6244 Claims Jobs - Page 5

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

Customer Relationship Development: Establishes and develops account relationships based on a defined strategy. Acts as a focal point for problem resolution and monitors customer claims. Plans, facilitates, and conducts customers. Face-to-face sales to new or existing customers who have extensive travel experience. Application Engineering: Assessing customer needs and suggesting appropriate products in coordination with the engineering team. Sales Strategy & Support: Sales targets Defines and proposes sales targets and growth plans for the territory/geographies and ensures their achievement with a structured follow-up process. After-Sales Strategy & Support: Evaluating, measuring, and handlin...

Review and reporting on process updates and team metrics with the reporting manager Provide mentorship, coaching and training to the team members. Maintain compliance in process with HIPAA and adhere to company policies Daily Auditing Team Production Conducting audit feedback meetings every fortnight Providing team assistance on need basis Providing monthly quality reports to team Updating Quality Dashboard daily Auditing of Payment Tracking, Documenting Outstanding Payment, Mailing regular reports and Analysis, Payment Reconciliation, Payment Refunds and Provider Data Updates. Reducing the 90+ aged inventory by getting payments from Insurance. Requirements Candidate must have minimum 5 year...

Proficiency in Pega platform features like PRPC, Case Management, Decision Management, and Integration Implement best practices in PEGA architecture / design / coding Well-versed in Activities, Data Pages, Job Schedulers, Queue processors and File Listeners. Proficiency in Oracle SQL Good to have experience in AWS/Azure Plan, design, lead, and execute technical solutions and improvements Exposure to Java: Spring Boot, WebServices, Microservices(Good to have but not mandatory) Ability to work independently and as a member of a team. Strong communication, problem-solving skill. Strong track record of customer engagement and delivery success. Engage onshore partners & other stakeholders Capable...

Community activation: Launch or consolidate 3 5 high-intent cohorts and own and drive an aligned weekly engagement rate Community design & cadence: Segment & stand up WhatsApp Communities / broadcast lists with consent and IG/YT comment communities; set content calendar and cadences Drive Community Engagement: Create real/virtual sessions, that scale via replay/carousel summaries Editorial & programming: Execute content that aligns with brands principle of Educate, Participate and Prove in partnership with Brand-Category Team Creator management : Source/manage nutritionists, trainers, doctors, recipe/runners/parents; negotiate deliverables; enforce no codes/no hype, proof-first mentions. Mod...

Mental availability Drive platform engagement through content and programs that brings to life the brand positioning and product propositions Communication on platform and channels via PDP s, carousel images, test reports, voting and content led engagement on the platform Design and execute content in line with the brand principles and identify reasons for OWN to be the top of mind when anyone thinks protein Build and execute distinctive brand assets for OWN that makes OWN memorable and easily recallable for people when they are thinking to buy the category Consumer insights and Analytics Identify consumer insights from shopper and buyer behaviour on onlywhatsneeded.in and other partner mark...

1. Coordinate with various internal interface points like Marketing, PMG, SCM, F&A, Insurance, Taxation, Legal, etc. for inputs on work related activities. 2. Assist Marketing, Contract and/or Project Managers in Performing Bidding and/or Contract management function in Tendering/Proposal and/or Project Execution. Reviewing Commercial T&Cs and Drafting Commercial Queries/Deviations. 3. Support Project Teams on contractual / legal front in handling client/vendor on Extra Claims, Delivery Extensions, Disputes, Backcharges, Change Orders etc. 4. Review implementation of internal SOPs of Contract Management across IC, amend SOPs whenever required based on Business Learnings. Carryout internal au...

Amex GBT is a place where colleagues find inspiration in travel as a force for good and through their work can make an impact on our industry. We re here to help our colleagues achieve success and offer an inclusive and collaborative culture where your voice is valued. Are you able to handle multiple priorities with energy and enthusiasmDo you enjoy working closely with senior management and a wide range of stakeholders to drive our GRESC activities and achieve our priorities Lead all aspects of employee business trip and cost-related tasks for compliance assurance. You will assist in processing and auditing travel and expense claims, maintaining records, and collaborating with various depar...

POSITION: MEDICAL OFFICER/CONSULTANT MOS APPROVER Designation: Medical Officer/Consultant Function: Claims MOS Approver Reporting to: Assistant Manager Claims Location: Noida Educational Qualification: MBBS(Indian registration Required) Shift: Rotational Shift (for female employee shift ends at 8:30 PM) Week offs: 6 rotational week offs Provided per month Management Level: Junior Management Level Industry Type: Hospital/TPA/Healthcare/Insurance Roles and Responsibilities Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, ...

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) Fast-Track Your Career in the Growing US Healthcare Sector! A leading multinational company is seeking experienced and motivated professionals to join its Accounts Receivable (AR) Calling team. If you have experience in US Medical Billing or Revenue Cycle Management (RCM), this is an excellent opportunity to advance your career in the global healthcare domain. Key Responsibilities: Make outbound calls to US insurance companies to follow up on pending or denied medical claims Investigate and resolve claim denials, underpaymen...

Job Summary Join our team as a PE-Ins Claims specialist Data resource where you will play a crucial role in managing insurance claims processes. With a focus on customer service and IT domain expertise you will ensure efficient claims handling and contribute to enhancing customer satisfaction. This hybrid role offers rotational shifts providing flexibility and exposure to diverse work environments. Responsibilities Manage and process insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with cross-functional teams to gather necessary information and documentation for claims processing. Analyze claims data to identify trends and areas for improvement ...

Job Summary The SPE-Ins Claims role requires a professional with 2 to 5 years of experience in customer service within the insurance domain. The candidate will work in a hybrid model with rotational shifts focusing on claims processing and customer interactions. Expertise in property and casualty insurance is preferred ensuring efficient service delivery and client satisfaction. Responsibilities Manage and process insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with cross-functional teams to gather necessary information for claim assessments. Analyze claim data to identify trends and improve service delivery. Provide exceptional customer servic...

Job Summary Join our dynamic team as a Specialist in Insurance Claims where you will leverage your expertise in customer service and domain knowledge to enhance our claims processing. With a hybrid work model and rotational shifts you will play a crucial role in ensuring efficient and effective claims management contributing to our mission of providing exceptional service in the Property & Casualty Insurance sector. Responsibilities Manage and process insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with cross-functional teams to gather necessary information for accurate claims assessment. Utilize domain knowledge to identify potential issues an...

Job Summary The Senior Process Executive - B&L will play a crucial role in enhancing customer service operations within the insurance domain. With a focus on claim investigation and property & casualty insurance the candidate will ensure efficient process management and contribute to the companys success. This hybrid role requires rotational shifts and offers an opportunity to make a significant impact on customer satisfaction and operational excellence. Responsibilities Manage customer service operations to ensure high-quality service delivery and customer satisfaction. Analyze and investigate claims to identify discrepancies and ensure accurate processing. Collaborate with cross-functional...

Job Summary The SPE-Ins Claims role is designed for professionals with 2 to 5 years of experience in customer service and domain expertise. This position requires handling claims efficiently within the Property & Casualty Insurance domain. The role operates in a hybrid work model with rotational shifts ensuring flexibility and adaptability to meet client needs. Responsibilities Manage claims processes efficiently to ensure timely resolution and customer satisfaction. Collaborate with team members to streamline operations and improve service delivery. Analyze claim data to identify trends and areas for improvement in the claims process. Utilize domain knowledge in Property & Casualty Insuranc...

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) Fast-Track Your Career in the Growing US Healthcare Sector! A leading multinational company is looking for experienced and motivated professionals to join its Accounts Receivable (AR) Calling team. If you have experience in US Medical Billing or Revenue Cycle Management (RCM), this is an excellent opportunity to grow your career in the global healthcare industry. Key Responsibilities: Make outbound calls to US insurance companies to follow up on pending or denied medical claims Investigate and resolve claim denials, underpay...

Job Description : Verification of Employees Travel Expenses claim, booking & process for payment Verification of C&F claims, booking & process for payment Inter-Branch/ Customer/ Reconciliation Verification of Marketing Expenses Bills, booking and process for payment (Farmer Meeting, Dealer Meeting, ect). Preparation of Legal file against defaulter Customers/ Basic knowledge of Legal Cases of Debtors Old Collection follow-up to outstanding customer Basic knowledge of GST Skills Required : Employee Reimbursement, Knowledge of GST, reconciliation Roles and Responsibilities : Verification of Employees Travel Expenses claim, booking & process for payment Verification of C&F claims, booking & pro...

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 seeking experienced and driven professionals to join its dynamic Accounts Receivable (AR) Calling team. If you have prior experience in US Medical Billing or Revenue Cycle Management (RCM) , this is a great opportunity to advance your career in the global healthcare domain. Key Responsibilities: Make outbound calls to US insurance companies to follow up on pending or denied medical claims Investigate and resolve claim denials, un...

As a Product Manager for Azentio Software's insurance modules modernization initiative, you will play a crucial role in transforming the core systems. Your responsibilities will include collaborating with a dedicated subject matter expert (SME) to understand existing policy administration, claims, and reinsurance systems. You will define the product vision and roadmap for the modernization of core insurance modules, translating business needs and legacy system capabilities into actionable requirements for a new, modern platform. Additionally, you will drive the product development process from ideation through to launch and optimization, ensuring scalability, flexibility, and seamless integr...

As a Practice Head of F&A (UK & US Markets), you will be leading and managing a large team of F&A, Underwriting, and Claims professionals supporting a global Specialty P&C insurance and reinsurance service provider. Your role will involve managing operations across various functions such as RI, INS, Delegated Authority, R2R, I2C, P2P, FP&A, Tax, and Statutory Reporting for Assumed and Ceded operations in the UK and US markets. Key Responsibilities: - Lead and manage F&A, Underwriting, and Claims operations across various functions for Assumed and Ceded operations. - Drive transformation initiatives, operational excellence, and business growth with clients. - Implement tech and data analytics...

Role & responsibilities 6 to 10 Years in US Healthcare Claims adjudication US shifts Job Loc : Kochi

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate 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 insuranc...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We e...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We emb...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We emb...