6255 Claims Jobs - Page 45

JOB DESCRIPTION Designation/ Role: Process Associate/ Sr Process Associate Department: Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: A successful candidate must have proficient knowledge/capabilities in the following areas: 1. Claims management and/or customer service experience desired. 2. Bachelors degree preferred, or any equivalent combination of education and experience. 3. Ability to perform at a high level of productivity and quality. 4. Capacity to maintain a high level of accuracy. 5. Excellent written and oral communication skills required to represent Infinx Clients. 6. Computer skills including Microsoft ...

TL/Ast. Manager for US RCM process. The ideal candidate should have a minimum of 8 years’ experience & be a SME in the entire RCM process. In addition, they should have proven track record of effectively managing team & strong client relationships.

Top MNC Hiring: AR Callers US Healthcare Process Location : Bangalore Shift : Night Shift (US Time Zone) Position : AR Caller US Medical Billing (Revenue Cycle Management) Accelerate Your Career in the Growing US Healthcare Industry! A leading multinational company is looking for experienced and goal-oriented professionals to join its dynamic Accounts Receivable (AR) Calling team . If you have prior experience in US Medical Billing / Revenue Cycle Management (RCM) , this is your opportunity to grow in the global healthcare space. Key Responsibilities: Make outbound calls to US insurance companies to follow up on outstanding medical claims Analyze and resolve claim denials and underpayments R...

Summary ofroleThe roleinvolves building robust fraud detection frameworks, managing investigationsthrough empanelled risk agencies, engaging with law enforcement and businessteams, and driving awareness across teams.Key ResponsibilitiesDevelop and implement fraud risk frameworks across customer and distributors life cycle .Monitor transactions, claims and sales practices to identify red flags and fraud patternsLead and manage investigations of suspected fraud cases through empanelled risk agencies, ensuring timely closure with quality reporting.Evaluate and monitor performance of risk agencies to ensure adherence to defined SLAs and investigation quality standards. Drive vendor staff trainin...

You will learn and work alongside inspirational leaders and colleagues who are equally passionate and committed to fostering an inclusive, growth-centered, and rewarding culture. Our Total Rewards program which includes competitive pay, benefits, continuous learning, recognition, career growth and life balance components is designed to support the varying needs of our diverse and global employees. To build EMBECTA business within his/her assigned territory by driving primary and secondary sales activities Primary Sales Activities: Help in Setting up the distributor network in area under coverage Appointing, supervising and managing distributor related activities. Generation of Primary sales ...

We are seeking an experienced Quantity Surveying Lead to join our team. The successful candidate will be responsible for overseeing all aspects of quantity surveying for our projects, ensuring accurate cost estimations, and managing budgets effectively. What your day-to-day will look like: Lead and manage the quantity surveying team Prepare and analyze cost estimates for construction projects Conduct feasibility studies and risk assessments Manage project budgets and control costs Prepare tender and contract documents Negotiate with contractors and suppliers Provide expert advice on contractual claims Ensure compliance with relevant regulations and standards Implement and maintain quality co...

The Associate Manager will play a critical role in the effective management, administration, and monitoring of contracts throughout the project lifecycle. This individual will ensure strict adherence to contractual terms, minimize risks, and enhance commercial outcomes while maintaining smooth coordination between the project, legal, and business teams. Roles and Responsibilities : Contract Drafting & Negotiation : Review, draft, and negotiate contracts, subcontracts, MOUs, and agreements in alignment with company policies, legal standards, and client requirements. Compliance & Governance : Ensure compliance with statutory, legal, and regulatory requirements, as well as adherence to corporat...

How you will contribute You will deliver on the regulatory affairs strategy and compliance agenda and work with cross-functional stakeholders to assess regulatory business risks and opportunities You will provide regulatory affairs expertise for technical regulatory developments and help in responses to challenges and crisis management In this role, you will ensure that ingredients, product composition, claims and labelling compliance are within applicable regulations and company policies In addition, you will provide guidance to stakeholders on developments in regulatory affairs, support regulatory impact assessments and change management, help develop regulatory affairs tools, and further ...

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 colla...

Overall Admin support (Travel Approvals, Purchase Request, Purchase Order indirect, etc) Budget handling (division internal planning and monitoring) Data analytics. (Warranty claims, Cost management, dashboard management) Power point Presentation making (general)

Department : Taxation Education : Certified CA (Chartered Accountant) Experience : 4-7 years Compliance with Direct and Indirect Taxation Income Tax and GST Laws Workimg in SAP TDS, ITR, GST returns, and audit processes Input Tax Credit (ITC) claims Monitor MSME provisions Well-versed with Import and Export Regulations in Relation to GST Laws

We are seeking an experienced Business Analyst with a strong background in Commercial Insurance to join our team! If you have expertise in BRD, FRD, requirement gathering, and documentation, we would love to connect with you. Key Responsibilities: Strong analytical mindset with proven ability to interpret financial and operational data. Exposure to insurance or healthcare sectors is an added advantage. Ability to work cross-functionally and present insights to senior stakeholders. Gather, analyze, and document business requirements to create Business. Requirement Documents (BRD) and Functional Requirement Documents (FRD). Collaborate with stakeholders to understand project needs, objectives,...

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 & responsibilities Handle claim submission, follow-up, and settlement with TPAs and government panels. Track outstanding payments and prepare periodic reconciliation reports. Coordinate with TPAs, insurance companies, and internal departments for claim clarifications. Maintain records of claims, payments, and rejections in both Excel and Tally. Post settlement entries, adjustments, and payment receipts in Tally. Prepare monthly outstanding and collection status reports for management review. Ensure timely submission of required documents for pending claims. Follow up on delayed or short payments and resolve discrepancies. Maintain communication logs and documentation for all settlement ...

The staff has to perform the work of chief Contract expert and needs to monitor the EPC-Contracts Qualifications Graduate in discipline. 20+ years in railway or railway related industry, out of which minimum 10 years in Metro/MRTS. Shall have worked in atleast one metro project.

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We are seeking an accomplished Cloud Architect to lead enterprise-wide cloud transformation initiatives across Azure, AWS, and GCP. This strategic leadership role demands deep technical expertise, a strong architectural vision, and the ability to influence business and technology domains. The ideal candidate will drive the modernization of infrastructure and applications through scalable, secure, and cost-optimized multi-cloud solutions, while fostering innovation and operational excellence. Key Responsibilities: Strategic Leadership Vision: o Define and champion the enterprise cloud strategy, aligning with business goals and digital transformation objectives. o Lead cross-functional teams i...

To ensure timely delivery based on the agreed standards on accuracy and productivity Focus on debt collection from Clients for Premiums / fees and Claims from markets Resolution of queries raised by Client and insurers including prompt response to their satisfaction Ensure adherence to policies procedures as per organization s standards and laid out SOPs Review of Process manual and seek clarity where required Update self with knowledge of the core product principles and regulations to align with the continuous learning culture at MMC Ensure that all statutory and company regulations are followed while processing work to protect clients, colleagues and the business interests of the company C...

Customer Support Service Coordination Deliver day-to-day service support to Customer Centres using CTS tools. Ensure timely resolution of myQUEST tickets. Conduct field visits for root cause analysis and technical support. Product Quality Warranty Management Collect and interpret product guarantee data from Customer Centres. Communicate findings to relevant departments for continuous product improvement. Manage PQM and TCM processes to reduce warranty costs and failure rates. Handle warranty claims through WAnT Claim Review. Engineering Change Product Development Track and implement Engineering Change Bulletins (ECB) and Service Bulletins (SB). Actively participate in new product development...

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) due diligence, parcelization, access planning, and utility diversion coordination to unlock PD opportunities. Align station/track technical parameters with PD requireme...

B.E./B.Tech./M.Tech. Computer Science Engineering, Electronics Communication Engineering, or Electrical Electronics Engineering Registered patent agent is a plus. LL.B. (Hons.) from a reputable law school, is a plus. Experience directly handling and managing global patent practices at a top tier law firm/IP service provider or as an in-house patent agent/attorney. At least 3 years of experience in preparing patent applications. Excellent understanding of US, EP, and India patent laws. Strong written and verbal communication skills. Ability to communicate effectively with other professionals in the legal department and business teams. Ability to work efficiently under pressure and effectively...

Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team. Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end. Attend trainings to l...

Overall Responsibility of Customer Care processes related activities- Dealer Management, On-field Service Delivery, Spares/Lubes/Warranty Management Implementation of all processes and systems related to the service function at channel partners level Ensuring standardized Service Infrastructure, facilities, quality manpower at channel partners level To guide and conduct on the job training of the Service Mechanics for technical problem solving and debottlenecking at the dealerships To attend and resolve the critical customer complaints and measure of customer satisfaction level To work towards and increase dealer profitability by service schemes like service packages, service coverage improv...

Role Summary: The Supplier Manager is accountable for ensuring satisfactory performance and risk management of goods and services to Flowserve from their assigned suppliers.The overall focus of the role is to ensure for the identified suppliers within their assigned portfolio to manage, that the suppliers are performing to the required levels in terms of Quality, Delivery, Risk and Competitiveness whilst ensure the overall account is executed with as minimal desired risk as possible. The role holder is also required to act as an overall category expert within their defined region/division to support the business and be an identified conduit between the business and the global category functi...

To support our extraordinary teams who build great products and contribute to our growth, we're looking to add Senior Analyst - Procurement position will be based in Chennai. What a typical day looks like: Maintaining relations with the suppliers. Placing orders for necessary raw materials and purchased parts according to the requirements of the production. Receiving and handling the confirmations. Checking the purchase orders and modifying them according to the changes in the production plan with the help of the Shortage List and the Open Purchase Order List. Tracking shipments, urging them if needed. Regular, weekly check of the stocks, avoiding overstock. Minimizing the risk of obsolescen...