team management experience with knowledge of performance metrics Do Not Consider:Candidates from Total Loss / Admin / Subrogation / Property & Casualty Insurance Please share the foll...

At EY, youll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And were counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. AI Engineer - Guidewire Insurance Suite Job Overview We are seeking a skilled AI Engineer to design, develop, and implement artificial intelligence solutions integrated with the Guidewire Insurance Suite platform. This role will focus on leveraging AI technologies to enhance insurance operations, automate processes, and deliver innovative solut...

Lead design review of 750 V DC traction power (TPSS/RSS, rectifiers, DC switchgear, return circuits, earthing & bonding, third rail/OHE), including load flow, short-circuit, protection, and stray current studies. Supervise construction, installation, and quality assurance of traction power works; review method statements, ITPs, FAT/SAT, and oversee energization, T&C, and handover. Manage contractor submissions, technical queries, deviations/changes, and ensure contractual compliance on scope, schedule, cost, and quality. Coordinate interfaces with SCADA, MIMIC/HMI, signalling, telecom, rolling stock, civil/track, and depot systems to ensure integrated delivery. Assist Chief Traction Distribu...

Desktop Investigation Trigger identification through data at intimation/Referral stage Social media searches Cold calling using digital platforms Identify key business people, link analysis Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers Follow up for IR and TAT management Level 1 QC clearance & validate the submissions against shared triggers Success in claim investigation based upon strong medical & legal evidences Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law Report submission and coordination with claims team. Evidence Ma...

We are looking for a "Real estate, property development and non-fare revenue expert" in Gurugram, India at Deutsche Bahn Engineering & Consulting. Key Responsibilities Lead end-to-end strategy and execution of property development to maximize non-fare-box revenue in line with applicable statutory guidelines. Formulate and implement revenue schemes (transit-oriented development, station retail, advertising, leasing, air-rights, TOD premiums, naming rights, co-development, and commercial partnerships). Coordinate approvals and clearances with civic/statutory authorities; manage interfaces with internal teams and external stakeholders for timely PD enablement. Drive land and Right-of-Way (ROW) ...

Job Purpose Responsible for timely & correctly processing of salary for all three plant, Regional office, Marketing, Birla Carbon Mumbai HQ and R&D Taloja Team and its payment; Calculation of TDS to be deducted from Salary of all Employee including verification of proofs submitted by employees; Employee related payment/ Loan/ Advance/ Travelling Bill etc. of all three plant except Corporate, RO & Marketing; Responsible for checking of payment vouchers and other activities related to General ledger accounting. Job Context & Major Challenges Job Context: The combined production capacity of the 3 units is 3,46,000 MT p.a. with a combined Sales Turnover of Rs.2,502 Crs. Finance and Commercial fu...

Location: Chennai To develop, optimize, and validate innovative organic acid-based preservation systems tailored for bakery products that effectively inhibit targeted spoilage microorganisms. This role combines expertise in food microbiology, formulation science, and bakery technology to create data-driven, species-specific antimicrobial solutions that extend shelf life while maintaining product quality and meeting labelling demands. This scientist will drive research projects from lab experimentation through pilot-scale validation, collaborating cross-functionally to ensure regulatory compliance and successful commercial implementation. Responsibilities Design and conduct lab-scale experime...

Assign DRG Codes: Accurately assign DRG codes to inpatient records using ICD-10- CM/PCS coding systems based on clinical documentation and physician notes. Ensure codes reflect the correct diagnosis, procedures, and the overall complexity of care. Clinical Documentation Review: Review and analyze medical records to verify diagnoses, procedures, and treatments. Work with physicians and healthcare providers to clarify and improve clinical documentation when needed for proper coding. DRG Assignment: Utilize the DRG methodology to ensure accurate and consistent DRG assignment based on the severity of illness (SOI) and risk of mortality (ROM), among other factors. Apply coding conventions and gui...

Get smarter about the healthcare business, join a company that values your work and enables you to become a true partner to your clients by investing in your growth and empowering you to work directly on KPIs that matter to your clients. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below: Job Location: Trivandrum, India Job Description Assign DRG Codes: Accurately assign DRG codes to inpatient records using ICD-10- CM/PCS coding systems based on clinical documentation and physician notes. Ensure codes reflect the correct diagnosis, procedures, and the overall complexity o...

Job Description Second level overseas Market support (line tickets) and Warranty Support Platform Mailbox response within targeted time. Query & claim validation: approved / returned / rejected within shortest time. Claims on Paint & Corrosion queries assessed within targeted time. High-cost warranty claim items to be analysed and escalated monthly with proposed countermeasure (e.g. pre-authorisation rule, bulletin etc) Regular reports to be issued before agreed deadline Warranty claims allocation to responsible manufacturer/supplier New Model Operation Codes Validation & Setup in system. Reporting to local and regional level. Educational Qualification and experience: Diploma / BE - Mechanic...