1040 Claims Management Jobs - Page 13

Hiring for {Claims Management Analyst} Skill required- Claim process ( Voice Process) Location: Bengaluru 3 to 5 years experience required Salary: Upto 7LPA English communication required UK Shift : Between 12:30pm to 11pm CTC- Upto 7 LPA

Hiring for {Claims Management Analyst} Skill required: Motor Insurance Claims- Claim process Location: Bengaluru 3 to 5 years experience required Salary: Upto 7LPA English communication required UK Shift : Between 12:30pm to 11pm CTC- Upto 7 LPA

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 mod...

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At l...

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At l...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 4+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Deputy...

Dear Aspirants, Sagility is conducting a huge walk in drive process trainer role for Coimbatore location. Job Description Summary We are seeking a highly motivated and experienced Training Specialist to join our team as a Claims Administration Trainer. In this role, you will be focusing on equipping our team members with the necessary expertise to effectively handle claims processing, customer inquiries, and ensure compliance with company policies and industry regulations. As a Training Specialist, you will play a critical role in maintaining the high standards of our claims administration department and contribute to the overall success of the organization. Job Description Education: Any Gr...

Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise with insurers to expedite claims approvals and settlements. 2. Coordination & Communication Serve as the single point of contact for all internal and external stakeholders regarding claims. Coordinate with RMs, Partners, and clients to gather necessary claim documents and information. Work closely with the Product and Insurance Operations teams to resolve claim queries. 3. Process Excellence Monitor claim progress and proactively follow up with insurers to avoid delays. Maintain and upda...

Role Overview: As a TPA Cashless Claims Specialist (Health Insurance) based in Bengaluru, you will be responsible for processing cashless claims submitted by policyholders, managing insurance claims, and ensuring efficient claims management. Your role will involve regular communication with customers and providing exceptional customer service to address any queries or issues related to claims. Key Responsibilities: - Process cashless claims submitted by policyholders - Manage insurance claims effectively - Ensure efficient claims management - Communicate regularly with customers - Provide exceptional customer service to address queries or issues related to claims Qualification Required: - 2-...

As a Global Insurance Risk Manager at HCL, your role involves leading and administering the overall insurance program globally for HCL Technologies Ltd and its 100+ subsidiaries. You should have a minimum of 15 years of stable Insurance experience with a professional insurance education background. Your responsibilities include: - Developing a deep understanding of the Global Liability Insurance market and maintaining strong connections with insurers and reinsurers in London and the U.S. You should have experience dealing with Lawyers, Underwriters, and claim managers for settlement, arbitration, and mediation. - Conducting global insurance road shows and assisting in managing liability clai...

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

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Qualification: BDS/ BHMS + MHA Key Responsibilities: Experience in TPA, Insurance Company, UTI TSL , Hospital Sector Understanding of the product and provide training and product demo to new and existing clients Team management/ handing team of Medical officers / quality analysts Handling operations of the accounts Meeting and understanding of the customer requirements, plan implementation Travel to the customer's site as and when required for training and implementing Ensure service levels are maintained at hospitals Establish objectives and operational criteria for accounts managed. Understand the requirements of Clients regularly and implement the process at hospitals. Motivating / retain...

Qualification: BDS/ BHMS + MHA Key Responsibilities: Experience in TPA, Insurance Company, UTI TSL , Hospital Sector Understanding of the product and provide training and product demo to new and existing clients Team management/ handing team of Medical officers / quality analysts Handling operations of the accounts Meeting and understanding of the customer requirements, plan implementation Travel to the customer's site as and when required for training and implementing Ensure service levels are maintained at hospitals Establish objectives and operational criteria for accounts managed. Understand the requirements of Clients regularly and implement the process at hospitals. Motivating / retain...

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...

Listening and Typing Data Entry Work Accounts Management and Claims Management Voice Preferred candidate profile Freshers with UG Perks and benefits Food provided Health insurance Provident Fund Weekend off Incentives Provided Shift allowance.

Role Overview: As a Motor Insurance Operations Manager, you will be responsible for strategic planning, process optimization, and overseeing various aspects of policy administration, claims management, team leadership, and stakeholder coordination. Your role will also involve driving technology integration, ensuring customer service excellence, cost and resource management, as well as business continuity and risk management. Key Responsibilities: - Develop and implement efficient operational strategies aligned with underwriting, claims, and distribution goals. - Continuously assess and improve turnaround time (TAT) for policy issuance, endorsements, and claims processing. - Oversee end-to-en...

As a Deputy Project Director at RINA in Mumbai within the Civil Engineering Division, your role will focus on overseeing and managing construction activities to ensure adherence to project specifications, quality standards, safety regulations, environmental concerns, and timely completion within budget. You will coordinate and supervise the work of construction teams and subcontractors for successful project delivery. Key Responsibilities: - Supervise construction projects to ensure alignment with approved designs, specifications, and relevant regulations. - Approve and sign accountable documents versus Contractor for accuracy and compliance. - Implement and monitor quality control procedure...

As a Senior Developer at EY, you will bring Majesco specific toolkit and Domain subject matter expertise to support design and development phases of projects. Your responsibilities will include leading development activities end-to-end, coordinating implementation of development activities, working with Analysts/Customers on design and configuration changes, creating/maintaining SOAP/REST based services, and effectively communicating with internal and external stakeholders. You will also need to work in an agile environment and clearly articulate design rationale. Qualifications: - Bachelor's degree in computer science, engineering, or related field, or a graduate degree - Overall experience...

We are seeking an experienced RCM Manager to oversee end-to-end processes in US healthcare, including Payment Posting, Charge Entry, and AR Denials. Must have strong knowledge of billing, coding, and claim management. Leadership skills required.

We are seeking an experienced RCM Specialist with expertise in EBO Reporting within eCW. Ideal candidates will have a strong understanding of claims management, payment posting, and revenue cycle optimization in the US healthcare setting.

We are seeking an experienced RCM Specialist with expertise in EBO Reporting within eCW. Ideal candidates will have a strong understanding of claims management, payment posting, and revenue cycle optimization in the US healthcare setting.

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement ser...