6255 Claims Jobs - Page 47

Job Description: As a Property & Casualty (P&C) insurance expert, you will utilize your extensive domain knowledge to review, evaluate, and curate training data for AI systems. Your primary responsibility will be to annotate, validate, and explain P&C content such as claims documents, underwriting guidelines, policy language, and customer communications. Furthermore, you will be instrumental in identifying gaps and edge cases in AI performance by analyzing real-world scenarios. Collaboration with AI developers and product teams is crucial to ensure that the training data aligns with industry standards. Key Responsibilities: - Review, evaluate, and curate training data for AI systems leveragi...

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The administration of h...

About The Role Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various teams to ensure project milestones are met, addressing any challenges that arise, and providing guidance to team members to foster a productive work environment....

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business ...

Hello Visionary! We empower our people to stay resilient and relevant in a constantly changing world. We’re looking for people who are always searching for creative ways to grow and learn. People who want to make a real impact, now and in the future. Does that sound like you? Then it seems like you’d make an outstanding addition to our vibrant team. Siemens Mobility is an independently run company of Siemens AG. Its core business includes rail vehicles, rail automation and electrification solutions, turnkey systems, intelligent road traffic technology and related services. In Mobility, we help our customers meet the need for hard-working mobility solutions. We’re making the lives of people w...

Looking for challenging role?If you really want to make a difference - make it with us Can we energize society and fight climate change at the same time? At Siemens Energy, we can. Our technology is key, but our people make the difference. Brilliant minds innovate. They connect, create, and keep us on track towards changing the world’s energy systems. Their spirit fuels our mission. Our culture is defined by caring, agile, respectful, and accountable individuals. We value excellence of any kind. Sounds like you? The project responsible Commercial Site Manager has the controlling function for the project as per Siemens rules & regulations, analogue to the Commercial Project Manager. The four ...

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Bill...

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Bill...

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business ...

About The Role Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Developer, you will engage in the design, construction, and configuration of applications tailored to fulfill specific business processes and application requirements. Your typical day will involve collaborating with team members to understand project needs, developing innovative solutions, and ensuring that applications function sea...

About The Role Skill required: NA - Business Transformation Designation: Business Transformation Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth.Develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth. What...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 14 Years to 16 Years What would you do? We are seeking a highly experienced and results-driven Claims Associate Manager with a strong background in Property & Casualty (P&C) insurance claims operations. The ideal candidate will have a minimum of 14 years of experience, including proven leadership in managing large teams (~40 FTEs) across First Notice of Loss (FNOL), claims adjudication, and payment processing functions.This role demands strong capabilities in people leadership, client relationship managem...

Drive definition, development, realization and maintenance of the products/solutions/ lifecycle, in line with portfolio marketing strategy, to get the optimal combination of performance and price in time Accountable for value proposition development based on customer insights Develop claims roadmap Responsible for building and realization of the business case Responsible for pricing (price setting in collaboration and alignment with pricing officer) and margin optimization of products and solutions Accountable for compliance with quality regulatory requirements Responsible for lifecycle management (including phase-in and phase-out) and the Product Development Launch Maintenance Process (PDLM...

About The Role Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will be responsible for overseeing the entire application development process and ensuring its successful implementation. Your role will involve collaborating with cross-functional teams, managing project timelines...

About The Role Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : Net Revenue AdditionyNet HC AdditionyPricing Strfixed feeif ContractSoW is in placey number 9940478345Valid Emp No for that skill13229353 Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will be responsible for managing the team and ensuring successful project delivery. Your typical day will...

About The Role Skill required: NA - Business Transformation Designation: Business Transformation Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth.Develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth. What...

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 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 model that can meet the uniq...

Assists the Director of Security in managing security operations on a daily basis. Areas of responsibilities include the protection and safety of property assets, employees, guests and property, accident and fire prevention and response. Ensures the continuous protection of guests, employees and hotel assets. Maintains logs, certifications and documents required by law and Standard Operating Procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the security/loss prevention or related professional area. OR 2-year degree from an accredited university in Criminal Justice or related major; 1 year experience in the security/loss prevention or rel...

Drive definition, development, realization and maintenance of the products/solutions/ lifecycle, in line with portfolio marketing strategy, to get the optimal combination of performance and price in time Accountable for value proposition development based on customer insights, including driving internal innovation versus partnership decisions Develop claims roadmap Responsible for building and realization of the business case Responsible for pricing (price setting in collaboration and alignment with pricing officer) and margin optimization of products and solutions Accountable for compliance with quality regulatory requirements Responsible for lifecycle management (including phase-in and pha...

List 6-10 major responsibilities in the role): The Colleague provides high quality administration support for internal and external clients by: Operates as part of team under supervision of Sr. Analysts/Ops Manager Project execution in-line with SLA requirements, timelines and quality standards while ensuring high level of internal external client satisfaction Review plan and proposal documents to create plan designs in the Greater Insight System Ensure timely and accurate service delivery at defined productivity levels Execute issue /query resolution and ensure proper documentation follow-up Identify, share and support operational improvements Collaborates with peers at Aon to understand me...

Vorins Technology is looking for Fresher/Internship to join our dynamic team and embark on a rewarding career journey Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing...

Update manuscripts to match approved art layouts to create up-to-date and final manuscripts Upload and archive final manuscripts within our online server system Upload references to the Veeva library and maintain an internal list of Veeva library documents and tags/links Annotate manuscripts for derivative materials with reference information that support copy claims based on the Core Claims Document Highlight references to assist reviewers in locating proper support for copy claims Update core claims documents with approved or updated claims Assist editorial with word-for-word reviews of copy based on backup Conduct quality checks to ensure the accuracy and excellence of all deliverables St...

Experience in EPC and Project Management in the Metro Rail construction related industries. Experience in Forensic Schedule Delay Analysis, Disputes, Arbitration Claims, Project Management, Cost Planning Control for Management of Infrastructure projects. Experience in handling different kind of infrastructure projects such as Dedicated Freight Corridor, High Speed Rail and Metro Projects. Ability to work efficiently in demanding work environments, meeting deadlines, and achieving targets. Analyze project schedules to identify critical activities and sources of delay using various methodologies. Investigate root causes of delays and document findings, preparing clear reports and presentations...

Develop, maintain, update detailed resource- cost-loaded schedules (Primavera P6 / MS Project) Monitor actual progress vs plan; prepare variance reports, dashboards, KPIs Work with site teams to validate progress using drawings / methodologies Forecast manpower, equipment, costs cash flow; manage resource-loaded scheduling Identify and manage environmental / regulatory risks (monsoon, clearances, public issues), lead contingency plans Support EOT / contract claims; ensure schedule / contract compliance Liaise with consultants, contractors, regulatory bodies to align scheduling with project requirements and regulatory norms Desired Skills Experience Proven experience in STP / WTP / environmen...