4480 Claims Jobs - Page 6

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Should know internal systems Goo...

Experience: 1 to 2 Years of relevant industry experience. Skills: Event Management/Coordination/Excel Skills . Department: Krishna Life. Eligibility: Relevant Experience Requirement : 01(Preferred Only Male) Responsibilities: Preparing vouchers for claims, maintaining expense statement Data base management (periodic data update and maintenance) Event planning operations Event management & Arrangements, Coordination Tele calling Support Flexible to travel.

Job Description: Key Responsibilities: Supervise daily AR operations for assigned clients/projects. Monitor AR aging buckets and ensure timely follow-up on outstanding claims. Drive resolution of denials (Authorization, Eligibility, Credentialing, Coding, etc.). Ensure compliance with TAT, productivity, and quality SLAs. Provide coaching, mentoring, and performance feedback to AR team members. Coordinate with internal teams (Billing, Coding, Credentialing) to resolve issues. Generate AR reports, highlight trends, and suggest process improvements. Handle escalations and act as the first point of contact for clients. Track KPIs such as AR days, aging %, denial rate, and collection efficiency. ...

About the Role: The primary responsibilities of the role would be: 1) Timely cash flow management from/to external parties 2) Oversight, close collaboration with Outsource Partners in respect of cash collection and allocation of incoming payments 3) Timely and accurate processing of data in admin system 4) Portfolio analysis to Underwriting & Actuary 5) Support internal requirements for financial closings and reporting 6) Enable Corporate Solutions s regulatory reporting 7) Support audit activities and prepare requested information to auditors 8) Stakeholder management and global cash reporting Additional responsibilities would be: 1) Collaborate with UAs & MGA Managers to implement an effec...

Company: Marsh Description: We are seeking a talented individual to join our Insurance Broking team at Marsh. This role will be based in Mumbai / Pune. This is a hybrid role that has a requirement of working at least three days a week in the office. Lead Specialist / Deputy Manager / Manager Insurance Broking We re seeking for an individual who is ready to assist the onshore broking team in all aspects of client service, including client contact, administration, technical support and business development. Ensure the accurate, efficient and timely production of all clients, insurer and policy related documentation across the insurance life cycle We will count on you to: Account Management Ass...

Job_Description":" Job description: Warranty Executive you are responsible for all warranty related issues, to support Warranty Manager. When it comes to warranty you are the reliable competent interface between workshop colleagues and Warranty Manager. With your expert knowledge, technical competency and good communication skills you promote the brand and product image and therefore contributing to customer satisfaction. Your key responsibilities are: Updating vehicle details for e.g. \u2013 vehicle registration date, warranty validation date, terms and conditions of warranty & updating of DAN (Delivery acknowledgment Note) copy in eDealer. Checking warranty and goodwill claims. Ensuring th...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...

Business Title Senior Legal Counsel Global Function Legal Global Department Legal (DEP_LEGAL) Size of team reporting in and type 0 Role Purpose Statement As legal business partner, the AGC provides strategic legal counsel and support to the business activity and operations of, including managing the legal department supporting, India Region Main Accountabilities Legal Support: Provide general and strategic legal counsel and support on all country legal matters, encompassing advisory, transactional, litigation, regulatory compliance, employment and other issues to proactively identify and address legal risks and issues. Management: Be a part of India legal team fostering a collaborative and h...

As an ASI Project, you will be the single point of contact (SPOC) for Customer Care aspects for Project support for the area assigned to you. You will, through constant initiatives, ensure customer delight which shall be the essence of every activity performed. It shall be your endeavour for right service network installation for present and following two quarters business needs. You should be passionate to train people & willing to travel and should have strong acumen to drive customer delight while optimizing on the cost. Key Responsibilities 1. Service Network Installation and Enablement Identify the right service providers required for installation engaging primarily for project support,...

Description and Requirements The primary responsibility of this position is to review/analyze history files on FML, State FML and Company leave policies and create Macros basis requirement to have output basis catalyst system requirement to appropriately intake and administer a customer s absence claims. The Implementation leader, Disability Consultant or Project lead sends history files of different Vendors to validate and Run files which has detailed provisions of the leave policies, set-up and test the back-end systems. This position relies heavily on analytical and problem-solving skills, combined with a detailed knowledge of Macros, FMLA regulations, to drive the successful implementati...

About ProcDNA: ProcDNA is a global consulting firm. We fuse design thinking with cutting-edge tech to create game-changing Commercial Analytics and Technology solutions for our clients. Were a passionate team of 300+ across 6 offices, all growing and learning together since our launch during the pandemic. Here, you wont be stuck in a cubicle - youll be out in the open water, shaping the future with brilliant minds. At ProcDNA, innovation isnt just encouraged, its ingrained in our DNA. What we are looking for: As the Associate Engagement Lead, you ll leverage data to unravel complexities, adept at devising strategic solutions that deliver tangible results for our clients. We are seeking an in...

This role will be primarily focused on supporting the Reinsurance group by running the monthly billing process for multiple re-insurers and analyzing the trends, Also, the role will require supporting the claims process and prepare wires for approvals and to have proper documentation around the process and support the audit. Key Responsibilities Reviews of backup information and documentation, ensure high accuracy standards Monthly billing process, claims settlements, wire preparations and reconciliation and perform the month-end and year-end closing process by analyzing and preparing journal entries and accruals. Provide support on ad-hoc projects based on the business requirements Required...

Drafting and pleading skills will be considered as added advantage. The candidate should be conversant with mail culture and must know basic computer knowledge like Excel, word, Power point etc. , with typing speed Knowledge on Motor vehicle act or exposure in MV act will be considered as added advantage. Tracking of each Matter from Claims Dairy Co-ordination with other department of mandatory requirements - ILM, Operation, Underwriting etc. Smooth Processing of Claim

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...

Position Summary: As a Customer Order Service (COS) Executive, you will be responsible for processing Equipment, Media and / or consumables orders, received via manual or online platforms, in defined ERP systems. You will need to interface with internal teams like Sales, Sales Ops, Supply Chain, Planners, Credit / Finance etc. to ensure product or service delivery, while ensuring the integrity, accuracy, and consistency of communication of status information to the dealers or customers, while trying to meet or exceed the Perfect Order Fulfillment (POF) goals for the organization. Position Responsibilities: Creation of Manual or Shop Carestream Orders in SAP / C4C. Check all defined parameter...

Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the stand...

Software Development Consultant- II About Lumen Technologies Lumen Technologies is a global technology company that delivers innovative communication and network solutions. Our mission is to empower businesses and individuals to connect, grow, and thrive in the digital age. With a focus on customer experience and operational excellence, we strive to provide cutting-edge solutions that meet the evolving needs of our customers. Job Details: Location: Bengaluru Work Mode: Hybrid Experience Required: 6 to 9 Years Mandatory Skills : Java, Microservices, Vue.Js Essential Skills Strong experience in Core Java, J2EE, Spring Boot, and Microservices architecture. Hands-on expertise with RESTful API de...

We are looking for a skilled professional with 5-8 years of experience to lead our delivery team in Chennai. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implem...

Graduate/PG having 6 years plus relevant experience of risk underwriting & claim of general insurance, experience of commercial risk, liability, claim, assessment, analysis & underwriting is desired.

Summary: The Senior Claims Processing Specialist is responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices. This role also acts as liaison for clinical areas and revenue cycle (physicians, nurses, and other clinical staff) on proper documentation, coding, and billing procedures. The Senior Specialist plays a critical role in maximizing revenue integrity, minimizing denials, and ensuring compliance with payer regulations. Key Responsibilities: Charge Creation and Capture Oversight: Oversee the process of charge creation, ensuring accurate and timely capture of all billable services. Review encounter documentation (e.g., progres...

Summary : The Senior Claims Processing Specialist is responsible for the accurate and timely processing of healthcare claims, with a primary focus on resolving clearinghouse rejections and claim edits within the core billing system. This role requires in-depth knowledge of medical billing, coding, payer regulations, and electronic claims submission processes. The Senior Specialist identifies and resolves complex claim issues, provides guidance to junior team members, and ensures claims are submitted cleanly and efficiently to maximize reimbursement. Key Responsibilities: Claims Processing: Review and process healthcare claims according to established policies and procedures. Verify patient d...

Role Description As a Process Risk Senior Associate , you will play a key role in supporting our U.S.-based Risk, Compliance & Controls Practice. You will assist clients in identifying, assessing, and managing business and operational risks with a focus on operational audits, internal audit risk assessments, and enterprise risk management (ERM) projects, particularly within the healthcare , retail , and technology sectors. This role offers a unique opportunity to work closely with a dedicated U.S. team, participating in client engagements, attending virtual client meetings, and serving as a direct extension of their team. Youll gain valuable experience, mentorship, and growth opportunities i...