1337 Claims Management Jobs - Page 3

Role Overview: As the Assistant Vice President (AVP) - Client Servicing at BimaKavach, you will play a crucial role in ensuring exceptional post-sales experiences for BimaKavach's B2B SME clients. Your responsibilities will involve team leadership, client relationship management, operational excellence, and a comprehensive understanding of commercial insurance products. Your contributions will be pivotal in enhancing service quality, streamlining processes through technology, and significantly impacting client retention and satisfaction. Key Responsibilities: - Lead, mentor, and develop a high-performing team of servicing professionals - Set clear performance objectives, provide regular feed...

As a Quantity Surveyor, your role involves preparing and reviewing all Tenders, Work Orders, and Purchase Orders for civil/MEP/interior works across various projects. You will be responsible for scrutinizing tenders, managing contracts, and handling claims procedures. Your expertise in FIDIC, Indian contracting system, Indian contract act, and Indian arbitration and conciliation act is crucial for providing timely advice on contractual matters. Additionally, you will create and maintain project cost estimation databases, prepare budget estimates, detailed estimates, and rate analysis for real estate items. Key Responsibilities: - Prepare and review Tenders, Work Orders, and Purchase Orders f...

Contracts & Claims (Head Office) Engineer/Asst. Manager Experience: 4 10 yearsLocation: Head Office, Hyderabad Key Responsibilities: Contracts Management: Handling Contractual Correspondence. Drafting/Preparation of Extension of Time applications Drafting replies to Client’s notices Preparation of Delay Analysis. Interpretation of Contract clauses. Final Bill review Claims Management: Preparation of Prolongation and variation claims Preparation of Statement of Claims and other pleadings in Arbitration and conciliation proceedings. Discussions with Advocates on submission of claims in Arbitration. Helping Legal team in preparation of Applications/Counter Applications u/s 34, 37 of A&C Act and...

As a contract Claims Investigator in Sagar, your role will involve handling claims resolution, management, and insurance. You will be responsible for investigating claims on-site, coordinating with hospital administration, and collaborating with police agencies. Key Responsibilities: - Resolve claims efficiently - Manage claims handling process - Conduct thorough claim investigations - Collaborate with hospital administration - Coordinate with police agencies Qualifications Required: - Proficiency in claims resolution, handling, and management - Knowledge of insurance processes and claim investigation - Strong analytical and problem-solving abilities - Exceptional attention to detail and org...

As a Dental Billing Specialist at our company, you will be an integral part of our team dedicated to providing exceptional billing solutions for dental practices across the US. Your primary responsibility will be to ensure accurate billing processes and optimize the financial operations of our clients. Here is a breakdown of your role: - Verify patients" insurance coverage and benefits to guarantee precise billing. - Communicate effectively with patients and insurance companies to resolve any billing inquiries or issues promptly. - Stay informed about dental coding regulations, billing guidelines, and compliance standards to ensure adherence at all times. - Generate and analyze billing repor...

As a Senior Claims Manager at Accurate in Pune, your role will involve overseeing claims management and processing, leading a team of claims professionals, and collaborating with other departments to optimize claims operations. You will be responsible for ensuring timely and accurate handling of claims, analyzing data to identify trends, developing strategies to improve claims processes, and ensuring compliance with insurance regulations. **Key Responsibilities:** - Oversee claims management and processing - Lead a team of claims professionals - Collaborate with other departments to optimize claims operations - Analyze data to identify trends - Develop strategies to improve claims processes ...

Hiring a Claims Specialist in Bengaluru to manage end-to-end insurance claims, support customers, review documents, resolve issues, coordinate with insurers, and ensure fast, accurate claim settlements. 1+ year experience required. Health insurance Annual bonus

About Business JOB DESCRIPTION Adani Group: Adani Group is a diversified organisation in India comprising 10 publicly traded companies. It has created a world class logistics and utility infrastructure portfolio that has a pan-India presence. Adani Group is headquartered in Ahmedabad, in the state of Gujarat, India. Over the years, Adani Group has positioned itself to be the market leader in its logistics and energy businesses focusing on large scale infrastructure development in India with O & M practices benchmarked to global standards. With four IG rated businesses, it is the only Infrastructure Investment Grade issuer in India. Adani RMRW: Encompassing Adani Road Transport Limited and Ad...

Department: Claims Management Location: Pune Description Davies is seeking a highly organised and self-motivated professional to our Life & Health team. In this role you will be responsible for document indexing, imaging, quality audits, data entry and processing. Key Responsibilities We will start to build your skill set with the vision that you increase in competence across all activities in your role day to day but also broaden capacity across all administration areas. Inbound Document Indexing & Verification Accurately and efficiently index inbound documents into document retention system Use data entry to process information from documents to ensure accuracy Classify, and index document...

Job Summary: We are seeking a skilled and experienced Accounts Receivable (AR) Team Lead with expertise in Advanced MD software to support a healthcare client with RCM (Revenue Cycle Management) services. The ideal candidate will have a deep understanding of healthcare billing and collections, combined with strong leadership abilities to oversee AR processes, mentor junior staff, and ensure effective and compliant accounts receivable management. Responsibilities: Accounts Receivable Management: Assist and lead the management of AR processes for healthcare services using Advanced MD software. Team Leadership and Mentorship: Supervise a team of AR professionals, providing guidance, training, a...

Hiring for Top Multi-National Company!! Job Title : Property and Casualty Insurance Job Title : P&C | Quoting Qualification : Any Graduate and Above Relevant Experience : 3 to 6 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 accurate quotes. 5.Familiarity with multip...

Roles & Responsibilities: Work remotely and report to the Team Lead. Review, verify, and correct information in patient progress notes. Schedule and manage patient appointments efficiently. Maintain quality communication with patients regarding reminders, follow-ups, and inquiries. Handle incoming and outgoing patient referrals over calls. Manage backend tasks: faxes, prior authorizations, lab reports, chart preparation, etc. Maintain patient records while ensuring confidentiality. Assign and encode billing codes as per insurance guidelines. Ensure proper documentation of procedures in progress notes. Review posted results and report discrepancies. Collaborate with healthcare professionals t...

What youll be DOING What will your essential responsibilities include? Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS). Liaising with Claim handlers onshore, brokers, and underwriters. Manage all administration aspects of the claim Attention to detail – you will need to make sure that all conditions of a claim are met to make sure that the claim can be processed and validated. Performing quality checks on tasks performed by colleagues. Constantly elaborating existing processes and looking for improvement opportunities. Getting involved in t...

We are seeking a talented individual to join our Claims Service team at Marsh. This role will be based in Mumbai. This is a hybrid role that has a requirement of working at least three days a week in the office. Specialist Claims Service (Grade C1) What can you expect: Excellent exposure to complex & diverse claims handling. Opportunity to enhance Claims knowledge and understanding & build on client management skills. As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role. Within the first 30 days, we expect you to gain good understanding o...

As a Guidewire developer at PwC, you will focus on developing and customizing applications using the Guidewire platform, which offers tools for policy administration, claims management, and billing for insurance companies. Your responsibilities will include designing, coding, and testing software solutions tailored to meet the specific needs of insurance organizations. - Hands-on experience with Guidewire products in PolicyCenter - Strong knowledge of the Guidewire platform - Familiarity with Webservices, XML, and database management - Experience in SCRUM Agile methodology - Sound knowledge of software architecture and design patterns - Team leadership skills - Experience in Guidewire implem...

Manage & mentor AR teams to meet production & quality targets Review aging reports and ensure timely claim follow-ups Resolve denials, payment issues & escalate when required Ensure compliance with client SLAs and audit requirements Required Candidate profile 6–10+ years of experience in US Healthcare AR Strong knowledge of end-to-end RCM Hands-on experience in AR follow-ups (Insurance & Provider) Experience leading AR teams & driving performance Perks and benefits To apply please contact at 7880527464

About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. About the Role The Strategic Accounts Servicing Team is responsibl...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : 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 ...

Manage cashless & reimbursement claims,verify coverage Coordinate with TPAs & insurers, handle approvals, update billing records Resolve discrepancies,support patient insurance queries,ensure compliance with hospital & insurance guidelines.

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.

Job Description: You will be responsible for Quantity Surveying tasks such as performing detailed quantity take-offs from drawings and specifications, preparing and updating Bills of Quantities (BOQ), conducting site measurements, and reconciling quantities with contractor submissions. Additionally, you will validate material consumption and wastage calculations. Key Responsibilities: - Perform detailed quantity take-offs from drawings and specifications - Prepare and update Bills of Quantities (BOQ) - Conduct site measurements and reconcile quantities with contractor submissions - Validate material consumption and wastage calculations Qualifications Required: - Previous experience in Quanti...

Role Overview: As a Quantity Surveyor, you will be responsible for various tasks depending on whether you are a Junior or Senior Quantity Surveyor. Key Responsibilities: - Take off quantities from drawings and specifications. - Assist in evaluating subcontractor quotations. - Prepare and maintain records of variations and claims. - Assist in preparing monthly project reports. - Liaise with site engineers and project managers for progress updates. - Learn and apply contract administration processes. For Senior Quantity Surveyor: - Lead the cost planning, estimation, and budget control of projects. - Manage tendering processes, subcontractor negotiation, and contract award. - Review, certify, ...

Role Overview: As a Guidewire developer at PwC, your primary focus will be on developing and customizing applications using the Guidewire platform. Guidewire is a software suite that equips insurance companies with tools for policy administration, claims management, and billing. Your responsibilities will include designing, coding, and testing software solutions tailored to the specific needs of insurance organizations. In this role, you will concentrate on cultivating strong client relationships and honing your leadership skills. You will navigate complex situations, enhance your personal brand, deepen your technical expertise, and leverage your strengths. It is essential to anticipate the ...

High Value Claims Management - Cashless claims Setting up guidelines for processing health cashless claims Seek expert opinion on rejection/repudiation of HV claims. Active coordination with ILM for closure of investigations within TAT Medical Guidelines Cashless Claims Management Set up medical claim processing criteria. Set guidelines for in-house claims review. Execute process improvement feedback. Active participation in Internal & External audit of the department Monitoring overall hospital service utilization. Work on data analytics fraud framework. Stringent monitoring & executing control measures of service over utilization by providers. Identify patterns and set triggers for suspici...

Role & responsibilities Job Overview : The Insurance Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. This role involves ensuring that claims are handled efficiently, accurately, and in compliance with company policies and regulatory requirements. The ideal candidate will have strong attention to detail, excellent communication skills, and a thorough understanding of insurance policies and procedures. Key Responsibilities : Claims Intake & Review : Receive, review, and verify incoming insurance claims for completeness and accuracy. Ensure that all required documentation is provided (e.g., claim forms, medical records, invo...