4480 Claims Jobs - Page 9

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies: (Job related) Computer Savvy Should have working knowledge of MS-Office Soft Skills: (Job related) Comprehend English Language and average communicator Commitment to achieving deadlines Ability to make sound judgment calls and be decisive

The core purpose of this role is to handle all the Lost & Found property found inside the airport and its premises as well as prohibited items confiscated by the designated authority at RGI Airport. Receiving of such items/valuables/cash, its safe custody, restoration upon claims and disposal of unclaimed articles/valuables/cash as per prescribed process adds to the role. ORGANISATION CHART KEY ACCOUNTABILITIES Accountabilities Key Performance Indicators Ensure the ILB Screeners certification is not lapsed and also clear the BCAS proficiency tests as per prescribed schedule to keep the certification valid (Mandatory) BCAS screeners certification test results Inspection/analysis of images of ...

DEPARTMENT MicroMortgages REPORTSTO ClusterManager Micro Mortgages REPORTINGINTO RelationshipOfficer Micro Mortgages ROLEPURPOSE & OBJECTIVE ManagingEnd to End sales life cycle of tapping prospects throughmarketing activities, understanding their requirement andrendering advice Negotiatingcommercials, timely disbursement of loan and providing other BankProducts. Implementingtactics to enhance market penetration through Bank branches,Connectors, customer referrals and marketing activities. Toset up distribution through builder Empanelment (APF), Applicableto all loan officers with 12 Months of service SIZEOF THE ROLE FINANCIALSIZE NON-FINANCIALSIZE Costof hiring and placing new Relationship O...

As a Product Head for Travel Insurance, you will play a crucial role in leading the product strategy, development, and growth of our travel insurance business. Your responsibilities will include: - Defining and driving the product vision, strategy, and roadmap for the travel insurance portfolio. - Leading end-to-end product lifecycle management from ideation, market research, design, development, and launch, to ongoing optimization. - Partnering with cross-functional teams (underwriting, claims, operations, sales, technology, marketing, compliance) to deliver innovative and customer-centric insurance solutions. - Tracking market trends, competitor offerings, and regulatory changes to identif...

As an experienced QA professional with over 10 years of experience in the field, you will be responsible for leading the QA strategy, planning, and execution for InsurTech products focused on P&C insurance. Your role will involve designing and implementing manual and automated test plans across various testing types such as functional, regression, integration, and performance testing. Collaboration with cross-functional teams will be key to effectively translating business requirements into test strategies. Ensuring complete test coverage for Cat modeling workflows using RMS and AIR will also be a part of your responsibilities. Additionally, you will be expected to build and maintain automat...

About Us: AM Medical IT Solutions is dedicated to offering high-quality, cost-effective services to the medical and dental industry. We specialize in medical and dental revenue cycle management, including inpatient and outpatient services, account receivable recovery, physician credentialing, contract negotiations, practice management, Chronic Care Management, Patient-Centered Medical Home, software support, and business succession consultations. For years, AM Medical IT Solutions has been a trusted partner for solo practitioners, group-practice physicians, and hospitals, helping them meet their needs and grow. Role : AR Associate/Sr AR Associate Job Responsibilities: Manage AR calls to reso...

Urgently Hiring for Associate Service Consultant-Underwriting Salary - 3 LPA - 4.5 LPA + (Incentives) Job Location - Gurugram Share your resume to HR Nikita: 9717102713 / 9773626804 Immediate Joiner Preferred Role Description This is a full-time on-site role for an Underwriter at Policybazaar.com, located in Gurugram. The Underwriter will be responsible for assessing and evaluating insurance applications, analyzing risk factors, determining policy terms, and reviewing insurance contracts. They will also collaborate with insurance agents and brokers to review applications and provide expert advice on underwriting policies. Qualifications Strong analytical and problem-solving skills Ability to...

In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Benefit Configuration . With over 1 year of experience as a Supervisor . Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep in...

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by...

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts...

Job Title - Area Tax Associate Manager EMEA > Management Level : Location:Bangalore Must have skills: V&A, M&A Good to have skills: Job Summary : This is an exciting opportunity to join the Accenture EMEA tax team working primarily in the V&A function. This function is a key part of the tax team and provides the opportunity to work with all members of the EMEA and wider Accenture tax team. The role will focus primarily on providing tax due diligence and post-acquisition integration support on V&A deals. You will be working closely with other members of the tax team as well as other key functions such as Corporate Development, Legal, Controllership and Treasury. Roles & Responsibilities: Coor...

About The Role Skill required: Delivery - Supply Chain Supply Planning Designation: I&F Decision Sci Practitioner Analyst Qualifications: Any Graduation/Advance Diploma In Mechanical / Manufacturing Engineering Years of Experience: 3 to 5 years What would you do? In today s business environment, growth isn t just about building value-it s fundamental to long-term business survival. So how do organizations sustain themselves? The key is a new operating model that s anchored around the customer and propelled by intelligence to deliver exceptional experiences across the enterprise at speed and at scale. You will deliver breakthrough business outcomes for clients-by harnessing talent, data and i...

About The Role Skill required: Supply Chain - Warranty Management Designation: Business Advisory Associate Qualifications: BE Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embra...

#Location- Ahmedabad # Record Retrieval Specialist #Salary -23K CTC #International Voice Process #Freshers can also apply #Good English Communication

We are looking for a highly motivated and enthusiastic individual to join our team as a Helper in the hospitality industry. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Assist with daily tasks and operations to ensure smooth service delivery. Provide exceptional customer service, responding promptly to guests' needs and resolving issues professionally. Maintain high standards of cleanliness and hygiene in all areas. Collaborate with colleagues to achieve common goals and objectives. Participate in ongoing training and development programs to enhance skills and knowledge. Contribute to the overall success of the organization through positive attitude and t...

Experience with Guidewire Policy/Billing/Claims(anyone) is a must and should have worked on multiple projects Minimum 6+ years of total experience Minimum 5+ years of experience as a Guidewire Business Analyst Strong communication and interpersonal skills Thorough knowledge and experience of agile methodologies. Skilled at writing detailed Software Specifications (SRS), use cases, and wireframes. Strong background using defect-ticketing software (such as Rally, JIRA, etc.) to document software requirements, user stories, defects for development teams. Experience working daily in cross-functional teams. Skilled at negotiating consensus among departments that request sometimes conflicting or i...

Act as a strategic advisor to the executive team on IT-related challenges and opportunities. Provide insights into emerging trends such as cloud computing, cybersecurity, and AI-driven solutions. Help shape the companys long-term technology roadmap. Candidates should have experience in IT leadership roles within Fortune 500 companies or high-growth startups. Ability to mentor CTOs and tech teams is an added advantage. Mandatory Key Skills Cybersecurity,AI,IT leadership,IT Infrastructure,Strategic Advisory,Cloud computing*

Job Title: Inpatient Admission and Billing Associate Company Name: Manipal Hospitals Job Description: The Inpatient Admission and Billing Associate is responsible for managing the admission process of patients into the hospital, ensuring a seamless and efficient experience from arrival through the billing process. This role involves collaborating with various departments to coordinate patient admissions, verifying insurance information, collecting necessary documentation, and ensuring accurate billing procedures are followed. Key Responsibilities: - Greet and assist patients during the admission process, ensuring a welcoming and professional environment. - Collect and verify patient informat...

SUMMARY Hiring Area sales manager at Kolkata, salary upto 10lpa Job Title: Sales Executive Field sales / General Trade Location: Kolkata (Only local candidates can apply) Salary: Up to 10 LPA Role Overview: We are seeking an experienced Area Sales Manager to drive field sales, expand distribution, and lead a team of Market Growth Representatives (MGRs) in Kolkata. This role demands strong leadership, market knowledge, and a proven track record in FMCG/General Trade sales . Key Responsibilities: Meet daily/weekly sales targets (Primary & Secondary) Lead & support a team of MGRs Open new outlets & maintain good retailer relationships Ensure in-store visibility and merchandising Track company a...

Role: Manager/Senior Manager - Accident & Travel Claims Job location: Goregaon East Position Overview: A Claims Manager in the Accident & Travel department oversees the processing and settlement of claims related to travel accidents and incidents. They ensure timely, accurate claims assessment, manage a team of adjusters, and maintain compliance with legal and policy guidelines while delivering excellent customer service. Additionally, they are responsible for mitigating risk and resolving complex claims efficiently. Role & responsibilities: Involvement in daily claim processing Regular Updating of Claims System data Calling customers for intimation details & reminders E-mail & letter commun...

Job Summary: We are seeking a dynamic and results-driven Area Sales Officer (ASO) to join our Healthcare Division in the OTC segment. The ASO will be responsible for driving primary and secondary sales in the assigned territory, expanding retail distribution, and ensuring effective visibility and promotion of OTC products. This role plays a key part in increasing market share and enhancing brand presence at the ground level. Key Responsibilities: Achieve monthly, quarterly, and annual sales targets for the assigned OTC product portfolio. Manage and grow the existing network of distributors, stockists, chemists, and retailers. Ensure timely placement of orders and execution of product supply ...

Over 7 years of experience in Property & Casualty Insurance, with a solid understanding of underwriting, claims, and policy servicing processes 2+ years of team handling experience managing performance, mentoring, and daily task allocation Skilled in Process Management, including MIS reporting, monitoring team KPIs, and driving operational excellence Strong background in the BPO/KPO industry, with a focus on insurance-related operations Excellent communication skills with experience in client interactions and cross-functional coordination Flexible and comfortable working in US shifts Mandatory Key Skills - Property & Casualty Insurance,MIS reporting,operational excellence,Client Relatinship ...