1059 Claims Management Jobs - Page 31

Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to get to the heart of customer issues, diagnose problem areas, design innovative solutions and facilitate deployment resulting in client delight. You will develop a proposal by owning parts of the proposal document and by giving inputs in solution design based on areas of expertise. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design You ...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 8951865563 Whatsapp CV mail id -sarika.pallap@mediassist.in

Key Deliverables: Manage a portfolio of complex Long Term Disability (LTD) claims Evaluate medical and contractual eligibility for benefit continuation Maintain strategic case plans and conduct detailed customer interactions Ensure timely and quality decisions on benefits and return-to-work discussions Role Responsibilities: Communicate with customers, employers, and clinicians to support return-to-work goals Analyze medical and vocational information to validate claims Collaborate with internal teams (nurses, vocational counselors) for holistic case management Maintain documentation accuracy and comply with regulatory and service standards

Skill required: Supply Chain - Warranty Management Designation: Func & Ind Intelligence Associate Qualifications: BE Years of Experience: 1 to 3 years About Accenture 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. Visit us at www.accenture.com What would you do Warranty Claim adjudicationWarranty Claim ProcessDefine warranty offerings; ru...

Role & responsibilities Key Responsibilities: 1. Hospital Visit Management: Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives. 2. Claims Negotiation: Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions. 4. Pending Issues and Concerns: Identify, track, and resolve pending issues and concerns related to hospital partnerships, including ...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture 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. Visit us at www.accenture.com What would you do We help insurers redefine their customer expe...

Timely settlement of assigned claims Effectively coordinating between client branch office insurer surveyor to ensure timely resolution of non-EB claims within Company defined TATs Handling day-to day servicing requirements of claims on a timely basis to ensure complete customer satisfaction Effectively managing the team of Executives who may report to him her Ensuring that all required MIS reports are updated and submitted on a timely basis Ensuring compliance with IRDA requirements in respect of claims management Maintaining excellent relationships with insurers surveyors to ensure support for claims settlement Ensuring that all operational requirements processes are met as per Company def...

Manage group insurance, claims, compliance, audits, assets, and policy renewals; ensure risk coverage, legal adherence, cost efficiency, and insurer coordination across all business units.

In this role, you will: Support and capture all pertinent information from customers about their claims Conduct research and provide updates on status of new and existing claims Identify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claim Perform routine customer support tasks by maintaining balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment Receive direction from team lead and escalate questions and issues to more experienced roles Interact with colleagues on basic day-to-day issues, and network with supporting ...

Role & responsibilities Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. Conducts complex research, review and analysis of medical records, treatment plans and claim information. Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans. Assess training needs and creates, authors, and presents medical training t...

JOB DESCRIPTION : HOSPITAL RELATIONS MANAGER Department: Hospital Relations Location: Hyderabad,Warangal,Nizamabad,Vijaywada,Visakhapatnam Job Type: Full-Time Job Summary: The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making. Key Responsibilities: 1. Hospital ...

Role & responsibilities Arbitration documentation, involved in the preparation of Statement of Claim. Timely identification of potential claims in projects and their time extension. Issuing of timely notices and submissions to the Client as required under the Contract. Preparation of LOAs, Work Order, Subcontract Agreements and Involving in Negotiations meeting. Identifying Contract Deviations and taking steps to minimize financial risks Drafting of Contractual Correspondences. Preferred candidate profile Project planning and coordination, Stakeholder management, Budgeting and cost control Risk management Communication and interpersonal skills Problem-solving and decision-making Team leaders...

Description SAP TPM (Trade Promotion Management) Consultant specializes in implementing and supporting the SAP TPM module, which helps companiesespecially in the consumer products (CPG) industryplan, execute, and analyze trade promotions with retailers and distributors. Key Responsibilities Requirement Gathering Work with business stakeholders to understand trade promotion processes. System Design & Configuration Configure TPM in SAP (typically part of SAP CRM or SAP S/4HANA, sometimes integrated with SAP BW and SAP ECC). Integration Ensure smooth integration with other modules like SAP SD, FI, CO, and BI for data consistency and reporting. Promotion Planning & Execution Support tools for pl...

Role & responsibilities Marine Insurance Preferred candidate profile With end to end experience in marine claim.

Hi, We are hiring for the Leading ITES Company for Travel Audit Analyst Profile. Overview A Travel Audit Analyst is responsible for reviewing and auditing employee travel and expense claims to ensure compliance with company policies and financial guidelines. The role involves processing time and expense reports, managing queries, and utilizing tools like Concur and AppZen for claim verification. It requires strong skills in financial accounting, MS Office (especially Excel), and problem-solving, along with the ability to work independently and communicate effectively. Key Skills: Minimum 1 yr Experience in financial accounting & reporting. Experience of working in various claim management to...

Job Overview: We are looking for a person who has possesses understanding in the insurance industry, including premium, claims, reserves, and treaty types, with strong accounting knowledge. Key Responsibilities Claim Intake and Assessment: Receiving and logging new claims, verifying policy details, and assessing the validity of the claim based on policy conditions. Information Gathering: Collecting necessary information and documentation from claimants, witnesses, and other relevant parties, including photographs, reports, and financial records. Liaison: Maintaining communication with claimants, solicitors, loss adjusters, and other professionals involved in the claim process. Documentation ...

Roles and Responsibilities Manage contractual agreements between clients and organizations, ensuring compliance with railway regulations. Oversee claims management processes, resolving disputes through arbitration when necessary. Coordinate contract administration activities, including documentation and reporting requirements. Negotiate contract terms and conditions to ensure mutually beneficial outcomes for all parties involved. Ensure timely completion of projects by managing resources effectively.

Who are we Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of Industry including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing. Headquartered in the bustling city of New Jersey, Fulcrum was rated among the fastest growing Software Companies in Inc 5000 Club and No. 7 Technology firm in New Jersey by NJ Biz. Our team of business and technical consultants are spread across the US and other regions including the UK, Portugal, LATAM, Australia, and Finland where we h...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric app...

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days i...

MBA in finance having 7 years plus relevant experience of Underwriting risk cover, Claims Management, suuport to Business Development team, Client Relations, Leadership, Operations, Documentation, MIS & Compliances

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate About Accenture 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. Visit us at www.accenture.com What would...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(International) - Intermediate About Accenture 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. Visit us at www.accenture.com What would ...

Job Summary We are seeking a skilled Claims Adjudication Specialist with 1 to 3 years of experience to join our team. The role involves working from the office during night shifts focusing on claims adjudication processes. The ideal candidate will have a strong understanding of claims and payer domains contributing to efficient and accurate claims processing enhancing our service delivery. Responsibilities Process claims efficiently and accurately to ensure timely adjudication and resolution. Collaborate with team members to identify and resolve discrepancies in claims processing. Analyze claims data to identify trends and areas for improvement in adjudication processes. Maintain up-to-date ...