1337 Claims Management Jobs - Page 2

Analyze pricing variations and ensure benefit accuracy across systems - Design and execute automated test scripts using Python + Selenium - Write and optimize SQL queries for data validation and backend testing -Perform end-to-end validation of healthcare claims and HRP processes - Conduct API testing using Postman, including request/response validation - Collaborate with cross-functional teams to ensure healthcare compliance and data integrity

Job Description: You will be responsible for managing Cashless Claims in Healthcare in a full-time on-site role located in Bengaluru. Your daily tasks will include handling claims, ensuring accurate and efficient claims processing, and liaising with insurance companies. Additionally, you will be performing analytical evaluation of claims and maintaining communication with clients and stakeholders to resolve claims-related issues. Key Responsibilities: - Manage and handle cashless claims - Ensure accurate and efficient claims processing - Liaise with insurance companies - Perform analytical evaluation of claims - Maintain communication with clients and stakeholders to resolve claims-related i...

Role Overview: You will be working as a Claims Executive (Health) at TRANSINDIA INSURANCE BROKING AND RISK MANAGEMENT PRIVATE LIMITED in Kochi. Your primary responsibility will be managing day-to-day operations related to health insurance claims processing. This includes evaluating and overseeing health insurance claims, ensuring compliance with policies, resolving issues promptly, analyzing cases, and collaborating with internal teams for customer satisfaction. Additionally, you will be responsible for maintaining accurate documentation and addressing client inquiries regarding claims. Key Responsibilities: - Evaluate and manage health insurance claims efficiently - Ensure adherence to comp...

Responsibilities: * Manage FMCG distributer claims from receipt to resolution. * Validate claims accuracy using advanced Excel skills. * Reconcile discrepancies through coordination with stakeholders. Provident fund

JOB DESCRIPTION This form is designed to describe the main objectives of this job and its essential functions and job qualifications. I. Basic Information Job Title : Process Lead, SDU Report to Assistant Manager, Service Delivery Job Grade Grade 7 Department Service Delivery Unit Location: Bangalore, India II. Job Summary (describe in 2-3 sentences the purpose of this position) III. Principal Responsibilities (identify 4-5 major categories of work) # Responsibilities Description (E.g. Budgeting s Planning, Team Management, etc.) Description (Do in order to/to ) [3 to 5 Points under each Responsibility] Percentage of Time [%] 1 Task Processing and Operations Operates a variety of client syst...

Role & responsibilities Build rapport, understand needs, ensure satisfaction, and act as the main point of contact. Oversee project lifecycles, manage timelines, resources, deliverables, and risks, coordinating internal teams and clients. Guide and train junior team members, handle scheduling, and ensure smooth department operations. Analyze data, suggest improvements, identify new opportunities, and report on project performance (MIS). Take ownership of issues, develop solutions, and handle stressful client situations calmly. Preferred candidate profile Any graduate with relevant experience is preferred. Excellent communication & listening skills with time management. Interested candidates ...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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 e...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years 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 emb...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years 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 emb...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 e...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 e...

Represent Colliers International on single or multiple projects in respective cities/regions. Develop and draft general and special conditions of contracts. Maintain and implement construction proforma/budget for each project. Identify and procure contract material requirements based on project plans and lead time at the most economical rate without compromising on quality. Ensure effective vendor relationships to secure the best deals for the organization. Conduct procurement analysis, supply risk assessments, demand and supply market analysis, and supplier evaluation. Provide MIS reports and install a system of inspection to ensure materials received meet specifications. Establish a system...

AI-processed claims review role: verify bills, policy terms, and ensure compliance. Req: 03 yrs in TPA ops/hospital billing/claims; freshers with healthcare background welcome. Degree in Pharma, Nursing, related; detail-oriented & strong

job highlights Freshers & Experienced with any qualification and proficiency in English Solve customer queries inbound/outbound call centers Salary range of 13,000 to 28,000 CTC Multiple opportunities Good perks and other facilities kindly apply here, we will call once your profile is shortlisted.

Planning Research and analyze the internal and external performance of the various products through multiline channels. Study how the various products are performing, market demand, competitors, customer segmentation etc. Identify opportunities for driving growth for BGIL and propose strategy. Align on business targets and key initiatives to be worked on. Product performance Track top line and product mix on a regular basis. Review against targets and analyze deviations. Push Marketing teams and channel partners to drive sales. Conduct research on market and competitors. Meet Marketing teams and channel partners for additional market insights. Analyze and identify opportunities to grow the b...

Designation: Pre-Underwriting consultant Education Qualification Needed : • BSc Nursing graduate B. Pharm Graduate Pharm D Graduate Language Requirement Proficiency in Hindi and English Proficiency in English and Telugu Proficiency in English and Malayalam JD: Role and Responsibilities o To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with the customer for past medical records and/or relevant health documents. To Contact and follow up for the Exclusions, additional premium or altered conditions applied by the Underwriter, explain the reasons, explain the medical terminology in the laymans language...

- Prepare and quantify claims for DRB, Conciliation/CCIE, and Arbitration. -Manage dispute resolution compliance and documentation. -Assist law firms with SOC, SOD, affidavits, rejoinders, and submissions. Required Candidate profile -Handled arbitration cases with solid EPC/HAM/FIDIC contract knowledge. -Experience only in highways/metro/railways; other sectors not considered. -Corporate/HO/RO exposure required; LLB not eligible

Hiring For Marine and Non-marine claims *Experience in any of the domains, Contract Management/Quoting/Pricing operations/ Invoice/Billing *Research, review and analyze contract terms, documents and events to prepare claim calculations *Active follow up of claims with 3rd Party and issue invoices for Receivable claims *Timely escalation of relevant issues to supervisor and business line as appropriate *Develop and review control reports to ensure receivable claims are submitted to 3rd party/Affiliate within contract limits; monitor additional controls reports, as necessary *Respond to claims questions from customers (3rd Party, Affiliate, Management) *Manage outstanding items and aged claims...

Job Purpose: Manage and strengthen hospital and provider relationships to ensure seamless medical services, cost efficiency, and high patient satisfaction. Drive hospital empanelment, negotiations, and service delivery outcomes. Reporting Structure: Reports to: Head Medical Services Principal Accountabilities: Provider Network Management: Build and maintain strong relationships with hospitals and service providers. Service Delivery: Coordinate with hospitals to ensure timely and accurate service for patients. Empanelment & Contracts: Lead hospital empanelment, tariff negotiations, and contract renewals. Data Analytics: Use Excel to track utilization, hospital performance, and cost efficiency...

**Hiring for Top Multi National Company** Job Title : P&C Quoting Specialist Qualification : Any Graduate and Above Relevant Experience : 4 or 4+ years of experience in the US Property and Casualty Insurance **NOTE: There will be face-to-face interview on 13th December (Saturday). ** **Candidates who will be able to go for this face-to-face interview are only requested to show interest here.** Must Have Skills : 1. Strong experience in the US Property and Casualty Insurance. 2.Experience in insurance quoting, submissions processing, insurance sales, or customer service with hands-on experience in preparing and managing insurance quotations. 3.Proven experience in generating and managing insu...

Description We are seeking an experienced Duck Creek professional to join our team in India. The ideal candidate will have a strong background in Duck Creek technologies and a passion for delivering high-quality solutions to our clients. Responsibilities Design, develop, and implement Duck Creek solutions for clients. Collaborate with project teams to gather and analyze requirements. Conduct system testing and debugging to ensure high-quality deliverables. Provide technical support and maintenance for Duck Creek applications. Stay updated with industry trends and best practices related to Duck Creek. Skills and Qualifications 5-10 years of experience in Duck Creek technologies or related fie...

Role Overview: As a Senior Developer at EY, you will play a crucial role in providing Majesco specific toolkit and Domain subject matter expertise throughout the design and development phases of the project. Your responsibilities will include leading development activities end-to-end, coordinating implementation of various development activities across client interfaces, working with Analysts/Customers to design and maintain complex integration software, and creating/maintaining SOAP/REST based services. You will work in an agile environment and be responsible for clearly articulating configuration rationale and conducting design reviews. Additionally, you will lead communication with intern...

As a Digital Transformation/Business Analysis Consultant at Capgemini Invent, you will play a crucial role in driving transformation tailored to our client's challenges of today and tomorrow. You will lead requirement gathering sessions using various methods to capture functional, non-functional, and technical requirements that align with business needs, user pain points, and strategic objectives. Your responsibilities will include translating complex business needs into functional specifications, ensuring clear communication between business stakeholders and technical teams for seamless solution delivery. You will leverage your in-depth domain knowledge of Property & Casualty (P&C) Insuranc...

As the First Point of Contact for assigned clients, your role will involve: - Addressing employee & HR queries and attending emergency cashless calls - Supporting clients with Wellness activities - Maintaining EB portal- Odin assure for assigned clients - Managing claims by attending related queries, collecting & scrutinizing reimbursement claim submissions documents, and supporting employees with information and processes for planned hospitalizations - Monitoring cash deposit statement and providing timely updates to clients for replenishment - Delivering customized MIS, maintaining an active database, and coordinating end-to-end service delivery to agreed standards - Working with other pro...

The GM, Contracts will finalize all contractual correspondences, ensure effective contract administration and resolve major contractual issues of HAM & EPC Projects with Authority & Consultants including finalization of Claims & Disputes.