4512 Claims Jobs - Page 49

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc.), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i.e. a broader view of the market we operate in /competitors’ details for formulating i...

Position Overview: We are looking for a highly skilled and detail-oriented Fraud Analyst to join our client's team in the banking industry. In this role, you will be responsible for identifying and preventing fraudulent activity within the banks operations and systems. You will play a crucial part in ensuring the safety and integrity of financial transactions, while complying with industry regulations. Key Responsibilities: Investigate suspected fraudulent activity using a variety of tools and investigative techniques. Analyze transaction data, account activity, and trends to identify suspicious patterns that could indicate fraud. Collaborate with internal departments, law enforcement agenci...

Role Description This is a full-time on-site role for an Underwriter at Policybazaar.com, located in Gurugram. The Underwriter will be responsible for assessing and evaluating insurance applications, analyzing risk factors, determining policy terms, and reviewing insurance contracts. They will also collaborate with insurance agents and brokers to review applications and provide expert advice on underwriting policies. Qualifications Strong analytical and problem-solving skills Ability to evaluate risk factors and make informed decisions Excellent attention to detail and accuracy Effective communication and negotiation skills - Education: Bachelors degree in Finance, Business Administration, I...

Role & responsibilities Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifies in court cases, when necessary Maintain Medicare bad-debt cost report

Need 2+ years of experience into UK Insurance/Claims. Responsible for Policy administration of London Market Insurance Policies. Candidates must possess good communication skills. Open to work in Night Shift.

The Team: S&P Globals Enterprise Solutions brings together solutions that help customers comply with regulatory requirements while reducing the risk, cost, and complexity of running their businesses. In addition, it offers a diverse range of solutions in the lending market. The Financial Operations & Reporting Team is a centralized unit that manages Client, Services Provider, and Business Partner billing. Apart from revenue assurance, the units core deliverables also include various reporting such as ad-hoc client billing reports, financial reporting for P&L, invoice dispute resolution, customer/product contract reports, etc. The Impact: A FinOps Associate plays a very significant role in th...

Profile Summary- Looking for Customer Care Executives. She/he will handle customer service in Travel Industry experience inquiries and problems associated with the servicing of companys client base. Answer all basic and routine customer contacts as well as more complex customer problems and/or complaints. Utilize computer applications to provide professional service Resolve the passenger query in damaged baggage, delayed baggage, missing baggage items, and damaged baggage items. Settle the claim as per the Montreal Convention. Resolve the passenger's query for delayed and cancelled flights on direct flights. For payment queries, pend the query with a refund teams. Knows how to read the PNR i...

POSITION : - OFFICER DEPARTMENT : - BILLING REORTING TO : - HEAD - FINANCE & ACCOUNTS QUALIFICATION : - GRADUATE /B.COM PREFFERED EXPERIENCE : - MINIMUM 4 YEARS OF EXPERIENCE IN HOSPITAL BILLING JOB REPOSIBILITIES : - The person of this designation will be responsible for auditing/entering/modifying services in order to generate accurate patient bill as per the policies and protocols of the hospital in the TAT as described by the Billing Incharge /Manager/CFO. JOB DUITIES & RESPONSIBILITY : To ensure that bills are generated as per SOP. To ensure that outstanding follow-up is done regularly and any discrepancies in outstanding amounts, as described in policy, are immediately reported to the ...

Position Overview: We are looking for a highly skilled and detail-oriented Fraud Analyst to join our client's team in the banking industry. In this role, you will be responsible for identifying and preventing fraudulent activity within the banks operations and systems. You will play a crucial part in ensuring the safety and integrity of financial transactions, while complying with industry regulations. Key Responsibilities: Investigate suspected fraudulent activity using a variety of tools and investigative techniques. Analyze transaction data, account activity, and trends to identify suspicious patterns that could indicate fraud. Collaborate with internal departments, law enforcement agenci...

Level-SME Minimum exp-4 Years Skills Required-US Helathcare , claims adjudication Must have on papers SME or Assistant TL experience Location-Chennai / Bangalore US Shifts Work from office Immediate -30days Notice Share resume-archi.g@manningconsulting.in Contact- 8302372009

Key Skills & Expectations: Hands-on experience with workflow/case management systems Strong knowledge of Life Insurance business processes (New Business, Underwriting, Claims, etc.) Ability to derive and execute test cases from BRD/FSD documents Proficient with JIRA, UAT support, and customer interactions Excellent communication and analytical skills Willingness to travel to customer locations, if needed

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...

Experience: 6 Months 4 Years (AR calling in US Healthcare) Job Description: We are looking the candidate who are experienced in Voice Process (AR Caller / AR calling) for medical billing in US Healthcare industry. Job Responsibilities: 1. Calling Insurance Company on behalf of Doctors / Physician for claim status 2. Follow-up with Insurance Company to check status of outstanding claims 3. Handle Inbound and Outbound calls from US clients, excluding sales 4. Take in-bound calls from US Patients to fix appointments 5. Handle out-bound call to resolves insurance related issues 6. Verify the credentials of health care professionals 7. Strong knowledge in Denial management 8. Receive payment info...

Job Location: Ahmedabad, Gujarat Job Description: This is Salesforce Admin and Developer Team Lead role and requires to Lead / Build team of 10 + developers and manage external Senior Developers on Contract Skills: Good to have exposure to Copado Good to have Einstein Analytics experience Good to have understanding of Salesforce Partner and Customer Community Self-motivated, flexible, team player with solid multi-tasking, time management & organization expertise with the ability to manage multiple and often changing priorities. Qualification: B.E. or B. Tech (Computer or IT), B. Sc. / M. Sc. IT or any relevant degree

Principal Accountabilities How they are achieved/measured Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to drive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partner s Zonal Leadership team, Ops & Credit Team, DSAs, SMs, Field Sales Staff at al...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents & processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents & processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

Job Summary 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 Pune 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 ob...

Job Description Configure and implement Single Sign-On (SSO) solutions using Microsoft Entra ID (Azure AD). Assess current environment and onboard applications into Entra ID for secure access. Perform requirements analysis, capture integration needs, and document configurations. Configure SAML-based authentication and manage Entra Enterprise Applications. Assign users/groups and validate access across SP-initiated and IdP-initiated login flows. Troubleshoot issues related to authentication, certificates, and attribute mapping. Deliver clear handover documentation for internal IT/admin teams. Qualifications Proven hands-on experience configuring SSO in Microsoft Entra ID / Azure AD. Strong un...

Role BDE Function Sales | Location Mumbai/Ahemdabad | Reporting to RSM Role Objectives Plan, direct and implement Sales strategies and programs to achieve the sales objectives for the company Key Responsibilities Drive Primary Secondary Sales in the territory in line with the business objectives of the company. Primary Sales - Develop the channel partner network and implement the distribution objectives to drive reach penetration across the territory. Secondary sales (On Premise and Institutional Distribution) - Increase number of FS outlets, maintain high service level, drive usability and range selling of assigned categories of products and ensure commercial hygiene in the territory Prepar...

PURPOSE & CONTEXT: As a professional at Unilever, you ll enjoy the responsibility to lead change putting your fresh thinking into action. We ll equip you with the tools you need to do the job and more, enabling you to use your unique perspective to grow beyond limits and make a positive impact on the world, our business, and our people. Find your purpose at Unilever. You will lead innovations, big and small, that will make our business win and grow. You will learn from brilliant business leaders and colleagues in a truly global and diverse culture to ultimately become a better you. If you are passionate about creating a positive impact to our people, planet, and business by bringing science ...

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...

Position Title: Snowflake-Software Engineer Job Family: IFT > Engineering /Dev Shift: Job Description: Job Title Software Engineer Requirement Type Full-Time Employee Job Location Bangalore Requirement Level Associate Hiring Manager Team Lead Primary Skill Bigdata , Pyspark , Snowflake , Snowpark Business Health Services Platform Skill Category Super Niche ABOUT CARELON Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system. Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in Janua...

The Insurance Claims Manager oversees the entire claims process, ensuring efficient, fair, and timely resolution of insurance claims in accordance with company policy and regulatory requirements. This role involves managing a team of claims adjusters/officers, streamlining claims procedures, mitigating risk, and maintaining excellent customer service. Lead and manage the day-to-day operations of the claims department. Develop, implement, and refine claims handling policies and procedures. Ensure all claims are investigated, evaluated, and settled in a timely and efficient manner. Review complex or high-value claims and Perform accordingly. Collaborate with underwriters, legal teams, investig...

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...