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3.0 - 7.0 years
5 - 6 Lacs
Nagpur
Work from Office
Designation Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 3 years to 5 years Relevant Experience – 2 years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider Office Timings – UK evening shifts Working days- Mon-Fri Week offs – Sat & Sun Off
Posted 1 month ago
3.0 - 8.0 years
6 - 8 Lacs
Nagpur
Work from Office
Designation Assistant Manager/Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 5years or 3years Relevant Experience 2years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider. Office Timings UK -US shifts Working days- Mon-Fri Week offs Sat & Sun Off If above skills sets matches your current & prior experience than kindly share your updated resume @ VrushaliD1@hexaware.com or connect me on whats app with your updated resume 8999838823 for a role model discussion.
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Bengaluru
Work from Office
HI Warm Greetings from Rivera Manpower Services , WORK LOCATION : Bangalore Note : Candidates who are willing to Relocate to Bangalore Can apply. Minimum 3 YEARS Experience in Property and Casualty Insurance /Motor Insurance for US market Can apply Call and book your Interview slots DIVYA - 9513900439 (Whatsapp the cv if number is busy) JD for Senior Process Analyst In this role, Underwriter Assistant assists the Branch Underwriter & plays a vital role in maintaining customer relationship through timely & accurate services. A person will act as a liaison between multiple parties including Branch Underwriter, Policy Servicing Team, Insurance Carriers, and Insurance Brokers, etc. by answering questions & providing detailed information about the accounts/policies via Phone Calls or Emails. To ensure success, Underwriter Assistant should have a friendly and professional attitude, excellent communication skills, and the ability to stay calm under pressure. Should have good understanding of Insurance Domain & minimum experience of 2 years in P&C Insurance. Must have a knowledge of Insurance Life Cycle & worked into minimum 2 different processes. Being an integral part of the production (sales) team in USA, should be ready to work in Night Shift India Time. Work experience in Surplus Lines Insurance or with Managing General Agent (MGA) or with Insurance Broker would be an added advantage. Primary Responsibilities Assist Underwriters in day-to-day duties by: 1. Co-ordinating & collecting information from different stakeholders that requires for underwriting & binding accounts/policies, 2. Binding policies in Carrier as well as Agency Management System along with Invoicing & delivering the same to the clients, 3. Follow-up with clients for bind request, pending information, inspection report recommendation implementation, 4. Ensure all documents/information available in file for policy servicing teams, 5. Handling questions & communication with stakeholders via email & inbound/outbound calls, 6. Updating & ensuring compliance to SL affidavits requirements, 7. Triaging endorsements & cancellations, 8. Facilitating & managing miscellaneous activities that do not require Underwriting decision making Excellent verbal & written communication Graduate with 3+ years of experience in an Insurance domain (P&C /BFSI) Flexible & customer focused Strong problem solving and analytical approach Proactive & accountable Skilled in multi-tasking & prioritizing Exposure to complaints & escalations management Prioritization of work received through different channels Best regards, DIVYA - 9513900439
Posted 1 month ago
0.0 - 3.0 years
3 - 4 Lacs
Mumbai
Hybrid
Domain (Insurance) Job Title: Analyst/Senior Analyst (Administrator) Start Date (Provisional): 1 Month or less Contract Length: 1 Year initial with extensions Preferred Location: Powai, Mumbai Qualifications: Minimum Graduate Strong written and verbal communication Minimum 6 months of work experience in US Insurance Operations Work model: Hybrid (2-3 Months onsite) Shift timings: US or UK Shift What you need to have: Essential: Graduate in any field Flexible to work in any shifts as per business requirement Expected shift timing 2:30 PM to 11:30 PM or 6:30 PM to 3.30 AM Excellent command on written and oral communication. Play a key role in building and transitioning functional capability to the service centre. Manage your book of work and ensure timely delivery on all cases as per SLAs (i.e. Meet SLAs on Accuracy, Productivity, and TAT as per agreed standards) Understand the process and execute case/request per the training provided and guidelines outlined in process manuals. Completing all training-related activities when assigned Any processing delays or open queries to be escalated to PL/TMs after due investigation. Any escalation or complaint received from clients or stakeholders should be notified to the line manager. Ensure adherence to policies & procedures as per organization standards and laid out SOPs. Ensure operational risks are highlighted on time and escalated to proper authorities for corrective action. Adherence to data and information security guidelines.
Posted 1 month ago
1.0 - 4.0 years
7 - 17 Lacs
Hyderabad
Work from Office
In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed Receive direction from supervisor and escalate questions or issues Interact with immediate team and functional area on wider range of information, plus internal or external customers Required Qualifications: 1+ years of Customer Service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education Job Expectations: Must be able to attend full duration of required training period Ability to work additional hours as needed Must work on-site at the location posted Must be flexible to work on weekends Must be flexible to work in multiple shifts
Posted 1 month ago
0.0 - 5.0 years
1 - 3 Lacs
Ahmedabad
Work from Office
To Assist the team in Contract management, maintain records, documentation, collection, preparing contract letters, etc. Required Candidate profile Any Graduate with good verbal and written communication skills. Freshers are also welcome to apply. If interested, updated CV to be mailed at joohi.mekvan@patelinfra.com.
Posted 1 month ago
6.0 - 9.0 years
8 - 11 Lacs
Chennai
Work from Office
Role Summary: This job provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees. Essential Responsibilities Analyze Claims Tickets - Research/analyzes provider/Claims issue at hand Determines if provider/claim specific or global issue Actions taken could be ticket submissions to HMHS, pricing updates, provider file updates, collaboration with various internal stakeholders or Provider Relations, communications sent to Operations on global issues Requests cleanup report once issue is corrected, if required Follows cleanup through completion and notifies Provider Relations Facilitate process improvement meetings and/or discussions. Analyze the functions and operations of a business area/function and identify problem areas. Create process mapping and document current and future state business processes. Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies Assist in the development of desktop procedures and/or training material. Coordinate, monitor, and report on the progress of clean-up projects to ensure adherence to defined project schedule Communicate effectively with customers and colleagues. Successfully articulate issues, problems, and solutions. The experience we are looking to add to our team require: 6-8 years experience in Claims and Adjustments in Federal Employee Program (FEP) business Skills: Business Analysis skills Claims and Adjustment subject matter expertise Can adjudicate and adjust the claims Bluecard Home and Host knowledge Strong claims research skills are a must High level of systems and business knowledge Knowledge of INSINQ, Oscar, OCWA, CPBRE (Oscar Benefits), FEP Direct Business Process Improvement Collaborative Problem Solving Excellent analytical and problem-solving skills Bachelors or masters degree in any discipline Good verbal and written skills Good analytical and interpersonal skills Exceptional people management Good to have: AHM or any equivalent certification Additional quality/operational certifications Business acumen on Adjustments and Offset/Recovery
Posted 1 month ago
8.0 - 12.0 years
7 - 10 Lacs
Howrah
Work from Office
Responsibilities Contracts Management Dispute strategy management Claims Management Arbitration/Litigation support Tender Audit Designation: Deputy Manager/Manager - Contracts & Claim
Posted 1 month ago
1.0 - 3.0 years
3 - 4 Lacs
Bengaluru
Work from Office
Roles and Responsibilities Manage claims from receipt to settlement, ensuring timely processing and quality delivery. Coordinate with internal teams (e.g., underwriting, customer service) and external parties (e.g., brokers, agents) for smooth claim handling. Conduct thorough investigations into claims, gathering relevant information and evidence to support decisions. Ensure compliance with regulatory requirements and company policies throughout the claims process. Maintain accurate records of all interactions related to claims management.
Posted 1 month ago
3.0 - 8.0 years
3 - 6 Lacs
Noida
Work from Office
Hiring for SME - Property & Casualty Insurance(Only Immediate Joiners) with a leading International Outsourcing Company in Noida Location. Share CV Mohini.sharma@adecco.com OR Call 9740521948 Job Location - Noida Sector-135 Position - SME Skill - P&C Insurance Domain Shifts - US Night Shifts Work Type - Work From Office Only CTC - Max Upto 6.5 LPA Exp: Graduate with minimum 3.5 to 5 years of work experience ESSENTIAL SKILLS: Graduate with minimum 3.5 years of overall BPO experience Flexible to work in night shift timings Good Domain Knowledge Property and Casualty Insurance, Specially in Small Commercials, Personal line, Property, Homes, Auto, valuables etc. Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams
Posted 1 month ago
10.0 - 15.0 years
15 - 18 Lacs
Gurugram
Work from Office
He/She will be responsible for managing claims for all non-EB insurance products primarily. EB Claims knowledge is a plus.Need to be consistent and well versed with insurance claims. Mail cv- jagjeet@blissladder.com Call-9967529204
Posted 1 month ago
0.0 - 2.0 years
1 - 4 Lacs
Jaipur
Work from Office
Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.
Posted 1 month ago
0.0 - 1.0 years
1 - 4 Lacs
Chennai
Work from Office
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA, Inc. currently seeks a BPO HC & Insurance Operations Senior Representative to join our team in "Chennai or Coimbatore " Position's General Duties and Tasks Required. In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims for this role include- 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims for this role include- 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.
Posted 1 month ago
0.0 - 1.0 years
1 - 4 Lacs
Coimbatore
Work from Office
In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims. for this role include- 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.
Posted 1 month ago
3.0 - 8.0 years
3 - 6 Lacs
Noida
Work from Office
Urgent Hiring for SME - Property & Casualty Insurance(Only Immediate Joiners) with a leading International Outsourcing Company @ Noida Location. Job Location - Noida Sector-135 Position - SME Skill - P&C Insurance Domain Shifts - US Night Shifts Work Type - Work From Office Only CTC - Max Upto 6.5 LPA Exp: Graduate with minimum 3.5 to 5 years of work experience ESSENTIAL SKILLS: Graduate with minimum 3.5 years of overall BPO experience Flexible to work in night shift timings Good Domain Knowledge Property and Casualty Insurance, Specially in Small Commercials, Personal line, Property, Homes, Auto, valuables etc. Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams If Interested , Apply at neeta.yadav@adecco.com or can reach out to 6364920546 .
Posted 1 month ago
7.0 - 12.0 years
10 - 15 Lacs
Noida, New Delhi, Gurugram
Work from Office
Position: Claims Manager - Motor Insurance (OEM Business) Location: Pratap Nagar, Delhi Exp- Min 7 Years Job Summary: We're looking for a proactive and detail-oriented Claims Manager to handle motor insurance claims in partnership with OEM-authorized service centers. In this role, youll guide customers through the claims process, coordinate with partners and surveyors, and ensure claims are processed smoothly and fairly. Your job is to make sure every claim is handled efficiently, accurately, and with a customer-first mindset. Key Responsibilities: Manage end-to-end motor insurance claims, from registration to settlement, including coordination with Insurance Companies and partners. Act as the main point of contact between clients, insurers, surveyors, OEMs, and garages to ensure smooth communication and quick resolution. Review and verify claim documents, estimate costs, and ensure accurate and fair claim processing. Track claim status, follow up regularly, and maintain TAT and service quality standards. Handle escalations professionally, resolve disputes efficiently, and flag potential fraud or discrepancies. Maintain claim records, generate periodic reports, and identify trends to improve processes and turnaround time. Required Skills: 7-10 years of extensive experience in motor insurance claims, preferably with Insurance Broker Strong knowledge of insurance policies. Excellent communication, coordination, and analytical skills. Proactive approach with the ability to manage multiple claims efficiently. Proficient in MS Office and claims management tools. Availability for immediate joining or within a short notice period. Educational Qualifications: At least a Bachelors degree in any discipline is required, with a strong preference for candidates holding a degree in Mechanical Engineering . Additional professional certifications in Insurance, Risk Management, or related fields (e.g., CAIIB, CII Certification) will be considered an asset. Formal training or diploma in Motor Insurance or Claims Management is desirable. How to apply: Wed love to hear from you. Please send your updated CV to irecruitment@smcinsurance.com or whatsapp on 9311213961
Posted 1 month ago
3.0 - 8.0 years
2 - 6 Lacs
Noida
Work from Office
Urgent Hiring_ SME (Only Immediate Joiners) for Property & Casualty Insurance with a leading International Bpo @ Noida Location. SME - Graduate with minimum 3.5-5 years of work experience Skill - P&C Insurance Domain Shift - US Night Shift Work Type - Work From Office Location - Noida, Sector 135 Ctc- Max 6.5 Lpa Apply- rohita.robert@adecco.com ESSENTIAL SKILLS/PERSONALITY TRAITS: Resources executing day to day activities of the engagement Strong analytical, logical and data management skills preferred Service Excellence orientation MS Office Skills Basic keyboarding skills and computer skills of data entry Personal effectiveness skills Prioritizes and tracks own activities Follows documented processes Documentation of own work on a daily basis Interpersonal skills Strive to understand and resolve issues/queries at the first instant Keeps own work aligned with teams requirements
Posted 1 month ago
2.0 - 3.0 years
4 - 6 Lacs
Uttar Pradesh
Work from Office
Create the future of e-health together with us by becoming a Claims Management Associate As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry. What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate. Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession-proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks. What you can do for us: Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. To prioritize the pending claims for calling from the aging basket. Should be able to convince the claims company (payers) for payment of their outstanding claims. To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management in a timely manner. Review provider claims that have not been paid by insurance companies. Handling patients billing queries and updating their account information. Post cash and write off the contractual adjustments accordingly while working on the accounts. Meeting daily/weekly and monthly targets set for an individual. Potential Profile: Should be willing to work in US Shift. (Night Shift) Graduation is Mandatory. Experience in US Healthcare Revenue Cycle Management process. Strong written and verbal communication skills. Good computer skills including Microsoft Office suite. Ability to prioritize and manage work queue. Ability to work independently as well as in a team environment. Strong analytical and problem-solving skills. Good typing skills with a speed of min 25-30 words /min. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.
Posted 1 month ago
8.0 - 13.0 years
5 - 10 Lacs
Agra
Work from Office
Roles and Responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and compliance with company policies. Coordinate with various departments (e.g., underwriting, risk management) to resolve claim-related issues. Conduct thorough investigations into accidents, damages, or losses to determine coverage eligibility. Negotiate settlements with insured parties or third-party representatives as needed. Maintain accurate records of all interactions related to claims management.
Posted 1 month ago
3.0 - 6.0 years
5 - 7 Lacs
Pune, Mumbai (All Areas)
Work from Office
Hiring for: Senior Analyst – Marine Claims Location: Mumbai (Hybrid) Experience: 3 Years + Domain: Marine Insurance Claims AIC, AINS, Cert CII preferred Apply today or share with someone who fits! Contact: 8291772291
Posted 1 month ago
2.0 - 5.0 years
4 - 4 Lacs
Bengaluru
Work from Office
Company: Sutherland Global Services Job Title: Senior Claims/Insurance Executive Position Level: L2 Employment Type: Full-Time Work Model: Brick & Mortar (On-site) Process Type: Blended Process Package: 4.0 4.5 LPA (Based on Experience & Skills) Experience Required: Minimum 2 years of relevant experience in Insurance or Claims Processing Preference will be given to candidates with Motor Claims experience Key Responsibilities: Handle end-to-end claims processing and insurance operations within a blended process model Ensure accurate and timely resolution of insurance claims in line with company policies and procedures Liaise with internal teams, clients, and insurers to gather and verify required documentation Maintain a high level of accuracy and attention to detail in claim evaluation and documentation Provide prompt responses and resolutions to queries and escalations Ensure strict compliance with industry regulations and internal standards Mandatory Requirements: Excellent communication skills in English – both written and verbal Strong understanding of insurance terms, processes, and documentation Ability to work independently and collaboratively in a fast-paced environment Proficiency in MS Office tools and digital claim processing systems Interview Process: HR Round Assessment Managerial Round Preferred Candidate Profile: Detail-oriented and organized Strong analytical and problem-solving skills Customer-focused with a professional approach Prior experience in a corporate insurance/claims environment Job Location: Unit No. 202, 2nd Floor, Campus D, Centennial Business Park, Kundalahalli Main Road, EPIP Area, Bangalore, Karnataka, India – 560066 Walkin now to be a part of a dynamic and growing team!
Posted 1 month ago
10.0 - 14.0 years
5 - 9 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProblem-solving skillsHands-on experience with trouble-shootingStrong analytical skillsWritten and verbal communicationClaims Administration Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 month ago
5.0 - 8.0 years
4 - 8 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingClaims AnalysisClaims AdministrationPayer Claims ProcessingStrong analytical skillsWritten and verbal communicationResults orientationDetail orientationAbility to perform under pressure Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 month ago
5.0 - 10.0 years
2 - 4 Lacs
Noida
Work from Office
As a Process Associate – Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communication skills – English (both written & verbal) Proactive and high analytical skills; should foresee issues and suggest solutions, with impactful data Basic Computer knowledge along with typing speed of 35 words/minute Preferred technical and professional experience Proficient in MS Office applications Self-directed and ambitious achiever Meeting targets effectively Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills
Posted 1 month ago
3.0 - 6.0 years
2 - 4 Lacs
Noida
Work from Office
Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in functional and company-wide activities. Adheres to company policy, guidelines, and house rules including attendance, clean desk, dress code, etc. Maintain key records like working files and email for reference and audit purposes. Ability to handle basic day-to-day requirements of Excel. Handle own work in process and support team efforts to ensure that individual, and team goals are met. Identify process improvements and cost take-out opportunities and drive those projects for closure. Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 3-6 years of experience in the Life/Annuities products and Claims Department. Good English Communication (Both written & verbal). Proactive and high analytical skills; should foresee issues and suggest solutions, with impactful data. Basic Computer knowledge along with typing speed of 35 words/minute. Preferred technical and professional experience Self-directed and ambitious achiever, Meeting targets effectively. Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills. Preferred LOMA Level 1 and Gage R&R certification.
Posted 1 month ago
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