7662 Claims Jobs - Page 44

Assists in the management of the daily functions of the department to provide protection of property assets, employees, guests and property. Maintains logs, certifications and documents required by law and Standard Operating Procedures. Assists in the training of staff in established emergency procedures and implements accident and fire prevention procedures. Promotes guest and employee satisfaction while achieving the operating budget. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the security/loss prevention or related professional area OR Bachelor s degree from an accredited university in Criminal Justice or related major; 1 year experience i...

Administration Manage and supervise all day-to-day office administrative activities. Manages and maintains the office, including monitoring and ordering stationery needs. Provides administrative support to managers and the general office. (Arrange workshop/training program. If required). Monitors and improves office systems and procedures. Housekeeping management Monitoring of cleanliness maintenance of all Office, factory area, Guest House and Corridor, Staircases, Garden, Car parking area, laboratory etc. And check their maintenance records. Canteen Management Check requirement canteen items. Proper arrangement of Tea and Snake, meal for workers, Staff visitors and maintain their records. ...

Hiring for Claims Process Associate !!! Skills Required: Candidate should be excellent in verbal communication skills Only Experienced candidates can apply for this position Experienced candidates must have atleast 6 months to 1 year of experience into claims processing Graduation mandatory Education: Non-Technical education background required (eg.BA ,B.com,BBA) Additional Information: *Should be flexible to work from office and rotational shifts *Candidate should be in 20 kms of radius from work location * 5 days working, 2 days week offs *REGISTER YOUR DETAILS USING THE BELOW LINK: https://smrtr.io/s99-P Interview LocationBLOCK-D, CENTENNIAL. 201 Kundalahalli Main Road EPIP Zone, Brookefi...

Skills Required : Ensuring contract compliance, mitigating legal risks, and resolving disputes to protect the company's interests NICMAR WITH Civil background is mandatory. Key Responsibilities Administer the Contract Life Cycle Management which includes pre award and Post award Contract Management. Understand and analyze the complete scope of work, in terms of technically and contractually. Review of regular correspondence with Client with respect to all the contractual and on any other site related issues. Ensuring compliance with all contractual & statutory requirements of the project till closure. Formulating claims for variations, price escalation, extension of time, compensation for ex...

Data Entry and Asset Tracking, Inventory Management Job Description Accurately recording details of new hardware assets into the asset management system, including serial numbers, model numbers, purchase dates, warranties, and assigned users Maintaining accurate asset inventory records by updating status changes like transfers, repairs, disposals, and decommissioning. Qualification Details Essential Qualification: Strong attention to detail and accuracy with data entry Preferred Qualification: Basic understanding of IT hardware components and terminology Experience Details Essential Experience: Coordinating with departments to collect and update asset information Managing stock levels of spa...

International Insurance Specialist Note: Candidates with relevant experience in International Insurance can apply Please go through Norms and Eligibility criteria . Job Role: International Insurance Specialist(Any Insurance - UK or US market ) Job Requirement: Excellent communication Skills Overall 2+ years of experience in any International Insurance, Claims, Policy Servicing skills. Candidate should be ok with any shifts including night shifts Minimum 15 years of regular, full-time education (10+2+3) Immediate joiner/0 - 30 days' notice period preferred Must have all educational & employment documents Mode of salary credit should have been from bank from all the previous employers (No cash...

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 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 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: 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...

JOB TITLE Technical Business Analysis Engineer II RESPONSIBILITIES May perform one or more of the following: Requirement/Analysis Ability to comprehend Business Requirement Documents (BRD) Maintain and Update Data/Vendor Interfaces BRD Interprets requirements to create systems specifications documents to build and execute system. Perform Data Analysis, Audit, and associated research and provide subsequent resolutions. Understanding of database/SQL Query Writing Work alongside with Sr. members or individually (as required) to assist in smooth integration/transition of processes and create/maintain documentations for the same. Responsible for solving the data and Vendor files related issues an...

Job Summary We are seeking a skilled Claims Adjudication Specialist with 3 to 5 years of experience to join our team. The ideal candidate will have a strong background in claims adjudication processes and a keen eye for detail. This work-from-home position requires a proactive individual who can efficiently manage claims and contribute to our companys success in the healthcare sector. The role is crucial in ensuring accurate and timely claims processing ultimately benefiting our clients and the broader co Responsibilities Review and analyze claims to ensure accuracy and compliance with established guidelines. Process claims efficiently ensuring timely adjudication and resolution. Collaborate...

As a Lead Fullstack Engineer at our company, you will play a crucial role in building next-generation healthcare technology systems. Your expertise in Node.js, React, and modern cloud technologies will be instrumental in creating scalable backend architectures and seamless front-end experiences that impact lives through healthcare innovation. **Role Overview:** You will architect and lead the design of secure, scalable, and HIPAA-compliant healthcare systems. Your responsibilities will include building and enhancing backend microservices using Node.js/NestJS and Python, as well as developing front-end applications with React and React Native. Collaborating with product and data teams, you wi...

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...

Role & responsibilities 1.Pre & Post Contracts Management Draft BOQ, review, negotiate, and finalize subcontracts, work orders, and service agreements within the limit of Project Budget. Draft BOQ, review, close coordinate with Budgeting and contracts team for all the packages related to project to ensure required vendors are on board. Ensure contractor/vendor compliance with contractual terms, scope, and deliverables. Maintain site-level contract documentation, amendments, and correspondences. Handle claims, disputes, change orders, and contractual risk mitigation. 2. Billing & Cost Certification Review and certify contractors Running Account (RA) bills, final bills, and variation claims. E...

Han Digital Solution (P) is looking for Guidewire developer ,claim center to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before

Claims adjudication is the process insurance companies use to evaluate a medical claim and determine if it should be paid, partially paid, or denied . It involves verifying the claim for accuracy, checking patient and provider eligibility against the policy, and reviewing for compliance with plan rules, often resulting in an approval, adjustment, or denial. The goal is to ensure accurate payment to the provider while staying within the terms of the insurance policy. The claims adjudication process Initial review : The insurer checks for basic information like patient details, diagnosis codes, and treatment location. Errors or missing information at this stage can lead to a rejection. Automat...

Accountant, Travel and Expense Claims, for Global Financial Operations Are you the enthusiastic, self-driven and result-oriented professional who wants to move our customer s performance forward We are looking for Accountant, Travel and Expense Claims for Global Financial Operations to be based in Chennai, India. Global Financial Operations is a global operational finance business partner, providing efficient end-to-end financial processes to Valmet. We are owners of Valmet s operative accounting and invest heavily in process harmonization and software automation. We are ambitious and passionate in developing our processes and team competencies. In this position, you will be required to, Man...

Senior Accountant, Travel and Expense Claims, for Global Financial Operations Are you the enthusiastic, self-driven and result-oriented professional who wants to move our customer s performance forward We are looking for Senior Accountant, Travel and Expense Claims for Global Financial Operations to be based in Chennai, India. Global Financial Operations is a global operational finance business partner, providing efficient end-to-end financial processes to Valmet. We are owners of Valmet s operative accounting and invest heavily in process harmonization and software automation. We are ambitious and passionate in developing our processes and team competencies. In this position, you will be re...

JLL empowers you to shape a brighter way . Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you ve got deep experience in commercial real estate, skilled trades or technology, or you re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Role Requisition (RR) Position: Billing Engineer - Civil Positions Available: 1 Experience Required: 10-12 years Ed...

Clinical Pharmacist Role Summary: Provides clinical review expertise for high dollar and complex pharmacy claims and may identify cases for potential fraud and abuse and makes referrals. This position is responsible for the supporting of formulary strategies involving both pharmacy and medical products, clinical actions following release of new/existing drug products, evaluating and managing drug utilization review, and pipeline product tracking and forecasting. Affordability solutions encompass activities that include utilization management edits at point of service, preferred drug list strategy, retrospective utilization review, risk management review and condition-specific interventions. ...

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertis...

We are looking for a proactive and technically adept Support Engineer to join our AI Enablement team at InfoPark, Cochin. This role sits at the critical junction of AI technology and customer support operations, focusing on the homeowners insurance domain. You ll help train and deploy AI models to automate support tasks, optimize intelligent tools for underwriting and claims workflows, and improve customer and agent interactions across digital channels while continuing to support existing manual tasks. Key Responsibilities: AI Model Training & Data Curation. Prepare, label, and validate underwriting and claims support data and documents to train models for tasks related to underwriting and c...

1 to 2 year Candidate must have min. 1 Year of Experience in F&D. Qualification: B. Pharm | M. Pharm Department : Production Job Location: Santej Ahmedabad. Facilities Provided: Transportation Facility Available (As Per Circumference Of Sunrise Remedies)* Mediclaim and Food Facility provide By Company.* Roles and Responsibilities: Lead the development of new pharmaceutical products from concept to commercialization. Conduct research to improve existing formulations and develop new drug delivery systems. Stay updated on the latest scientific advancements and industry trends to drive innovation. Manage F&D projects, including planning, execution, and timely delivery of results. Coordinate with...

Primary Details Time Type: Full time Worker Type: Employee Delivering exceptional customer service and resolving customer enquiries to assist in the profitable growth of the direct business portfolio by performing quotes, renewals, policy maintenance and problem solving and relationship building with direct customers Primary Responsibilities Strategy and Planning Nil Policy, Process and Procedures Monitor and manage monthly budget are met Identify and implement best practice risk control and process improvements Attend relevant product and skill course, maintain product, system and process knowledge and pass on relevant points to other employees Monitor, review and maintain underwriting guid...