1040 Claims Management Jobs - Page 14

Handling warranty claims and documentation Coordinating with service and technical teams Maintaining warranty records and DMS entries Reporting to backend systems Required Candidate profile Manage and process warranty claims efficiently Ensure compliance with warranty policies and procedures Communicate with customers, dealers, and manufacturers regarding warranty claims

Hiring for US Healthcare - Claims & Premium Billing Education: BE/B.Tech/MCA/M.Tech/MSc./MS ,Bcom Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define the to-be-processes and d...

Role Overview: You will be joining EY as a Senior Developer or Staff Developer to contribute to shaping a better working world by leveraging your expertise in Majesco toolkits and domain-specific knowledge. Key Responsibilities: - Lend Majesco specific toolkit and Domain subject matter expertise throughout design and development phases of the project. - Lead development activities end-to-end, including coordinating, developing, reviewing code, and debugging complex issues. - Coordinate implementation of all types of development activities across client interfaces (Java, etc.) and Configuration flows. - Work with Analysts/Customers to design, develop, program, and configure changes and mainta...

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases....

Contracts Handled from Govt Projects Like Railways, Airports, Medical , PWD Buildings, Maintain Tender & contracts documents ,sub contractor prequalification, templates, forms, procedures. Providing support to project management on contractual issues

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 3.6+ 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 Depu...

Role & responsibilities We are looking for an accomplished Doctors with significant ICU experience and a strong ability to manage both clinical and non-clinical responsibilities. The ideal candidate will excel in patient care, clinical documentation, and possess in-depth knowledge of medical documentation essential for insurance claims processing. Key Responsibilities: Patient Documentation: Manage patient medical history and progress notes with precision. Claims Processing: Handle preauthorization and reimbursement claims, including validation and processing. Clinical Records: Maintain accurate clinical documentation in compliance with healthcare standards. Collaboration: Work closely with ...

Assistant Manager / Deputy Manager - Claims -2+ Years - Pune Are you a highly motivated claims professional looking to make an impact in the insurance industry? We are seeking an experienced Assistant Manager / Deputy Manager - Claims with over 2 years of expertise in managing and processing claims. This is your chance to work in a role where you can bring value, drive process improvements, and enhance customer satisfaction. If you are ready to embark on an exciting journey of professional growth, this is the perfect opportunity for you! Location:- Pune Your Future Employer A leading organization in the insurance domain, known for its dynamic work environment and commitment to professional e...

Exotica is seeking an experienced Contracts & Cost Control Manager to lead cost management, contracts administration, and vendor negotiations for our landmark projects. The candidate must have strong exposure to large-scale commercial/high-rise real estate projects and ensure cost efficiency, timely procurement, and contract compliance. Key Responsibilities Prepare and verify rate analysis, BOQs, and cost benchmarking for all project works. Review contractor/subcontractor quotations, negotiate and finalize contracts. Monitor budget vs. actual costs, highlight deviations, and recommend corrective action. Manage work orders, variations, claims, and contractor billing. Coordinate with Purchase,...

As an ideal candidate for this role, you should have knowledge on advanced claims, policy, and billing management capabilities that insurers require to enhance efficiency, profitability, and customer loyalty. Your experience should include the implementation of best-in-class business processes to optimize reinsurance processes and provide functionality for statutory reporting. You should have at least 4 to 10 years of experience and have been involved in at least ONE end-to-end Implementation Project. It is essential for you to possess a valid passport. Your primary responsibilities will include providing business support and analytical applications that contribute to optimizing insurance bu...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

This role will be responsible for end-to-end contract management of projects, including review of contractual terms, management of correspondence, handling deviations and variations and ensuring proper closure. The position requires managing claims, dispute resolution and providing contractual support to project teams. In addition, the role will oversee performance management, training adherence, attrition control and process improvement, with a focus on digitization initiatives. Key Responsibilities: 1. Contract Management Responsible for overall contract management of projects from award to closure. Manage contractual correspondence with clients, vendors and other stakeholders to ensure cl...

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the emp...

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

Dear Aspirant, ReSource Pro Operational Solutions Private Limited, Bangalore About ReSource Pro: About Us: ReSource Pro brings to the insurance industry tools, technology and strategic services that enable profitable growth through operations excellence. Headquartered in New York, ReSource Pros global service centers address client operational needs around the clock. Recognized as an industry thought leader and listed as one of Inc. 500/5000 Fastest Growing Private Companies annually since 2009. Over 12,500+ ReSource Pro employees provide dedicated support to more than 600+ insurance organizations, consistently achieving a 96% client retention rate for over a decade. We help you execute your...

Claims Management: Process, submit, and follow up on insurance claims, resolving discrepancies and denials with insurance providers. Patient Assistance: Educate patients on their insurance coverage and benefits and assist them with understanding their bills and statements. Liaison with Insurers: Serve as a point of contact between the hospital and insurance companies, ensuring proper communication and adherence to policies. Data and Reporting: Maintain accurate patient insurance information in the billing system and prepare reports on billing and insurance activities. Compliance: Ensure adherence to hospital policies and insurance regulations and guidelines Skills: Excellent communication an...

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelin...

We are looking for a seasoned professional with deep expertise in Production Support for General Insurance systems , including: Motor Insurance Health Insurance Fire Insurance Claims Management Core Policy Issuance Platforms The ideal candidate will be responsible for ensuring high availability, stability, and performance of insurance applications and platforms, while collaborating with business and technical teams to resolve incidents and implement preventive measures. Key Responsibilities: Provide L2/L3 production support for insurance applications across Motor, Health, Fire, and Claims domains. Monitor system performance, troubleshoot issues, and ensure timely resolution of incidents. Col...

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...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Dear Candidate Greetings from Technogen !!! We thank you for taking time about your competencies and skills, while allowing us an opportunity to explain about us and our Technogen, we understand that your experience and expertise are relevant the current open with our clients. About Technogen : https://technogenindia.com/ Technogen India Pvt. Ltd. is a boutique Talent & IT Solutions company, founded in 2008, has been serving global customers for over last 2 decades,. Talent Solutions: We assist several GCCs, Global MNCs and IT majors on their critical and unique IT talent needs through our services around Recruitment Process Outsourcing (RPO), contract staffing, permanent hiring, Hire-Train-...

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...

Job Title: Term Insurance Operations Specialist Experience: 1 - 3 Years in insurance operations Education: Any Graduate Location: Gurugram About the Role: As a Term Insurance Operations Specialist, you will be responsible for ensuring a smooth post-payment customer journey by managing documentation, medical scheduling, and verification processes. You will coordinate with insurers, underwriters, TPAs, and internal stakeholders to drive timely case issuance while meeting monthly issuance targets with minimal TAT and high FTR rate. This role demands strong communication, stakeholder management, and process improvement skills, along with a basic understanding of insurance underwriting and profic...

Manage daily branch operations and survey assignments. Review and release survey reports. Ensure IRDAI compliance. Coordinate with insurers & clients, resolve disputes. Lead back-office staff. Handle budgeting, cost control, and business growth.

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim