1058 Claims Management Jobs - Page 28

Job Title: Employee Benefits & Insurance Manager Department: Client Success / Insurance Operations Location: Gurgaon Company: Pazcare Type: Full-time About Pazcare Pazcare is on a mission to transform the way modern Indian companies manage employee health & wellness. Trusted by 2000+ brands like Mamaearth, Chaayos, Mindtickle, and more we offer a digital-first platform for managing employee benefits, insurance, and wellness programs with clarity, transparency, and speed. Role Overview As an Employee Benefits & Insurance Practice Manager, you will lead client relationships for key mid-market and enterprise accounts. You will act as a strategic advisor to HR teams, ensuring smooth execution of...

Job Title: Sr Manager Health Insurance Claims Location: Bangalore (Hybrid) Company: Pazcare Type: Full-time About Pazcare Pazcare is transforming employee healthcare and wellness for 2000+ companies including Mamaearth, Chaayos, Mindtickle, and more. We simplify health insurance and wellness benefits, giving HR teams superpowers through real-time claim tracking, analytics, and stellar employee experiences. Role Overview As a Claims Manager, you will be the frontline owner of ensuring claims are settled within the agreed turnaround time (TAT) across TPAs. You will play a critical role in driving TPA performance, resolving escalations, and advocating on behalf of our clients to ensure no valid...

An excellent opportunity for a seasoned operation professional to lead and manage high-performing teams in motor insurance claims. This role offers exposure to end-to-end claims operations, client interactions, and team leadership in a process excellence-driven environment. Your Future Employer - A leading global business process management company serving clients across industries like Insurance, Banking, Travel, Healthcare, and more. With a strong focus on innovation, analytics, and digital transformation, the organization enables businesses to achieve superior operational outcomes and efficiency. Responsibilities - Managing day-to-day operations and driving performance improvements across...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

The Contract Administration Manager is responsible for overseeing and managing all contract related activities throughout the life cycle of construction projects. This role ensures that contractual obligations are fulfilled, risks are mitigated, and all contract documentation aligns with project goals, budgets, and legal requirements. Key Responsibilities: Contract Management: • Review and manage pre-award and post-award contracts for subcontractors, suppliers, and consultants. • Ensure compliance with the main contract terms and conditions. • Evaluate and review contract amendments, claims and variations. • Maintain and update contract records and logs. Procurement Support: • Coordinate wit...

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical ...

Davies is seeking a highly organised and self-motivated professional to join our Life & Health team as an Administrator Team Leader. In this role, you will provide leadership, guidance, and direction to a dedicated team, ensuring the achievement of key results and operational excellence. Your responsibilities will include overseeing document indexing, imaging, quality audits, data entry and the review of Proof of Loss (POL), as well as processing policy documents and claims. You will play a critical role in handling sensitive files and processing essential documents to support our US operations. This is an excellent opportunity for a proactive and detail-oriented individual looking to make a...

Job Summary: The Contract Administrator is responsible for overseeing and managing all contract related activities throughout the lifecycle of construction projects. This role ensures that contractual obligations are fulfilled, risks are mitigated, and all contract documentation aligns with project goals, budgets, and legal requirements. Key Responsibilities: Contract Management: 1) Review and manage pre-award and post-award contracts for subcontractors, suppliers, and consultants. 2) Ensure compliance with the main contract terms and conditions. 3) Evaluate and review contract amendments, claims and variations. 4) Maintain and update contract records and logs. Procurement Support: 1) Coordi...

Join our dynamic international business team across Bangalore and Hyderabad Job Description Claims Service Support (CSS) - AM/Manager Summary: We at Prudent Insurance Brokers, are seeking an experienced Employee Benefit-Claims Service Support professional for our International Business (IB) vertical. Employee Benefits Practice at Prudent is a strategic business unit dedicated to strengthening Prudent’s global brand in the international market. The individual will be responsible to Serve as primary point of contact for all employee claim queries etc. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and cons...

I am hiring for this position for one of our Life Insurance clients. Role & responsibilities Prudent claim Assessment and management of end-to-end claim settlement /repudiations, including Life, Group claims Coordinate with Reinsurers /sales/customers for closure of claims within the regulatory framework and timelines Direct and oversee the maintenance of complete and accurate claim management records. Managing the claim teams on day-to-day claims transactions, guidance on claims philosophy, regulatory, and audit procedures Ensuring daily claim deliverables are met and claims decisions within prescribed SLA with quality Ensure customer centric approach while delivering sensitive area of deat...

Hiring: Revenue Cycle Management (XiFin) Executive US Healthcare Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) Work Days: 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role: We are looking for experienced professionals to join our US Healthcare RCM team. The ideal candidate must have hands-on experience with XiFin software (Provider Side) and a solid understanding of end-to-end RCM processes. Eligibility Criteria: Experience: Minimum 1 year in RCM with XiFin expertise Qualification: Any graduate or equivalent Key Responsibilities: Revenue Cycle Management (RCM) Payment Posting Denial Management and Resolution AR Follow-up / Collections Physi...

In this role, you will: Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring the recovery, execution, and handling of claims Identify opportunities for process improvement and risk control development in fraud and claims management to maximize efficiency and enhance customer service Make supervisory decisions and resolve issues related to work distribution under direction of fraud and claims management Leverage interpretation of internal processes and procedures to establish performance standards, evaluate performance, develop training materials, and ensure compliance with internal policies, risk ...

Key Roles & Responsibility : Planning and supervising changes and managing the daily operations of customer service. Setting up and meeting performance goals and targets. Maintaining current knowledge of industry new developments, productions, and involvement in network. Recording statistics, performance levels and feedback of clients and preparing the reports. Motivating, coaching, and retaining staff as well as coordinating reward, bonus, and incentive scheme. Reviewing the staffs performance, determining training needs and scheduling training sessions. Responsible for the efficient functioning of CRM by ensuring that the Team attends to customer calls & Networking with the concerned depar...

As a professional involved in import planning and coordination, your primary responsibilities will include finalizing the import plan based on inventory and sales requirements, as well as arranging vessel nominations for the import of Coal in adherence to the established plan. Reviewing and providing feedback on contracts will be an essential part of your role, along with issuing Documentary/Shipping Instructions to suppliers and managing import documentation meticulously to ensure accuracy and compliance. You will be required to check freight calculations against C/P, obtain freight certificates from suppliers, and oversee the proper execution of LC issuance in alignment with the draft rece...

Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility, the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating...

Basic Function Handle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems. Promptly review new FMLA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision. Perform leave administration tasks as required, including recertification of health condition, intermittent claim track...

Manage and lead a team of claims specialists, providing guidance, mentorship, and support to ensure exceptional customer service and efficient claims processing. Oversee the end-to-end claims process, from initial claim submission to resolution, ensuring accuracy, compliance, and timely processing. Implement and maintain quality control measures to uphold the highest standards of claims handling Interact with policyholders, agents and other stakeholders to address claim related inquiries and concerns. Utilize claims data and analytics to identify trends, patterns and opportunities for process improvement. Ensure compliance with insurance regulations and company policies in all claims process...

Dear Candidate, We are seeking a highly skilled Contract Manager with a strong legal background in business law to oversee contract lifecycle management and ensure legal compliance across all business agreements. The ideal candidate will have expertise in contract drafting, negotiation, risk assessment, and regulatory compliance, supporting the companys commercial and legal interests. Company Website: www.mukandsumi.com Job Location: Hospete, Karnataka. Key Responsibilities: Contract Drafting & Negotiation: Draft, review, and negotiate various commercial contracts, including vendor agreements, service contracts, NDAs, SLAs, MoUs, and joint venture agreements. Legal Risk Management: Identify ...

Hiring: Revenue Cycle Management (XiFin) Executive US Healthcare Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) Work Days: 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role: We are looking for experienced professionals to join our US Healthcare RCM team. The ideal candidate must have hands-on experience with XiFin software (Provider Side) and a solid understanding of end-to-end RCM processes. Eligibility Criteria: Experience: Minimum 1 year in RCM with XiFin expertise Qualification: Any graduate or equivalent Key Responsibilities: Revenue Cycle Management (RCM) Payment Posting Denial Management and Resolution AR Follow-up / Collections Physi...

International KYC disputes/claims process Gurgaon location Any graduate with 1 year Kyc dispute/claims/onboarding exp. can apply Only 5 days working 2 roster off Night shifts Both side cabs Salary - upto 6.5 lpa Gautam- 9319001798 Kashish-99107 38003 Required Candidate profile Candidate must be an immediate joiner. Candidate must be comfortable working in night shifts. Candidate must have hands on experience about KYC dispute/claims/onboarding. Perks and benefits Both side cabs MIV INCENTIVES

Role & responsibilities To be able to process P & A claims as a Claims Manager Preferred candidate profile Any Graduate with experience of minimum 1year with P&A Claims experience in Health

Role & responsibilities Shift timings (01:30 PM - 10 PM ) Hybrid Mode- Work from office. Looking for Immediate joiner. What will you do? Review complex claims and estimates for completeness and follow processes for incomplete information on claims Assess and adjudicate complex claims and estimates Assessing includes studying dental information and plan provisions, researching, documenting results and communicating verbally and or in writing with the client (member/sponsor) to obtain additional details in order to make an informed decision Meet production and quality standards set for individuals, teams and department (timeliness, quality and service) Handle external and internal inquiries vi...

Role & responsibilities Seamless processing of Insurance Claims till the closure & recovery of the cost incurred in repair. Co-ordination with third party service providers with respect to timely collection of claim documents, verification of the documents and submission to the insurer for settlement. Ensuring 100% documents are checked and verified to achieve FTR > 98%. Ensuring compliance with all applicable processes, policies & standards and adherence to timelines. Analysis of claims data to identify trends and potential areas for improvements in the claims handling process Propose and assist in the implementation of improvements in the claims handling process to enhance efficiency & acc...

Analyst Claims- Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-Frty vendors to gather necessary information and documentation for claims processing. Collation of data and information of claims for reporting purposes Investigate and evaluate claims to ensure accuracy and completeness. Prepare and present reports and recommendations to management regarding claims status, trends, and outcomes. Involvement in subrogation requests and required follow-ups. Communicate with clients and stakeholders regarding claims status and resolution. Provide support to other...

POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical admissibility of a claim by confirming the diagnosis and treatment d...