6255 Claims Jobs - Page 50

Role & responsibilities Sales Setting up monthly targets for the distributors in the area Executing potential analysis of territory and devising action plan Designing monthly sales schemes for the channel partners (distributors, stockiest and retailers) Ensure settling of claims against previous month trade schemes that the distributors submit monthly / bi-monthly. Responsible to keep a check on the service efficiency of the distributor to the stockiest- regarding claim settlement, damage replacement etc Checking on the retail coverage efficiency and credit to the market of the stockiest. Monitoring secondary sales of the stockiest and suggest improvements thereon. Preparing monthly reports ...

SUMMARY About The Client : A Fortune 500 global leader in technology services and digital business solutions, this company delivers comprehensive Business Process Services (BPS) and IT-enabled solutions. With a worldwide presence, it serves diverse industries including banking, healthcare, retail, manufacturing, and communications. The firm's expertise spans a broad spectrum of critical processes from finance and accounting to human resources, customer service, and supply chain management - enabling clients to enhance efficiency, drive innovation, and achieve business agility on a massive scale. Job Title: Senior Process Executive (SPE) Domain : P & C Insuranc e operations ( Guidewire with c...

Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productivity of branches under Geo-expansion Work on delivering critic...

Role : Sr. Process Analyst Location : Mumbai Work mode : Hybrid Experience : 3+yrs Must Have : Claims & Placement Reinsurance ******************************************************************************************* IMMEDIATE JOINERS ALERT! We're looking for candidates who can join immediately. If you're available, please send your CV via WhatsApp only to: 9076159575 Please note: No calls will be entertained. ******************************************************************************************* Position Summary We are hiring an Analyst to FAC process for ensuring the quality and effectiveness of business, products, and services within India business. The reinsurance placement & claims...

A TPA (Third Party Administrator) Executive's job description can vary based on the specific company or industry they work in However, here's a generalized job description for a TPA Executive:Job Title: TPA ExecutiveJob Summary:As a TPA Executive, you will be responsible for managing and overseeing various aspects of third-party administration services for clients Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations Responsibilities:Claims Management...

Masina Hospital is looking for Sr Exceutive TPA to join our dynamic team and embark on a rewarding career journey. As a TPA Executive, you will be responsible for managing and overseeing various aspects of third-party administration services for clients Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations Responsibilities: Claims Management: Handle and process insurance claims efficiently and accurately, adhering to the company's guidelines and relev...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on exp...

Job Title: IPM Executive Reconciliation & Vendor Payments Location: Salem, Tamil Nadu Salary: Up to 4 LPA Experience Required: 1 to 5 years Qualification: Only Commerce Graduates (B.Com, BBA,M.Com, etc.) Employment Type: Full-time Job Description: We are hiring an IPM Executive to join our finance operations team in Salem . This role is ideal for commerce graduates with 1–5 years of experience in finance operations, especially in reconciliation, payouts, and vendor management. Key Responsibilities: Perform account reconciliations to ensure accuracy in financial records Manage vendor payments and ensure timely processing Create and manage Purchase Requisitions (PRs) Handle invoice processing ...

About The Role Skill required: Supply Chain - Warranty Management Designation: Business Advisory Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Implement practices to improve operational efficiencies. Warranty administrator capable of processing and analyzing dealer claims for commercial vehicle. To manage warranty claim for commercial vehicles within designated cycle time (TAT). Investigate warranty claims, facilitate recovery, and assign appropriate liability and responsibilities for the warranty claim failure. Responsible to generate weekly & monthly production report for the team. Responsible for quality audits for the team. Verification and a...

Location: Bangalore (Work from Office) Grade: G Designation: Team Executive Shift: Night shift Number of Positions: 2 About the Role: We are seeking a dynamic and experienced Team Lead with a strong background in US Healthcare , specifically in Membership Enrollment . The ideal candidate will have proven experience in managing teams, excellent communication skills, and a deep understanding of the healthcare domain. This is a Team Lead role and requires hands-on leadership experience in enrollment processes. Key Responsibilities: Lead and manage a team responsible for US healthcare member enrollment activities. Ensure compliance with CMS guidelines and support processes related to Medicare En...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determini...

Duties and Responsibilities Track and improve key performance indicators such as query resolution time, repeat queries etc Liaise with sales team & IT team to ensure reduction of sales queries and bottle necks Build various process/policy checks on SFDC workflow to ensure minimum leakages downstream by working closely with IT/COE teams To liaise with IT team, Ops and other team to ensure early resolution of sales query Support regular and adhoc data analysis on business metrices Plan and execute time bounded projects on Geo expansion Liase with internal teams such Admin, IT, HR for launch of new branches Track and monitor productivity of branches under Geo-expansion Work on delivering critic...

GW developers in the Consulting to work on various project implementations for our customers across the globe. Your client responsibilities Need to work as a team member to contribute in various technical streams of EIS implementation projects. Interface and communicate with the onsite coordinators. Completion of assigned tasks on time and regular status reporting to the lead. Willing to travel to the customers locations on need basis. Your people responsibilities Building a quality culture. Manage the performance management for the direct reportees, as per the organization policies. Foster teamwork and lead by example. Training and mentoring of project resources. Participating in the organi...

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Job Summary We are seeking a dedicated professional for the role of TL-Provider Credentialing with 6 to 8 years of experience. The ideal candidate will have expertise in HealthCare Products and a strong background in Revenue Cycle Management Credentialing and Re-credentialing. This hybrid role requires working night shifts and offers an opportunity to make a significant impact on our healthcare operations. Responsibilities Oversee the provider credentialing process to ensure compliance with industry standards and regulations. Coordinate with healthcare providers to gather necessary documentation for credentialing and re-credentialing. Analyze and verify provider information to maintain accur...

Responsibilities: * Conduct field investigations on claims * Maintain confidentiality at all times * Collaborate with legal team when necessary * Gather evidence and interview witnesses * Prepare detailed reports Annual bonus

Hope you are looking for a job change. We have opening for Guidewire Developer with Billing Center for an MNC in Greater Noida. Pune , Hyderabad Locations. I'm sharing JD with you. Please have a look and revert with below details and Updated Resume with rejeesh.s@jobworld.jobs . Will process only Immediate joiners and its 5-Days work from Office. And Final round of interview will be Face to Face. Role for Guidewire Developer with Billing Center Experience: 4+ Years Mode: Permanent Client: an MNC ( Direct Payroll) Work Mode : 5-Days Work from Office. Work: Client Location: Greater Noida. Pune, Hyderabad Notice Period: immediate to 15 Days Mandatory Skills: Billing Center ,P&C, Insurance, Prop...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers client - RH) What do you need for this opportunity Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Founder D...

Branch commercial specialist supports the business in backend by supporting the actives pertaining to new customer code creation, collection process from bank, passing transactional entries, storing commercial information from various sources and responsible for compiling reports for business MIS purpose. Main Responsibilities: Accounts Receivables : Accounting of all the banking transactions received. Clearing of the receipts in the customers account. Follow ups for the overdue receivables with sales. Maintain the aged accounts receivable/payables to the customers. Maintain trackers for non - operational customers for final settlement. Process customer claims and ensure 100% compliance on i...

FSSAI Compliance Licensing Manage Central/State FSSAI license applications, renewals, and modifications Maintain accurate records of licenses and related documentation Coordinate inspections and audits with internal teams and consultants Formulation Compliance Review Review formulations and ingredients for compliance with FSSAI, nutraceutical, and international standards Ensure ingredient limits, claims, labeling, and nutritional facts meet regulatory guidelines SOI (Schedule of Ingredients) Management Prepare and maintain SOIs for all finished products Verify raw materials against approved regulatory lists Documentation Record Keeping Maintain regulatory master files for all products and SK...

Assists in the management of the daily functions of the department to ensure 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. Position focuses on ensuring 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 2-year degree from an accredited university in Criminal Justice or related major; 1 y...

As a Services Marketing Specialist , you support the Services Marketing Strategy Manager in executing the Customer Solutions services strategy. This role is pivotal in developing and delivering a comprehensive, sector-agnostic marketing portfolio that enhances Shell s services offering across global markets. You help shape the narrative, manage internal communications, and ensure the successful execution of marketing initiatives through effective stakeholder and agency collaboration. What you'll be doing Marketing Strategy Execution : Collaborate with the Services Marketing Manager to implement a bundled services marketing strategy aligned with Shell Lubricant Solutions overarching goals. Se...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would you d...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would yo...

Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture 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. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations...