4480 Claims Jobs - Page 7

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...

hiring for international voice process(Order Management, S&F, Supply Chain) min exp-2yrs ctc upto 5.5lpa Bangalore & Mysore Sales Order Validation Order Booking, Avoid insurance claims, Procurement and telecom Karishma.imaginators@gmail.com Required Candidate profile Sales Order Validation, Booking, Order Hold management, Order status enquires, Pick and pack co-ordination with Logistics and carrier, Claims (Product related) and return management

International voice (Order Management) 2yrs 5.5lpa 5+Yrs exp-- 8-10 LPA(on ppr team lead 2 yrs) BLR & Mysore Sales Order Validation Order Booking, SO Creation PO report order tracking/taking/delivery/return/claim/S&F Karishma.imaginators@gmail.com Required Candidate profile Sales Order Validation, Booking, Order Hold management, Order status enquires, Pick and pack co-ordination with Logistics and carrier, Claims (Product related) and return management customer service

Position's General Duties and TasksIn these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the teamRequirements for this role include: Abilit...

Loan Settlements Process Overview* Trade Support Trade Support Team is responsible for Bookings, Confirmation & Settlement of Bonds and Term Loans Products. Team is responsible for multiple activities for Middle office and Back-office operations. Team support settlement Activities for DTC, FED, Euroclear, CEDEL Market, ClearPar for Term Loan. Trade Support closely work with Data Governance and Asset Servicing Team. Also Responsible Post settlements activities such as Failed Trades and Claims Management, Also ensuring Timely matching of unconfirmed Trades from Previous business day. Job Description* This role is primarily responsible for managing end to end trade Support activities e.g. Trade...

Responsibilities Pega SSA with experience in Pega Integration Delivery of Pega run the business backlog items Designs, develops, and maintains complex applications using Pega solutions that adhere to platform best practices Develops unit tests and provides code coverage to accurately test business logic and functionality Participates in developing specifications such as user stories and designs Solves or recommends solutions for complex issues and problems Assists in the development of logical and physical specifications Documents designs, issues, solutions, tips & tricks as needed Mandatory Skills Minimum of 6+ years of experience with Pega Software development 3 years of hands-on SQL and r...

As a Lead International Voice Process with 8 to 13 years of experience, you will be responsible for managing and driving performance in a global customer support environment. Your role will involve: - Leading and managing a team of customer support executives handling international voice-based operations. - Monitoring daily operations to ensure service levels and KPIs (AHT, FCR, CSAT, SLA) are met. - Conducting regular team huddles, performance reviews, and mentoring sessions. - Handling escalations, resolving customer issues efficiently, and improving satisfaction scores. - Coordinating with QA and Training teams for continuous upskilling and quality improvements. - Ensuring process complia...

As a Product Head for Travel Insurance, you will play a crucial role in shaping the product strategy and driving growth for the travel insurance business. Your responsibilities will include: - Defining and executing the product vision, strategy, and roadmap for the travel insurance portfolio. - Managing the entire product lifecycle from ideation to launch and continuous optimization. - Collaborating with various teams such as underwriting, claims, operations, sales, technology, marketing, and compliance to deliver innovative insurance solutions. - Keeping abreast of market trends, competitor offerings, and regulatory changes to identify opportunities and risks. - Establishing and monitoring ...

WERE HIRING CUSTOMER SERVICE ASSOCIATE (Night Shift) Location: Mumbai (Airoli) Work from Office Shift: Rotational (Night shift allowance applicable) Joining: Immediate Joiners Preferred Role Customer Support US Healthcare (International Voice Process) Eligibility Education: Graduate Freshers welcome | 12th Pass, BBA, BA, B.Com, BMS, BAMS, B.Pharma, MBA, B.Sc. (Chemistry/Biotech) Skills: Excellent English communication (mandatory) Experience: Freshers & candidates with 1+ year international voice experience Your Impact Handle US healthcare customer calls Deliver accurate resolutions in the first conversation Meet SLA targets (CSAT, Service Level, Handle Time, Customer Effort) Maintain quality...

Job Description for Product owner/Business Analyst – PAN India - FTE Job Title: Product Owner, Healthcare Consulting Position Summary: We are seeking a dedicated and knowledgeable Product Owner/BA to join our Healthcare Consulting team. The Product Owner will be responsible for guiding the development and optimization of our clients' healthcare consulting products and services. This role requires a deep understanding of the healthcare industry and the ability to translate client needs into actionable product requirements. The Product Owner will work closely with cross-functional teams to ensure the successful delivery of high-quality solutions and should be able to extract requirements using...

Role & responsibilities 1.Pre & Post Contracts Management Draft BOQ, review, negotiate, and finalize subcontracts, work orders, and service agreements within the limit of Project Budget. Draft BOQ, review, close coordinate with Budgeting and contracts team for all the packages related to project to ensure required vendors are on board. Ensure contractor/vendor compliance with contractual terms, scope, and deliverables. Maintain site-level contract documentation, amendments, and correspondences. Handle claims, disputes, change orders, and contractual risk mitigation. 2. Billing & Cost Certification Review and certify contractors Running Account (RA) bills, final bills, and variation claims. E...

The Senior AR Collections Agent is responsible for the timely and effective collection of outstanding accounts receivable (AR) for healthcare services. This role involves in-depth knowledge of medical billing, coding, payer regulations, and collection techniques. The Senior Agent handles complex cases, provides guidance to junior team members, and plays a key role in improving the overall collection process. Key Responsibilities: Collections Activities: Manage and resolve complex and high-dollar AR claims. Investigate and analyze aged AR to determine appropriate collection strategies. Contact insurance companies, patients, and other responsible parties to pursue payment. Document all collect...

AR Callers need to contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement for services rendered. Key responsibilities include appealing denied claims, correcting errors, analyzing remittance advice, and maintaining detailed records of all communications. Requirement 1) Good RCM Denials knowledge 2) Good Communication Skills 3) Analytical Thinking 4) Comfortable working for a voice process ok with Rotational shifts 5) Undergraduate/ Graduate with minimum 6 months + AR Domain Experience Roles Responsibilities Meet daily/weekly/monthly production quality as per project SLAs /Timelines Re...

AR Callers need to contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement for services rendered. Key responsibilities include appealing denied claims, correcting errors, analyzing remittance advice, and maintaining detailed records of all communications. Requirement 1) Good RCM Denials knowledge 2) Good Communication Skills 3) Analytical Thinking 4) Comfortable working for a voice process ok with Rotational shifts 5) Undergraduate/ Graduate with minimum 6 months + AR Domain Experience Meet daily/weekly/monthly production quality as per project SLAs /Timelines Responsible for follow up...

Responsibilities Key Deliverables Overall Responsibility of Customer Care processes related activities- Dealer Management, On-field Service Delivery, Spares/Lubes/Warranty Management. Implementation of all processes and systems related to the service function at channel partners level. Ensuring standardized Service Infrastructure, facilities, quality manpower at channel partners level. To guide and conduct on the job training of the Service Mechanics for technical problem solving and debottlenecking at the dealerships. To attend and resolve the critical customer complaints and measure of customer satisfaction level. To work towards and increase dealer profitability by service schemes like se...

AR Callers need to contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement for services rendered. Key responsibilities include appealing denied claims, correcting errors, analyzing remittance advice, and maintaining detailed records of all communications. Requirement 1) Good RCM Denials knowledge 2) Good Communication Skills 3) Analytical Thinking 4) Comfortable working for a voice process ok with Rotational shifts 5) Undergraduate/ Graduate with minimum 6 months + AR Domain Experience Roles Responsibilities Meet daily/weekly/monthly production quality as per project SLAs /Timelines Re...

AR Callers need to contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement for services rendered. Key responsibilities include appealing denied claims, correcting errors, analyzing remittance advice, and maintaining detailed records of all communications. Requirement 1) Good RCM Denials knowledge 2) Good Communication Skills 3) Analytical Thinking 4) Comfortable working for a voice process ok with Rotational shifts 5) Undergraduate/ Graduate with minimum 6 months + AR Domain Experience Roles Responsibilities Meet daily/weekly/monthly production quality as per project SLAs /Timelines Re...

Amazon has one of the largest most trusted shipping networks in India (ATS). We want to extend the benefits of these shipping services to D2C brands and SMBs for their own business to help them serve their customers better in turn grow their business. This role will be responsible for managing and growing relationships with our key shipper accounts. We are seeking a street-smart, result-oriented candidate with B2B/SME sales and business development experience and preferably from the shipping logistics industry. Candidate should be able to thrive and succeed in an entrepreneurial environment, and not be hindered by ambiguity or competing priorities and changing landscapes. One should be colla...

Preferable Band Supervisor Preferable Cadre S1 / S2 / S3v/ E1 Minimum Work Experience - 3-5 years Minimum Qualification First class degree holder from any stream Handling pre post policy administration of Project Engineering Insurance, Motor insurance policies, SCP Laptop Insurance, Overseas Travel Insurance and other administrative work. Co-ordinating with all IC FA team for collecting the details for the renewal of insurance policies such as Motor insurance, SCP Laptop Insurance. Co-ordinating with insurance companies, surveyors respective IC FA team in respect of claims under Project Engineering, Motor insurance, SCP Laptop Insurance and Overseas Travel Insurance. Collaborate with system ...

Primary Responsibilities: Identifies/researches variances and provides appropriate explanations Demonstrates solid knowledge of GL and sub-GL data sources, and how the information is recorded (e.g., chart of accounts, revenues, expenses, claim costs etc.) Demonstrates basic understanding of how to retrieve data from company-specific financial systems and use reporting tools (e.g., Smart-view, SAS) Should be able to learn and implement basic query writing in SAS & SQL environment Blackline Account reconciliation and flux analysis Preparation of internal and external audit support documentation Demonstrates basic understanding of various data models and platforms Engaging in various claims/sub...

Job Type: Fulltime Years Of Experience: 2 to 8 years Role: Senior: Duck Creek Claim Developer / Lead. Education: B.Tech/B.E. in any Specialization or Equivalent. Role Responsibilities: Responsible for Requirement Analysis, Effort Estimation and Delivery of the team. Will work with the application Architect for Solution approach, Design and Estimation. Lead the development team for Task assignment and Progress tracking.Will Code, Unit Test and Code review. Help development team in manuscript coding, SQL store procedure, C#, XSLT Technical Expertise: Must have deep understanding of Duck Creek Claim Administration System configuration. Ability to understand business needs and translate them int...

Company Details Company : I Space software solutions India Pvt ltd Exp : 0 -3 Years Qualification : Any Degree work Hours : 7PM -4AM ( us shifts ) working days : 5 days ( sat & sun is fixed week off) Location : Madhapur ,Hyderabad Work mode : WFO Role : Customer Support Executive F2F Interview ADRESS : Hi-Tech City Phase -II, Madhapur, Please available for F2F Interview ired role expertise, previous job experience, or relevant certifications. Note : Interested Candidates Please share Your CV t Below Mail ID salikinidi.sandhyarani@jkdtl.com Thanks& Regards Sandhya Executive-TA Email id : salikinidi.sandhyarani@jkdtl.com www.dienstentech.com

Roles and Responsibility Department: Corporate Finance Qualification: Graduate/Postgraduate Shifts (if any): 11:00 AM onwards (candidate should be flexible to work as per business requirement) Roles and responsibilities: Proficient in handling various accounts payable functions e.g., Invoice scrutiny and processing, Vendor ledger reconciliation, Vendor queries handling, Month end closing activities, Employee claims processing etc. Working knowledge of GST, TDS and MSME compliance. Working Knowledge of MS office. Assist in other ad hoc projects, audits, reporting and analysis as needed. Good verbal and written communication skills. Qualification and Experience: Commerce graduate/postgraduate ...

Urgent Hiring for medical Billing Salary: Up To 22k CTC (19k in-hand) Qualification: - Any Graduate - 12th + 3-year Diploma Cab facility + Meal facility Required Candidate profile Work Schedule: - 5 days working - Saturday & Sunday fixed off - Shift timing: 5:30 pm to 2:30 am Contact Us: Call/WhatsApp: 7696616371 HR Sanjna

The Care Project Manager (CaPM) ensures specific entitlement and acts so that maintenance business services are conducted in an efficient, accurate, cost-effective, timely, and customer-friendly manner. Maintenance business services and delivery are dependent on the work of many areas and teams. The CaPM will work closely with management of the different functional areas to ensure that all aspects of the deliverables, which enable maintenance services, are provided in a cohesive and seamless manner. You Have: Telecom industry related experience is required, must have minimum 15 years of experience including project or care program management responsibility. Candidate holds an Engineering Deg...