2817 Claims Jobs - Page 8

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 service packages, service coverage improvements, free services, post warranty jobs, annual maintenance contracts. Ensure meeting spare targets of all channel partners and company promoted oil targets. Ensure coordination for timely spare parts orders execution for channel partners. Ensure dealer CSI score targets are met by driving improvement action plans. To provide feedback on competition new service schemes launched to the head of service and the Zonal/ Regional Customer Care Manager. To provide timely and qualitative Product feedback about critical and new defects to HO Product Monitoring Cell. Ensure warranty claims process adherence at the channel partners level. To ensure installation and establishing the entire service infrastructure, systems and processes at new dealerships. Conducting service audits periodically as per the company norms. Ensure Product training of the dealer, workshop manager and service mechanics Preferred Industries Agriculture Implemen Automobile Education Qualification Bachelors of Technology; Bachelor of Engineering; Diploma in Engineering; Bachelors of Technology in Mechanical; Bachelors of Technology in Automobile; Bachelors of Technology in Agriculture; Bachelor of Engineering in Mechanical; Bachelor of Engineering in Automobile; Bachelor of Engineering in Agriculture; Diploma in Engineering in Mechanical; Diploma in Engineering in Automobile; Diploma in Engineering in Agriculture General Experience 1-4 Years of relevant experience as CCM Critical Experience Minimum 1 year of on roll field service experience handling 7-10 dealers / workshops branches. Working Farm Knowledge of Tractors, Farming and Implements. Handling business volume of Spares and Oil of minimum 2 crore revenues System Generated Core Skills Change Management Channel Strategy Consumer Focus Customer Relationship Management (CRM) Product Knowledge & Application Service Management System Generated Secondary Skills

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 service packages, service coverage improvements, free services, post warranty jobs, annual maintenance contracts. Ensure meeting spare targets of all channel partners and company promoted oil targets. Ensure coordination for timely spare parts orders execution for channel partners. Ensure dealer CSI score targets are met by driving improvement action plans. To provide feedback on competition new service schemes launched to the head of service and the Zonal/ Regional Customer Care Manager. To provide timely and qualitative Product feedback about critical and new defects to HO Product Monitoring Cell. Ensure warranty claims process adherence at the channel partners level. To ensure installation and establishing the entire service infrastructure, systems and processes at new dealerships. Conducting service audits periodically as per the company norms. Ensure Product training of the dealer, workshop manager and service mechanics Preferred Industries Agriculture Implemen Automobile Education Qualification Bachelors of Technology; Bachelor of Engineering; Diploma in Engineering; Bachelors of Technology in Mechanical; Bachelors of Technology in Automobile; Bachelors of Technology in Agriculture; Bachelor of Engineering in Mechanical; Bachelor of Engineering in Automobile; Bachelor of Engineering in Agriculture; Diploma in Engineering in Mechanical; Diploma in Engineering in Automobile; Diploma in Engineering in Agriculture General Experience 1-4 Years of relevant experience as CCM Critical Experience Minimum 1 year of on roll field service experience handling 7-10 dealers / workshops branches. Working Farm Knowledge of Tractors, Farming and Implements. Handling business volume of Spares and Oil of minimum 2 crore revenues System Generated Core Skills Change Management Channel Strategy Consumer Focus Customer Relationship Management (CRM) Product Knowledge & Application Service Management System Generated Secondary Skills

Responsibilities & Key Deliverables 1) Implementation of various systems and process (as per the CI*Standards) in all the overseas dealerships to have smooth functioning of dealerships by rigorous planning and follow up. 2) Reduce the cost of warranty claims to improve the profitability of the business by taking new initiatives and effective administration of warranty claims (by providing immediate solution to the dealer/distributor this will also help in achieving customer satisfaction) 3) Coordination for Technical Training for dealers to improve Fix it right first time rate by consulting MILE, Igatpuri. 4) Review and monitor the parts stock at dealer s end to improve Parts Revenue by guiding dealers on stocking of original spare parts. 5) Address product issues that dealer may have to achieve dealer satisfaction by providing technical support in shortest time. 6) Interact with the Technical Team on regular basis for achieving improvements in product by providing a feedback (obtained from field). 1) Sales Volume impacted by availability of parts, processing of warranty claims, dealer training 2) Dealer Satisfaction Index support provided to the dealer in the form of trainings, technical support, service 3) Customer Satisfaction Index provide tech support to the end customers, CSR activities. 4) Parts Revenue providing guidance to dealers on stocking of parts and tracking regular consumption. Experience 2/3 yrs. in automobile (service) 4/5 yrs. of experience if diploma holder Industry Preferred Qualifications B. E (Auto/Mech)/ Diploma in Automobile Engg General Requirements

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 service packages, service coverage improvements, free services, post warranty jobs, annual maintenance contracts. Ensure meeting spare targets of all channel partners and company promoted oil targets. Ensure coordination for timely spare parts orders execution for channel partners. Ensure dealer CSI score targets are met by driving improvement action plans. To provide feedback on competition new service schemes launched to the head of service and the Zonal/ Regional Customer Care Manager. To provide timely and qualitative Product feedback about critical and new defects to HO Product Monitoring Cell. Ensure warranty claims process adherence at the channel partners level. To ensure installation and establishing the entire service infrastructure, systems and processes at new dealerships. Conducting service audits periodically as per the company norms. Ensure Product training of the dealer, workshop manager and service mechanics Preferred Industries Agriculture Implemen Automobile Education Qualification Bachelors of Technology; Bachelor of Engineering; Diploma in Engineering; Bachelors of Technology in Mechanical; Bachelors of Technology in Automobile; Bachelors of Technology in Agriculture; Bachelor of Engineering in Mechanical; Bachelor of Engineering in Automobile; Bachelor of Engineering in Agriculture; Diploma in Engineering in Mechanical; Diploma in Engineering in Automobile; Diploma in Engineering in Agriculture General Experience 1-4 Years of relevant experience as CCM Critical Experience Minimum 1 year of on roll field service experience handling 7-10 dealers / workshops branches. Working Farm Knowledge of Tractors, Farming and Implements. Handling business volume of Spares and Oil of minimum 2 crore revenues System Generated Core Skills Change Management Channel Strategy Consumer Focus Customer Relationship Management (CRM) Product Knowledge & Application Service Management System Generated Secondary Skills

Responsibilities & Key Deliverables 1) Implementation of various systems and process (as per the CI*Standards) in all the overseas dealerships to have smooth functioning of dealerships by rigorous planning and follow up. 2) Reduce the cost of warranty claims to improve the profitability of the business by taking new initiatives and effective administration of warranty claims (by providing immediate solution to the dealer/distributor this will also help in achieving customer satisfaction) 3) Coordination for Technical Training for dealers to improve Fix it right first time rate by consulting MILE, Igatpuri. 4) Review and monitor the parts stock at dealer s end to improve Parts Revenue by guiding dealers on stocking of original spare parts. 5) Address product issues that dealer may have to achieve dealer satisfaction by providing technical support in shortest time. 6) Interact with the Technical Team on regular basis for achieving improvements in product by providing a feedback (obtained from field). 1) Sales Volume impacted by availability of parts, processing of warranty claims, dealer training 2) Dealer Satisfaction Index support provided to the dealer in the form of trainings, technical support, service 3) Customer Satisfaction Index provide tech support to the end customers, CSR activities. 4) Parts Revenue providing guidance to dealers on stocking of parts and tracking regular consumption. Experience 2/3 yrs. in automobile (service) 4/5 yrs. of experience if diploma holder Industry Preferred Qualifications B. E (Auto/Mech)/ Diploma in Automobile Engg

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 service packages, service coverage improvements, free services, post warranty jobs, annual maintenance contracts. Ensure meeting spare targets of all channel partners and company promoted oil targets. Ensure coordination for timely spare parts orders execution for channel partners. Ensure dealer CSI score targets are met by driving improvement action plans. To provide feedback on competition new service schemes launched to the head of service and the Zonal/ Regional Customer Care Manager. To provide timely and qualitative Product feedback about critical and new defects to HO Product Monitoring Cell. Ensure warranty claims process adherence at the channel partners level. To ensure installation and establishing the entire service infrastructure, systems and processes at new dealerships. Conducting service audits periodically as per the company norms. Ensure Product training of the dealer, workshop manager and service mechanics Preferred Industries Agriculture Implemen Automobile Education Qualification Bachelors of Technology; Bachelor of Engineering; Diploma in Engineering; Bachelors of Technology in Mechanical; Bachelors of Technology in Automobile; Bachelors of Technology in Agriculture; Bachelor of Engineering in Mechanical; Bachelor of Engineering in Automobile; Bachelor of Engineering in Agriculture; Diploma in Engineering in Mechanical; Diploma in Engineering in Automobile; Diploma in Engineering in Agriculture General Experience 1-4 Years of relevant experience as CCM Critical Experience Minimum 1 year of on roll field service experience handling 7-10 dealers / workshops branches. Working Farm Knowledge of Tractors, Farming and Implements. Handling business volume of Spares and Oil of minimum 2 crore revenues System Generated Core Skills Change Management Channel Strategy Consumer Focus Customer Relationship Management (CRM) Product Knowledge & Application Service Management System Generated Secondary Skills

Summary: Technical expert with depth or breadth of knowledge within Quality Review and Audit. Applies standard techniques and procedures to routine instructions but requiring professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. Develops and distributes audit reports. Assists with third party audits by completing questionnaires, validating selected claims, responding to errors, etc. Identifies and recommends changes to improvements in department processing and procedures and assists in the development of audit guidelines. May develop and/or recommend training programs to address error trends. Provides guidance, coaching, and direction to more junior team members of the team. Acts independently working under limited supervision. Job Location: Bengaluru, India (Work from office) Work Shift: US Shift - 17:00 to 02:00 IST Responsibilities: Completes audits to ensure claim advocates understanding of current Cigna policies and procedures, including job aids, Articles, and alerts. This includes claim processing guidelines, regulatory requirements, contractual benefits, and specific customer circumstances. Understanding of the appropriate application of claim and other directional documents/tools is a key component of the quality assurance auditing process. Interfaces with matrix partners in relation to quality audit process, specifically address gaps identified through audit process and recommendations for gap closure. Completes review of documents related to audits to help ensure direction is clear and consistent with processing of work. Provides feedback to operations where updates may be required to drive consistency and accuracy. Completes inter-rater reliability exercises with peers, other quality roles and business owners to provide insight into review process. Understanding of the appropriate standard operating procedures and other directional documents/tools is a key component of the quality assurance auditing process. Provides a quality review voice in various workgroups pertaining to workflows, documentation and issues driving errors, in an attempt to continuously improve results. Supports, educates, and reinforces the workflows, processes, tools for the nurses. Provides support for internal and GSP sites based on business needs. Support Coaching and Training program and responsibilities when needed to Support for Business needs and requirements which could include answering Q&A, facilitate trainings, and Coaching s. Qualifications: Overall 5+ years of experience in Healthcare Claim Adjudication process (in that min 1. 5 years of auditing experience). US & International claims experience preferred. At least 1+ year Diamond claim processing experience required. Customer Service Driven; ability to meet and exceed the internal partner and external customer expectations. Proven outcomes in critical thinking and decision-making outcomes. Proven outcomes in problem solving skills; utilization of technical skills and resources to ensure accuracy of final resolution. Proven process improvement skills: ability to assess trends, processes, and barriers to drive positive outcomes for claim resolutions. Must be comfortable and effective working in a diverse environment; office and/or virtual environment (if any). Strong organization and time management skills; effectively adapts to multiple and/or competing priorities. Strong communication skills, both verbal and written; ability to adapt communication to the individual or audience. About The Cigna Group

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation 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 & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines

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 & approvals for partners by coordinating with internal Ops team Service Orientation Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership New Acquisition Banking Partners 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 Relationship Management 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

PRINCIPAL ACCOUNTABILITIES (Accountabilities associated with the job) Sales Execution Work on monthly and weekly targets as assigned by the supervisor Keeping a tab on daily MIS with respect to renewals, new business and roll over business As per the claims data and recommendations shared by RA, work on course correction measures with the IMDs Meet with new dealers and make presentations to potential dealerships for new business and accounts Create dealer codes and ID with rights assigned to dealership that are on boarded Address queries and provide resolution to agents and dealerships Drive the campaign/contest for the dealerships to drive sales in profitable segments Make pay outs as per grid and provide discounts as accordingly as well Relationships Management Maintaining relationships with two wheeler tie ups dealers and sub dealers to in effect to increase the top line Work with local service engineers to reduce claims amount and ensure documentation is available in the first go Daily check for updates on Agents Regular interaction with the dealer to maintain relationship Meet with dealerships where there are no tie ups and push for new business Coordinate with sales team to resolve claim issues raised by customers Sales reviews Review sales for dealerships along with the supervisor on a weekly and sometimes daily basis Keep a tab on claims ratio to make curse corrections and ensure profitability Review with IMDs weekly to push them to do new business

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation 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 & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines

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 Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation 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 Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines

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 & approvals for partners by coordinating with internal Ops team Service Orientation Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership New Acquisition Banking Partners 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 Relationship Management 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

At YASH, we re a cluster of the brightest stars working with cutting-edge technologies. Our purpose is anchored in a single truth bringing real positive changes in an increasingly virtual world and it drives us beyond generational gaps and disruptions of the future. We are looking forward to hire Banking, Financial Services and Insurance Professionals in the following areas : Digital Develop Digital/ Business Transformation Roadmaps Work on Digital Product implementation and Digital Service offerings as Business Analyst through agile practice Develop Customer Service/ Customer Delight Transformation Roadmaps Work on strategy development, global bench marking, internal bench marking, Industry PoVs Hands on in stake holder management, impact, and business benefit analysis Develop Process Maps and cross functional understanding Work on process transformation including measurement techniques (Design thinking, SIPOC) Financial Modelling of the benefits Participate in business development efforts, including proposal development, client presentations Domain Serve as the primary domain expert across underwriting, claims, operations, reinsurance, actuarial, financial, and regulatory processes, providing strategic guidance to internal teams and leadership. Lead and support digital transformation projects, including the adoption of automated underwriting, AI-driven claims processing, and digitalization of legacy systems. Analyze and interpret key business metrics (e. g. , loss ratio, expense ratio, retention rate, policy growth) to inform decision-making and drive operational excellence. Collaborate with cross-functional teams (IT, product, finance, compliance) to design and implement best-in-class insurance solutions and workflows. Monitor industry trends, regulatory changes, and emerging technologies to ensure compliance and maintain competitive advantage. Facilitate knowledge sharing and training sessions for new joiners and business stakeholders on insurance products, processes, and digital tools. Liaise with external partners, reinsurers, and auditors to ensure effective communication and compliance with treaty and statutory requirements. Identify and escalate opportunities for process improvement and operational efficiency to leadership Qualifications and Education Requirements Bachelor s/Master s degree in Insurance, Actuarial Science, Finance, Business, or related field. 10+ years of experience in the insurance industry with demonstrated expertise in underwriting, claims, reinsurance, actuarial, financial, and regulatory processes. Proven track record in supporting or leading digital transformation initiatives within insurance. Strong analytical skills with experience in insurance KPIs and business metrics. Excellent communication, stakeholder management, and training skills. Up-to-date knowledge of insurance regulations, products (Life, P&C, Health), and industry best practices. Strong communication and interpersonal skills Preferred Skills Ability to understand the various Tech/Digital tools and ability to work closely with Technology Architects Ability to handle large data Flexible to travel as per Project needs Experience with insurance technology platforms, digital adoption tools, and data analytics. Ability to work independently, manage competing priorities, and drive results in a fast-paced environment Our Hyperlearning workplace is grounded upon four principles Flexible work arrangements, Free spirit, and emotional positivity Agile self-determination, trust, transparency, and open collaboration All Support needed for the realization of business goals, Stable employment with a great atmosphere and ethical corporate culture

Educational Requirements Bachelor of Engineering Service Line Cloud & Infrastructure Services Responsibilities 5+ years of experience in Desktop support Strong Experience in windows 10 and 11 support. Able to manage a team of 10-20 members Mandatory to work 24X7 shifts Experience with scripting automation using Vbscript, powershell, or other scripting languages, with three years’ experience using PowerShell to automate task would be an added advantage. Preferred Skills: Technology-Database-Database- ALL Technology-EUC-EUC-Others Technology-Infrastructure-Storage-Administration-Server-Storage-Others-Pure Storage Technology-Storage Administration-NetApp

Job Summary We are seeking a skilled professional with 3 to 5 years of experience in the Life and Annuity domain for the role of SPE-Ins Claims. The candidate will work from our office during night shifts focusing on claims processing and analysis. This role requires a strong understanding of Life and Annuities Insurance to ensure accurate and efficient claims management contributing to the companys success and customer satisfaction. Responsibilities Analyze and process insurance claims in the Life and Annuity domain to ensure timely and accurate resolution. Collaborate with team members to identify and resolve discrepancies in claims documentation. Utilize domain knowledge to enhance the efficiency of claims processing and improve customer satisfaction. Maintain up-to-date records of claims and ensure compliance with company policies and industry regulations. Provide insights and recommendations to improve claims processing workflows and reduce processing times. Communicate effectively with internal and external stakeholders to facilitate smooth claims handling. Monitor claims trends and provide reports to management for strategic decision-making. Ensure adherence to quality standards and regulatory requirements in all claims processing activities. Support the development and implementation of new claims processing tools and technologies. Participate in training sessions to stay updated with industry trends and best practices. Assist in the preparation of claims-related documentation and reports for audits and reviews. Contribute to team meetings and discussions to share knowledge and improve processes. Engage in continuous learning to enhance domain expertise and professional growth. Qualifications Possess strong analytical skills and attention to detail for accurate claims processing. Demonstrate excellent communication skills for effective stakeholder interactions. Have a solid understanding of Life and Annuities Insurance to apply domain knowledge effectively. Show proficiency in using claims processing software and tools. Exhibit problem-solving abilities to address and resolve claims issues efficiently. Display a commitment to maintaining high-quality standards and compliance with regulations. Be open to working night shifts and adapting to a dynamic work environment. Certifications Required Certified Life and Health Insurance Specialist (CLHIS) or equivalent certification in Life and Annuities.

Responsibilities: Process and review Life insurance claims, ensuring adherence to company policies and guidelines. Verify claim documentation, including Death certificate , Employment details, medical records to rule out cause of death and co-morbidities, PMR, FIR , and other supporting documents. Examine insurance applications and documents to ensure accuracy. Communicate with claimants to obtain necessary information and explain the claim process. Assess the validity and coverage of claims, determining eligibility for reimbursement or settlement. Collaborate with claimants, insurance agents, and medical professionals to gather necessary information and resolve any claim-related queries or issues. Keep claim files organized, documenting all actions and decisions. Decision-Making: Determine claim payouts by verifying coverage and assessing the insurance policy. Collaborate with internal teams, such as underwriters and legal departments, to evaluate complex claims and ensure compliance with regulatory requirements. Keep up-to-date with insurance industry trends, policies, and regulations related to Life insurance claims. Requirements: DOCTORS Preferable. Degree in BMS/BAHMS/MBBS, etc (medical background) Previous experience in Life claims processing or a similar role within the insurance industry. In-depth knowledge of insurance principles, policies, and procedures, specifically related to Life Term insurance. Strong understanding of Life claim processing and settlement methodologies. Excellent analytical and problem-solving skills, with the ability to make sound decisions regarding claim eligibility and coverage. Attention to detail and accuracy in reviewing and processing claim documentation. Exceptional communication skills to interact effectively with claimants, insurance agents, and internal stakeholders. Proficient in using relevant software applications and tools for claim processing and record-keeping. Ability to work independently, manage multiple tasks, and prioritize workload effectively. Familiarity with regulatory guidelines and compliance requirements related to Life insurance claims. In addition to the above requirements, as an executive-level profile, the ideal candidate should also possess: Leadership skills to oversee and mentor a team of claims processors. Proven experience in managing and optimizing claims processing workflows. Strong problem-solving and decision-making abilities, particularly in complex or high-value claim scenarios. Excellent interpersonal skills to collaborate with senior management, stakeholders, and external partners. Demonstrated ability to analyze data, generate reports, and present findings to senior executives. Knowledge of strategic planning and business development concepts within the insurance industry.

Principal AccountabilitiesHow they are achieved/measuredManage 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 initiatives to enhance attachment ration & business volume through training and service. Tracking penetration performance and publishing dashboards, along with Group Operations. To measure & monitor the various metrics (Files and sum assured Penetration rates, seller activation, Claim denial rates/ pending rates, rejection ratios , medical TATs etc) , to minimize the same and adhere to TATs and contribute to product improvement. Monitoring and control process of Post Sales. Managing complete claims operation & end to end process. Principal AccountabilitiesHow they are achieved/measuredManage 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 initiatives to enhance attachment ration & business volume through training and service. Tracking penetration performance and publishing dashboards, along with Group Operations. To measure & monitor the various metrics (Files and sum assured Penetration rates, seller activation, Claim denial rates/ pending rates, rejection ratios , medical TATs etc) , to minimize the same and adhere to TATs and contribute to product improvement. Monitoring and control process of Post Sales. Managing complete claims operation & end to end process.

You will be joining a leading healthcare industry for the position of Claims / Senior Claims Voice Process based in Chennai. The ideal candidate should have 6 months to 1 year of experience in Health care US Shift in medical billing as an AR Caller. The qualification required for this role is any degree. As a part of the job responsibilities, you will be responsible for handling claims and voice processes related to healthcare. The role involves working in night shifts. The compensation offered includes a good hike from your current CTC. If you possess a minimum of 1 year of experience in the healthcare industry and as an AR Caller, it will be considered a preference. This is a full-time job opportunity with a day shift schedule and the work location is in person. If you find this opportunity exciting and align with your career goals, please share your resume with us at nandhini.s@cielhr.com.,

You should have hands-on experience in Product or benefits configuration with Networx skill set. Exposure to pricing would be an added advantage. It is essential to possess exposure and a basic understanding of core Facets functions such as claims, membership, and provider, along with a working knowledge of underlying data models. Effective coordination and communication skills are required to address technical clarifications and questions with onsite teams to ensure quality deliverables and support system integration testing conducted by testing teams. With over 3 years of experience in Facets applications, you must have domain expertise in Healthcare and Facets Configuration. Proficiency in Agile processes and the ability to work independently towards achieving quality deliverables are mandatory for this role.,

Role: Handle Motor third party claims for particular states. Review investigation reports Drive TP claim settlement before Courts / Lok Adalat Interact with External Counsels to brief them to present the Company s defence effectively before the Courts. Review the performance of Advocates. Conduct periodic review and monitor the claims. Work out a litigation strategy for the regions handled to enable proper decision making. Review of high value TP claims handled for reserve adequacy and effective defence Candidate must have: - Strong communication & coordination skills - Ability to engage with External Advocates & stakeholders within the Company - in-depth market knowledge w.r.t. Court procedures and local practices - Ability & passion to drive the performance to achieve the set objectives - Analytical mindset - Need to know local language- , Hindi & English - Conversant with system MS Office Qualifications LLB About Us At Liberty General Insurance , we create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued, and their growth championed. We have an employee strength of 1200+ spread over a network of 116+ offices in 95+ cities, across 29 states. Our partner network consists of about 5000+ hospitals and more than 4000+ auto service centers. We believe and live by our values every day - Act Responsibly, Be Open, Keep it Simple, Make things better and Put People First. For learning about our key USPs, you can go visit our website. Working with Liberty also provides you an opportunity to experience One Liberty Experience . We create the One Liberty experience through Providing Global exposure to employees by including them in cross country projects that gives them opportunities to work with diverse teams within & outside India. Fosters Diversity, Equity & Inclusion (DEI) to create equitable career opportunities Flexi Working arrangements. If you aspire to grow & build your capabilities to work in a global environment, Liberty is the place for you!

The Category Manager oversees the strategy, sourcing, negotiation, and contracting of highly complex services and products at Lumen. The Category Manager is responsible for developing and implementing procurement strategies that align with the business objectives and optimize the value and performance of the suppliers. This position monitors market trends, analyzes spend data, identifies risks and opportunities, promotes diversity and sustainability, and manages critical supplier relationships and performance. The Main Responsibilities Category analysis & monitoring Conduct internal & external analysis of category (eg, spend at sub-category, supplier & BU level; market conditions with supply/demand, should-cost modeling) coordinate with internal Reporting & Analytics to leverage off-the-shelf analytics. Track changes in supplier landscape, market dynamics, & innovation opportunities within category. Ensure category spend across all business segments is represented. Prepare content for and lead strategy discussions at the VP level and above. Category strategy & planning Incorporate findings from analyses into annual category strategy plan, in addition to business unit goals & budget targets. Identify and pursue levers to drive savings via RFPs, negotiations, demand management, value engineering, etc Contracting Manage high-complexity contracts and assist with handing off tactical contracts to Contracting Excellence team. Utilize pre-approved supplier contracts based on spend threshold / risk with standardized legal terms. RFX strategy & planning Develop RFX strategy within category to drive savings. Manage high-complexity RFX events, work with the RFX Execution team to handle tactical execution. Stakeholder relationship management Use seat at the table with the business to align on strategic agenda & understand upcoming needs. Establish defined calendar for key meetings to track progress / drive issue resolution in category (eg, part of staff meetings, conduct monthly / quarterly planning sessions, Engage cross-functional team on budget targets). Supplier relationship management Own relationships as primary point of contact for suppliers inside your category, including orchestrating interactions & preparing with business stakeholders on supplier communications beforehand (eg, annual target setting, QBRs on performance & SLAs, joint initiative pursuits). Manage/monitor supplier performance on a regular basis; provides constructive feedback to the supplier for continuous improvement. Identify strategic suppliers & tier into segments based on spend, business criticality, and market dynamics that need to be tracked closely by procurement. Identify situations where Lumen has limited suppliers in a key category or has multiple suppliers that are impacted by the same risk factors and identify alternatives. What We Look For in a Candidate Bachelors degree and or relevant experience. Minimum 8 plus years of related experience. Demonstrated exceptional interpersonal and communications skills useful for managing senior level internal relationships, and complex suppliers. Experience overseeing supplier relationships for an assigned set of products and/or services including regular supplier performance reviews and discussions. Proven background in negotiating high complexity, and high dollar contract negotiations in a fast-paced environment. Ability to work independently and in a team environment; self-motivated; strong analytical and problem-solving skills; ability to process large amounts of often complex data; detail oriented. Intermediate to advanced professional experience in reviewing contract terms. Strong to expert knowledge of procurement systems such as SAP and Ariba. Excellent time management and organizational skills. Experience working in a fast-paced, high visibility environment with frequently shifting priorities. Advanced Microsoft Office skills, intermediate to advanced Excel.

We are seeking an experienced Principal Azure AD B2C Engineer to lead the design, build, maintain secure IA Lead the design and architecture of Azure AD B2C tenant(s). Define custom policies (Identity Experience Framework) and user journeys. Ensure scalable, secure, and user-friendly identity experiences. Develop and maintain custom user flows using Custom Policies (IEF) and RESTful APIs. Integrate multi-factor authentication (MFA), social identity providers (Google, Facebook, etc), and external systems. Configure and troubleshoot claims, tokens, SAML/OIDC flows, etc Implement security best practices (eg, B2C session management, token lifetimes, IP restrictions). Ensure compliance with privacy regulations (GDPR, CCPA) and internal security policies. Conduct security assessments and threat modeling for B2C apps. Work with product managers, security teams, and application developers to gather identity requirements. Communicate technical concepts to non-technical stakeholders. Act as a subject-matter expert (SME) for Azure B2C across teams. Mentor junior engineers and identity specialists. Define and enforce development standards, code reviews, and best practices. Lead technical strategy and roadmap planning for CIAM. Set up monitoring, alerting, and logging (eg, using Application Insights). Troubleshoot authentication issues, token problems, and integration failures. Analyze user flow telemetry for performance or behavioral insights. Stay updated with Azure B2C roadmap, new features, and Microsoft security announcements. Optimize user journeys for performance, UX, and conversion. Evaluate and integrate new identity technologies or partners (eg, passwordless, biometric). Strong communication skills to liaise between stakeholders, developers, and security teams. Experience in requirement gathering, solution documentation, and stakeholder presentations. Proven project leadership in implementing identity solutions end-to-end.

Business planning to drive channel growth Drive the P&L for business from Brokers to deliver topline (gross premium) targets on a monthly basis and maintain a good claims ratio and profitability targets Study the Brokers markets and enforce the correct sales strategies, product mix, processing and backend support to increase sales from the channel Take commercial decisions for smaller relationships and make recommendations for bigger clients to the supervisor Create a viable pipeline for new tie-ups, identify and capitalize on new business opportunities by acquiring new partners, introduce innovative need-based product bundling, implement process changes as required thereby sustaining growth from the new opportunity over a period of time Oversee and support the team in preparing product presentations to pitch to new clients Develop long term profitability and growth path (through LRP & AOP process) in consultation with supervisor for enhancing growth from the Broker channel 2. Relationship Management Interact and liaise with channel partners to understand their requirements, manage any escalations and map products accordingly to drive high sales and business Maintain good relationships with existing partners by designing campaigns, planning tours, trips for channel partners and the BAGIC Broker team Identify and acquire new partnerships especially large deals in the property, health & corporate segments Identify new products requirements/ customization required in existing products and engage as a part of the product committee to develop products that would help the business. Also provide key marketing inputs and guidance to the sales team. Coordinate with internal teams to obtain approvals, get quotes and prepare presentations accordingly for new and existing channel partners 3. Functional Review Monthly and quarterly review with the team to monitor achievement of individual targets, discuss business issues and design action plans to course correct, if required Periodic reviews with the supervisor on the channel s performance and growth 4. Team Management Participate in recruitment process to identify right talent for various positions within the team Establish individual performance expectations and regularly review individual performance of the team; call out and reward best practices and provide guidance for corrective action where required Support team members in delivering their responsibilities in business as usual by keeping them motivated, resolving their concerns/ challenges, if any and maintaining a positive team spirit and harmony