1052 Claims Management Jobs - Page 18

Responsibilities: * Manage warranty claims process from receipt to resolution * Collaborate with R&D team on product improvement initiatives * Ensure compliance with warranty policies and procedures Provident fund Annual bonus

Location: Baner Road, Pune, Maharashtra, India (On-site) Transport: Both Side Cabs Provided Job Title: Accounts Receivable Associate (AR Caller) Experience Required: 1-6 years About the Role As an Accounts Receivable Associate, you will be responsible for managing US healthcare claims, ensuring timely collections, and resolving account-related issues while adhering to compliance standards. Key Responsibilities Claims Management: Follow up on outstanding claims to reduce AR days and resolve issues promptly. Denial Management: Investigate denial reasons, correct errors, and re-submit claims. Communication: Interact with insurance companies, healthcare providers, and stakeholders to resolve den...

*Please share your resume before coming to the walk-in on 6th Saturday 11:00am - 4:30pm Role: Claims Adjudicators/Sr. Claims Adjudicators Location: Noida Key Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills. Experience: 3 + years in Claims Adjudication or in relevant field (Fresher dont apply) Job Description: We are seeking a detail-oriented and analytical Claims Adjudicator to review, evaluate, and process insurance claims in accordance with policy guidelines and regulatory standards. The ideal candidate will have a strong understanding of claims procedures, excellent decision-making skills, and a comm...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

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 Chethana :7829336034 /8884777961 /9986267393 Rivera Manpower Services (SEND CV ON WHATSAPP IF LINE 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, Insuranc...

Location: Greater Noida Industry: Manufacturing Qualification: CA or MBA (Finance) Experience: 10-15 years in Payments in a manufacturing setup Key Responsibilities: b Oversee end-to-end vendor payment processing in line with company policies and timelines Manage banking operations including NEFT/RTGS/IMPS, fund transfers, and reconciliations Ensure proper invoice verification, PO-GRN-Invoice matching , and approval workflows Monitor cash flow , prepare daily/weekly payment forecasts , and manage fund allocations Ensure TDS/GST compliance on all payable transactions Handle vendor reconciliations , resolve payment discrepancies, and maintain accurate ledgers Coordinate with internal teams pur...

As a Claims Manager at Unifeeder Group of Companies, your primary responsibility will be to receive claims intimations from various member entities within the organization. You will be tasked with collecting and consolidating claim details, information, and documents, in order to prepare Statement of facts, risk analysis, and report the claim to the Insurer. Your role will also involve claim tracking, data consolidation, reporting, and accurate record management. Additionally, you will be responsible for liaising with member entities, external experts, lawyers, surveyors, and insurers to analyze claims, mitigate risks, and reduce costs. You will actively participate in the risk management an...

Urgent Hiring Subject Matter Expert (SME) Operations Claims Adjudication (US Healthcare) Location: Indore, Coimbatore, Bangalore Notice Period: Immediate joiners or candidates with less than 30 days notice preferred Department: Claims Operations Experience: Minimum 3.6 years in US healthcare claims adjudication Role Summary: We are seeking a Subject Matter Expert (SME) Operations for US healthcare claims adjudication . The SME will act as the process authority , supporting operations teams in handling complex claim scenarios, resolving escalations, and ensuring process adherence. This role involves mentoring team members, driving operational excellence, and partnering with stakeholders to de...

Urgent hiring for Specialist quality for claims adjudication from US Healthcare. Looking for immediate joiners or less than 30 days' notice period. Interested folks can reach out to below mentions contact persons. Quality Analyst Claims Adjudication (US Healthcare) Experience: 4 years Location: Indore, Coimbatore, Bangalore Department: Claims Operations Role Summary: A results-driven Quality Analyst with 4 years of experience in US healthcare claims adjudication. Proficient in conducting audits, ensuring compliance, and improving accuracy in claims processing. Skilled in applying 7 QC tools, Root Cause Analysis (RCA), Corrective & Preventive Actions (CAPA), and Six Sigma methodologies to dri...

Urgent hiring for Team leader operations for claims adjudication from US Healthcare. Looking for immediate joiners or less than 30 days' notice period. Interested folks can reach out to below mentions contact persons. Job Title: Team Leader Claims Adjudication Location: Indore, Coimbatore, Bangalore Department: Claims Operations Reports To: Manager Claims Adjudication Role Overview: The Team Leader Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely adjudication of healthcare/insurance claims in line with policies, compliance requirements, and service-level agreements (SLAs). The role involves performance management, proce...

3+ years of claims handling experience ( US or Canadian Geography) Cyber liability claims Employee Professional claims General liability claims US Shift (6pm - 9am) Excellent Communication skills

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

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...

Greetings from Black and White business solutions !! About the Company Hiring for Top Multinational corporation !! Job Title : P&C Quoting Specialist Qualification : Any Graduate and Above Relevant Experience : 3 to 5 Years Must Have Skills : 1.Experience in insurance quoting, submissions processing, insurance sales, or customer service with hands-on experience in preparing and managing insurance quotations. 2.Proven experience in generating and managing insurance quotes using online quoting platforms. 3.Strong understanding of insurance quoting workflows, rating tools, and underwriting guidelines. 4.Ability to analyze client information and select appropriate coverage options to generate ac...

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.

Responsible to ensure quality of service given is equivalent to the set standards. Responsible to maintain payable status at its minimum; close follow up on critical issues. Random checking of bills in terms of their accuracy and make sure the corporate bills are prepared as per the agreements and prompt dispatch of the same with the help of credit cell. Responsible to record department MIS reports and submission of the same to higher authority Responsible to monitor the surgical package limits in terms of material consumption and professional charges. Systems & Procedures: Responsible to design, implement and refine systems to manage processes and to optimize performance. Responsible to dev...

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...

We’re Hiring – AR Caller (Pune) Graduate with 2–4 Yrs Exp. in US Healthcare / AR Calling Salary up to 5.76 LPA 2 Virtual Interview Rounds| Only Immediate Joiners Call- Rukhsar-9899875055, Kartik-9899078782, Pooja-9911988774

Roles and Responsibilities Manage contractual documentation, claims management, and dispute resolution for Hydro Power, Tunnel or any underground project Draft letters and emails related to contract administration, including correspondence with clients, consultants, and stakeholders. Desired Candidate Profile 3-7 years of experience in Contract Management or Claims Management in Water Treatment Industry. B.Tech/B.E. degree in Civil or relevant field; MBA/LLB preferred but not mandatory. Strong understanding of FIDIC contracts and their application in international markets. Excellent drafting skills for preparing various types of contractual documents.

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...

Ensure the invoice is done without any delay Also, need to ensure that the Invoice is submitted to the respective payers on time Payment follow-up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment Handling queries Working closely with the branch TPA coordinator to track the claim submission. Also should be strong in data analysis only then he can have control of the aging of the payers Ensure timely reports to the Corporate office Need to work on Target and achieve the same month on month. Reporting loss of revenue leakage Interested Candidate can send their CVs on 9712687709 or email on mariya.a@dragarwal.com

As a Claims Submission & EDI Rejection Specialist at SPRY Therapeutics, Inc., you will be responsible for efficiently managing claims submissions and handling Electronic Data Interchange (EDI) rejections. Your role will involve reviewing and analyzing claims data, interacting with insurance companies, resolving discrepancies, and ensuring accurate and timely submissions. Effective communication with internal teams and external stakeholders will be crucial for the smooth operation of our processes. To excel in this role, you should have experience in Claims Management and Handling, strong analytical skills, and a good understanding of insurance processes. Excellent communication skills will b...

As a Health Insurance Quality Assurance professional with expertise in Underwriting, Claims, and Finance, you will play a crucial role in ensuring the accuracy, compliance, and efficiency of insurance processes within our organization. Your responsibilities will include: Quality Assurance in Underwriting: - Carefully evaluate insurance applications to verify their accuracy and compliance with company policies. - Review underwriting decisions to confirm alignment with risk assessment protocols. - Collaborate with underwriters to refine risk evaluation processes and enhance overall underwriting efficiency. Claims Management: - Monitor and audit claims processing activities to ensure strict adh...