6244 Claims Jobs - Page 8

Role & responsibilities Group Credit Life- Death Claims Handling end to end process of Group Claims, Reconsideration Claims, Litigation Claims, Rider Claims from intimation to settlement as per the guidelines issued by Insurance Regulatory and Development Authority of India (IRDA). Ensuring end to end TAT from Claim intimation to payout dates for all the Death claims. Liaison with Branch Offices, Investigators, Hospitals, Doctors, Competitor Insurance Companies, & Various Internal Departments for issues related to claim processing and claim settlement. Claims Reconsideration Cases (CRC): Prepare the claims reconsideration case studies and present to CRC/Appeals committee members. Handling re...

As an Officer in IU Operations the candidate should be able to carry out day-to-day activities related to Information Utility operations like- completion of KYC formalities, entity registration. Required Candidate profile 1 to 7 years of work experience in banks/ in the financial services sector/service industry (may be relaxed for suitable candidates).Excellent command in communication and drafting skills.

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...

Job Description: Under direct supervision, the Associate is responsible for the timely and accurate posting and imaging of new claims. This includes accessing various systems, both internal and external, for eligibility. Other assignments can include managing incoming email inboxes, bulk uploading of claims and managing automated claims kick outs. The essential functions and responsibilities of this job position include, but are not limited to the following: Timely and accurately posts new claims in the Administrative System within established turnaround time Codes incomplete claims as appropriate Research claims eligibility to ensure the claim belongs to DRMS prior to posting. Reaches out t...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-in Interviews

External Analysis - Industry ranking Identifying new segments and markets and building suitable products plans and processes for the same. Developing product recommendation/ rule engines Conduct industry level research and analysis of other insurance companies and study movement in their ranking in terms of the number of policies issued and GWP Further undertake external market and competitor analysis to identify trends in the assigned product categories related to pricing, markets, products and other practices Combine internal and external analysis to generate insights and identify relevant actionable themes for BAGIC; Determine corrective actions/ steps on the business front to enable them...

Dear Candidates Are you looking for opportunities ? If yes, read below to know more about an opportunity in Redserv (Redington Group), one of the leading Supply Chain Management organizations! Role hiring for :Marketing claims Work Location : Perungalathur Experience : 1-3 Years Mode : Work from office(Mandatory) Notice : Immediate - 15 days Education : BA or B.Sc is must Description Invoice and debit note raising to vendor Vendor Receivables follow-up Checking vendor portal for payment details and claim status Uploading claims in vendor portal Checking claim status in vendor portal. If interested please share your resume to vino.mugunthan@redingtongroup.com Regards Team HR

1 . Immediate Hiring AR Callers | US Healthcare Role: AR Caller (Accounts Receivable) Industry: US Healthcare / Revenue Cycle Management Locations: Hyderabad | Chennai | Mumbai | Bangalore | Mohali Experience: Minimum 1 Year in AR Calling (Denial Management preferred) CTC: Up to 5 LPA + Incentives Qualification: Intermediate & Above Benefits: 2-Way Cab Provided Joining: Immediate Joiners Preferred Why Join Us? Competitive Salary + Attractive Incentives + 2 way Cab Excellent Career Growth Opportunities Supportive Work Environment Fixed Night Shift (US Process) | Weekends Off Interested candidates can share their resume at HR. Swetha- 9059181703 References are Welcome 2 . Hiring for Payment Po...

Position: AR Caller Responsibilities: • Make outbound calls to insurance companies to follow up on pending claims. • Track claim status, resolve denials/underpayments, and ensure timely collections. • Escalate unresolved or complex claims to the SME/Team Lead. • Accurately document all call outcomes and payer responses in the billing system. • Collaborate with the internal billing team to submit corrected claims and appeals. • Achieve daily/weekly call productivity and quality targets. • Stay updated on payer guidelines, claim regulations, and AR processes.

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Hi Connections, We are currently hiring Collection Specialists to join our growing team at Sutherland. This is a Work From Home opportunity EXP: 1- 6 Years Mandatory: Graduates ; International Voice Process ; Collections Roles and Responsibilities: 1. Review open accounts from the daily Ageing report 2. Monitor and maintain the assigned accounts - Collection calls (Outbound/Inbound in a professional manner), account adjustments and customer reconciliations 3. Collect customer payments in accordance with payment due date and timely follow-up on payment arrangements 4. Monitor customer payments activity to ensure receivables are collected in a timely manner 5.Ensure timely escalation in case o...

We are hiring Assistant Manager role in Vidal Health Insurance TPA for Client Servicing (Corporate). Only TPA or Health Insurance industry will be preferred. Immediate Joiner also required. Job Title: Assistant Manager Job Location: Gurgaon, Udhyog Vihar Phase 5 Role Objective To lead and optimize the organizations strategy, ensuring seamless client interactions and service delivery across health insurance workflows. Manager will serve as a strategic bridge between technology, client servicing, and operations to enhance customer satisfaction and retention. Key Responsibilities 1.Strategic Corporate Relationship Management 2.Drive retention and satisfaction of top corporate clients across the...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...

Role & responsibilities Data Scientist to drive innovation in Claims Analytics and AI-driven solution development. Leading a team of talented data scientists, this role will design, develop, and operationalise advanced AI and analytics solutions that optimise claims performance and deliver measurable business value. The successful candidate will be a visionary and technically outstanding data scientist with a proven ability to lead complex initiatives from concept to delivery. They will inspire innovation, uplift capability across the team, and shape the strategic direction of AI within the organisation to enable smarter, faster, and more data-driven decisions. This role will collaborate clo...

Hiring for US Healthcare US process Graduate (No B-tech/BE) Fresher can apply Salary upto 16k in hand, 2.45LPA Location- Noida 5 days working Sat- Sun fixed Off Both side cab Call & WhatsApp Ritika- 9625633417

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross >2% Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross >2% Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

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 all levels and across functions. Values add in key initiativ...

Urgently Required HR Executive / Manager Experience required for the Job: 5 to 8+ years Annual CTC: Up to 5 lacs Job Location: Kolkata EMPLOYMENT TYPE: Full Time JOB DESCRIPTION: Monthly Responsibilities : Talent Acquisition: Sourcing and screening candidates for various roles within Sriji Group. Creating and maintaining a list of new manpower sourcing units and colleges for recruitment. Onboarding & Induction: Completing joining formalities, including introductions, allocation of assets, biometric registration, and documentation. HR Documentation: Issuing appointment letters, confirmation letters past promotions, promotion letters, and other official HR documents. Payroll Management: Prepar...

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 275+ 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 ind...

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...

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...

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...