1337 Claims Management Jobs - Page 4

Requirements CA / MBA/Graduate (Commerce) with 5+ years of relevant experience Prior work experience in corporate insurance management, risk management, internal audit, or assurance Exposure to ITES / GCC industry preferred Strong skills in analysis, reporting, and presentation Proficiency in MS Excel and PowerPoint Key Responsibilities Insurance Management End-to-end management of corporate insurance policies, including renewals, additions, and endorsements Manage claims administration by coordinating with internal teams, insurers, and brokers to ensure timely closure Periodically review adequacy of insurance coverage, benchmark against industry practices, and recommend enhancements Maintai...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! Contact: HR JOY 7996004799 (SEND CV ON WHATSAPP IF LINE IS BUSY) Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with...

Role: Insurance Officer Experience: 1-3 Years Location: Madurai Responsibilities : * Manage insurance policies & claims processing * Collaborate with healthcare providers on claim resolution * Calculate premiums accurately Provident fund

As a qualified candidate for the position, you should have a minimum of 12 years of experience, specializing in Property & Casualty (P&C) Insurance. Your background should demonstrate a successful track record in overseeing complex service delivery and managing diverse projects, particularly within the Insurance industry. You should have extensive experience in leading teams consisting of 100 or more Full-Time Equivalents (FTEs). Your expertise should include the ability to define, implement, and successfully complete projects within specified timelines and budget constraints, all while effectively managing various stakeholders. An essential skill set for this role involves adapting to a fas...

Role Overview: As a Consultant at QualityKiosk Technologies Private Limited, your primary responsibility is to manage and oversee the delivery of testing services for insurance clients globally. You will ensure that testing services meet both global and regional client objectives while upholding high-quality standards. Your expertise in the insurance domain is crucial as you provide insights and leadership within the sector, focusing on core workflows such as policy administration, underwriting, claims management, and day-end processing to align testing efforts with client business needs. Key Responsibilities: - Act as the primary contact for key insurance clients, managing relationships, en...

An experienced Claims Adjudicator with 7-8 years of Auto Insurance claims experience (mandatory) to join our Claims team. In this role, you will handle the adjudication of auto insurance claims, ensure compliance with regulations, and provide guidance to junior adjusters. Candidates with strong expertise in auto insurance policies, claim handling & complex adjudications are highly encouraged to apply.

Hi Greetings for the Day! Please find the JD of claim processing for HDFCERGO below: Evaluation and approval on cashless/claims Scrutiny and ICD coding Issuing letters for additional medical information Informing / consulting HOD in case of any major decision Providing assistance to the MU team and resolving grievances related to medical queries NOTE Candidate should be ok for Face to Face interview at Noida office/Hyderabad Office Doctor's Degree candidate only - MBBS/BAMS/BUMS/BMHS/BDS Experience in health insurance / insurance broker / TPA Rotational shift and rotational weekly off Work from office Any 2 days are off Interested candidates can mail resumes at priya.gupta1@hdfcergo.com

Determine eligibility, coverage under underwriting guidelines. Analyze risk trends. risk assessement for various general insurance segments.

Were Hiring for Insurance Claims Associate! Interested candidates can drop your resume to the mentioned contact - 7569452008 Are you detail-oriented and passionate about maintaining a safe and respectful online space? Join our team as a claims associate in Sutherland Global Services WE ARE HIRING FOR: *Immediate joiner required *Excellent Verbal communication skills Position: Insurance Claims Associate Minimum Qualification: Non-Technical education background required (Eg.BA,B.com,BBA) Experience: Minimum in between 1 year experience into claims processing. Shifts: Rotational Shifts. Week Offs: Rotational offs. 2-way transportation will be provided. Candidate must stay in the 20kms from the ...

JOB DESCRIPTION PURPOSE OF ROLE Providing operational leadership to the Central Operations function ensuring quality, productivity, utilization of manpower and adherence to SLA. Designation AVP- Central Operations Function Central Operations - Supervisor Location Bangalore Educational Qualification MBA / Any IT Professional / BAMS / BHMS / MBBS Industry Type TPA / Insurance / Healthcare Roles and Responsibilities Claims Processing Metrics Claims Settlement Cycle Time: Average days from claim receipt to payment, targeting quick resolution to enhance member satisfaction Claims Denial Rate: Percentage of claims rejected, indicating adjudication accuracy and policy compliance. Claims Processed P...

Excellent communication skills with 8+ years of work exp Should be working as an AM / DM on paper for min 2 years. Team handling exp is mandatory. Strong knowledge of insurance claims (General Liabilities, Auto/Motor, Direct & Property & Casualty) Required Candidate profile Should be flexible with US Shifts Should have exp on end to end Claims Prefer Immediate joiners or max 1 month of notice period

Role & responsibilities Handling of Commercial Claims of any size from intimation to Settlement w Adhere to Turn around Time in claim settlement w Periodical follow up with service providers to obtain report for conclusion of claims Coordination with Salvage/Investigation team All commercial line claims data preparation & analysis (Intimated/Paid/Closed/Repudiated & OS) Coordination with Accounts for high value claims High net claim analysis and savings on month-on-month basis (OS at beginning v/s Paid / OS at end) Periodical meeting with brokers/ insured Coordination with PAN India team for Marine Claims related activities

About The Role Skill required: Contract Management - Contract management Designation: Contract Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years What would you do? "- Exceptional leadership, team-building and motivational skills Gained substantial experience in the technology (High Tech and Software) sector, driving initiatives that improved online presence and customer engagement on a global scale Deep expertise in managing sales operations back office processes with knowledge of operations processes, tools and technology Has extensive knowledge in preparing Sales Contracts, Contract drafting, contract abstraction, contract redlining, contract orchestratio...

A. Role Overview Jio Insurance Broking Limited is seeking a highly skilled professional to lead the Underwriting & Claims function for Extended Warranty programs across Consumer Durables, Mobile Devices, and Misc . As a broker, JIBL's focus is on interpreting insurer underwriting guidelines , analysing portfolio metrics, improving claims governance, and negotiating premiums and claims settlements with insurer partners. The ideal candidate must have strong analytical, technical, and claims-handling expertise, with a deep understanding of insurer expectations, failure patterns, service workflows, and product behaviour. B. Key Responsibilities Underwriting Understanding & Premium Negotiation: A...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

Company Description Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) provides intelligent solutions to optimize revenue cycle operations, administrative workflows, care coordination, and clinical research worldwide. With over 35,000 skilled professionals across the United States, India, Colombia, and the Philippines, Omega Healthcare supports more than 350 healthcare organizations. The company's services include end-to-end revenue cycle management, remote patient monitoring, risk adjustment, care coordination, and data curation. Omega Healthcare partners with various healthcare sectors, including providers, payers, life sciences, and health technology firms, to delive...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced 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 yo...

Receive and process cashless hospitalization requests (pre-authorization forms) from network hospitals. Verify policy details , coverage, and eligibility of insured members in the system. Assess and evaluate medical details provided by hospitals as per insurance policy terms, internal SOPs, and IRDA guidelines. Coordinate with hospital authorities to obtain required documents or clarifications. Liaise with insurance companies or medical officers for case approvals or escalations. Prepare and send authorization letters or denial letters within defined timelines. Monitor and track ongoing hospitalization cases , ensuring timely updates and approvals for enhancement requests. Maintain accurate ...

1. Claim Processing & Verification Receive, review, and process corporate health/general insurance claims submitted by employees or hospitals. Validate documents such as invoices, discharge summaries, medical records, and claim forms. Verify eligibility, coverage limits, exclusions, and policy terms. Check for discrepancies, incomplete documentation, or potential fraud indicators. Enter and update claim information into the system accurately. 2. Coordination & Communication Coordinate with hospitals, corporate HR teams, and insurance companies to obtain documents or clarify queries. Communicate clearly with employees/corporate clients regarding claim status, additional requirements, and time...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement ser...

Were Hiring for Insurance Claims Associate! Are you detail-oriented and passionate about maintaining a safe and respectful online space? Join our team as a Insurance Claims associate in Bangalore! WE ARE HIRING FOR: *Immediate joiner required *Excellent Verbal communication skills Position: Insurance Claims Associate Minimum Qualification: Non-Technical education background required. Experience: Minimum in between 1 year experience into claims processing. Shifts: Rotational Shifts. Week Offs: Rotational offs. 2-way transportation will be provided. Candidate must stay in the 25kms from the work location Location: Bangalore International Voice Process We're looking for individuals with strong ...

Roles and Responsibilities: 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 and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Role Overview: Jio Insurance Broking Limited is looking for a highly skilled professional to lead the Underwriting & Claims function for Extended Warranty programs across Consumer Durables, Mobile Devices, and Misc. As a broker, your focus will be on interpreting insurer underwriting guidelines, analyzing portfolio metrics, improving claims governance, and negotiating premiums and claims settlements with insurer partners. The ideal candidate must possess strong analytical, technical, and claims-handling expertise, along with a deep understanding of insurer expectations, failure patterns, service workflows, and product behavior. Key Responsibilities: - Underwriting Understanding & Premium Neg...