1074 Claims Management Jobs - Page 38

Role Description Overview: The AR Associate / Associate - RCM (AR) is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Required Qualification: Any Graduates / Non-Graduates (Graduation Not Mandatory) / 10th (SSLC) + 12th (HSC) / 10th (SSLC) + Diploma (3 years) can apply Note: Students with backlogs in UG can also apply. College dropouts can also apply. Desired Profile: Understand the client requirement...

Claims Executive- EB website Link: www.dishainsurance.com Job Summary: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Roles & Responsibilities: One stop solution for all client queries and requirements Represent our company, with a comprehensive understanding of our services in the area of claim process...

Long Term Disability Claim Manager Role Overview: The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attor...

Department - Claims Auto Role & responsibilities Closing Ratio/Minimize cost : Negotiate with dealers ; Avoid cost wastage in workshops; Regular training of claims policies ; Faster settlements Re-open ratio/Segmentation of vehicles: Separating the Claims according to Vehicles and minimizing the expenses Repair claims: Timely follow up with agent; visit the workshop within 48hrs of receiving the claim and follow up within 2days. Maintain the Hygiene/TAT(Total Around Time) : Proper evaluation on customer claims ; Claims should be closed within defined TAT (i.e.; Approval or rejection) Sort out claims related issues according to Regulations. Policy Compliance : Ensure that the claims process a...

Roles and Responsibilities Manage end-to-end claims processing, including investigation, settlement, and reconciliation. Oversee insurance billing and TPA (Third Party Administrator) processes. Ensure compliance with regulatory requirements and industry standards for healthcare services. Develop and implement effective strategies to reduce claim denial rates and improve revenue cycle management. Collaborate with internal stakeholders to resolve complex claims issues.

Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture 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 th...

Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture 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 ...

Exclusive Walk in Drive - US Healthcare RCM Trainer - 31st May 2025 Date : 31st May 2025 Venue : HCL Tech , 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. POC : Shinaz JOB SUMMARY We are seeking a knowledgeable and experienced US Healthcare RCM Trainer to join our team. The ideal candidate will be responsible for training employees on various aspects of revenue cycle management, including insurance processing, registration, eligibility, claims management, billing, collections, and denials. The trainer will develop and deliver training programs to ensure that employees are well-versed in RCM processes and best practices. Role & responsibilities Train ...

Exclusive Walk in Drive - US Healthcare RCM Trainer - 31st May 2025 Date : 31st May 2025 Venue : HCL Tech , 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC : Shinaz JOB SUMMARY We are seeking a knowledgeable and experienced US Healthcare RCM Trainer to join our team. The ideal candidate will be responsible for training employees on various aspects of revenue cycle management, including insurance processing, registration, eligibility, claims management, billing, collections, and denials. The trainer will develop and deliver training programs to ensure that employees are well-versed in RCM processes and best practices. Role & responsibilities Train n...

Claims Specialist Exp- 2+ Years Loc- Pune Skills- Claims, Dispute, Claims Mgt, Reason Codes, SAP, etc Pkg- 5.5 LPA Aparupa 9311697179 Aparupa.imaginators@gmail.com

Ready to shape the future of work At Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos AI Gigafactory, our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that&rsquos shaping the future, this is your moment. Genpact (NYSE: G) is...

Designation: Associate Vice President / Senior Manager / Manager - Liability & Speciality Products. (Depending on the seniority of the candidate). Location: Mumbai, Delhi Organisation: One of the Leading Insurance Broking Companies in India. Reporting to: The Vice President- Liability & Speciality Products. Key Accountabilities: Underwriting liability proposals of all lines of business, and rating them. Coordinate with the Sales team and Brokers of the entire Zone; and assisting them in converting business. Assist in Product development and Product filing. To ensure renewal and identify possibilities of up-sell/cross- sell. Coordinate with the Claims Team & other stake-holders. Requirements:...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 to 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster ...

Responsible for handling cargo claims. Responsible for the management and administration of all claims filed Globally. Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for the Group. Provide technical expertise and advice related to incidents, claims matter and loss prevention initiatives. Key Responsibilities Claims - Handling cargo Claims as per the set guidelines. Having a customer centric approach at the same time keeping in mind the legal requirement and closing claim within legal ambit Establish app...

Role: Head of Claims and Underwriting will strategically lead and optimize end-to-end policy lifecycle. - Seeking candidates with expertise in the Indian life insurance landscape, regulatory compliance, and a passion for leveraging AI and new technologies to enhance efficiency, accuracy, and customer experience in both underwriting and claims. Key Responsibilities: 1. Define and implement strategy for Claims and Underwriting, integrating AI, automation, and new technologies 2. AI-Powered Underwriting 3. Tech-Driven Claims Management: Lead the transformation of the claims process 4. Underwriting operations for individual and group policies, ensuring adherence to IRDAI regulations 5. Manage th...

Responsible for P&L of the branch Achievement of Branch targets for retention, cross selling and new business Retention of the Companys clients in assigned region Leveraging on the existing clients of the Company for cross selling Identification and conversion of leads for new business generation (corporate business) in assigned region Handling day-to day underwriting and servicing requirements of clients on a timely basis to ensure complete customer satisfaction Effectively managing the team that reports to him Ensuring that all underwriting requirements of clients are met as per Company defined TATs Effectively coordinating between client / centralised claims team to ensure timely resoluti...

Key Responsibilities: 1. Negotiation with Insurance Agency for finalizing Terms and Conditions of the Policies and Premium. 2. Responsible for finalizing the Insurance Agency during onboarding and renewal/upgradation of Insurance Agency. 3. Ensuring approval of all credit limits from the Insurance Agency before the clients are onboarded in the system. 4. Ensuring sharing of relevant MIS files with Insurance Agency. 5. Timely filing of NNP and claims and ensuring submission of all required documents for receipt of claims. 6. Setting up SOPs, Policies in place for end-to-end Insurance process and maintenance of MIS pertaining to NNP/Claim etc.

Responsible for P&L of the branch Achievement of Branch targets for retention, cross selling and new business Retention of the Companys clients in assigned region Leveraging on the existing clients of the Company for cross selling Identification and conversion of leads for new business generation (corporate business) in assigned region Handling day-to day underwriting and servicing requirements of clients on a timely basis to ensure complete customer satisfaction Effectively managing the team that reports to him Ensuring that all underwriting requirements of clients are met as per Company defined TATs Effectively coordinating between client / centralised claims team to ensure timely resoluti...

Job Summary We are seeking a Subject Matter Expert in Claims HC with 4 to 6 years of experience to join our team. The ideal candidate will have expertise in UiPath and Claims Adjudication along with domain experience in Provider and Payer. This hybrid role requires working night shifts and does not involve travel. The candidate will play a crucial role in optimizing claims processes and enhancing operational efficiency. Responsibilities Lead the automation of claims processes using UiPath to improve efficiency and accuracy. Oversee the end-to-end claims adjudication process to ensure timely and accurate resolution. Provide expert guidance on claims management to both provider and payer teams...

Role & responsibilities Graduate Degree in Civil Engineering with minimum of 10 years Experience in Handling Contracts pertaining to Construction industry (Minimum of 8 years Experience in Railways Projects). OR Diploma in Civil engineering with minimum of 15 years Experience in Handling Contracts pertaining to Construction Industry (Minimum of 10 years’ Experience in Railways Projects) OR A retired Engineer from Railway/PSU with at least 7 years’ experience in either in gazetted cadre of Engineering department of Railways and/or as Manager and above in civil engineering department in RITES/IRCON/RVNL or equivalent grade in Konkan Railway/MRVC/DFCCIL/any JVS or SPVs with Ministry of Railways...

Job Responsibilities: Computation and timely settlement of Trade Channel Schemes including Price Drop settlement Timely processing of the Channel Scheme Exceptions Drive reconciliation with Channel partners and ensure closure of all recon items Ensure the collection of the No Dues Certificate (NDC) from Chanel partners on Quarterly basis Provide support to External customers (Channel partners) and Internal customers (Regional Sales teams, business teams & finance team) through coordinating actions on Claims process improvements and Claims Settlement Handle timely communication of monthly channel schemes through SMS system. Ensure accurate monthly provisioning of Channel spends and closure of...

Communicate with customers for their insurance claims and explain the process Follow up for and verify insurance claim documents Assist customers with claim filing process and keep the claim status updated Follow up with TPA / insurers for smooth and timely claim settlement Track claims on the insurers portal Claims end to end settlement/relationship with insurers/ good communication/ good knowledge of claims in Health insurance

Any Graduate 06 months exp in insurance domain or Property and casualty Book Roll Endorsement Underwriting Call/Whatsapp RASHMI 8130669625 Required Candidate profile 1 Year bpo experience Candidate must be okay with walkin interview Excellent communication skills required.

Note: Apply only if fine to work at hospital and location Good communication skill. Updating records and files in portal Knowledge in computers like MS office. Usage of company platform for patients data updation. Database management. Good interpersonal skill. Coordination with other team members and internal department of the hospital Share daily activity report to the reporting manager

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad