1337 Claims Management Jobs - Page 5

We MEIL are looking for Contracts Engineer for Head office Job Location - Hyderabad, Telangana Qualification - Nicmar with QSCM & ACM, B Tech - Civil Responsibilities - Review contract agreements, BOQs, tender documents, specifications, and drawings. Prepare and manage contractual correspondence, claims, EOT, variations, and cost implications. Coordinate with project sites for contract compliance, risk identification, and change management. Support pre-bid and post-bid activities including technical/commercial evaluations. Ensure adherence to contractual terms, statutory requirements, and client/consultant conditions. Draft letters, notices, and contractual communications as per contract cla...

As a candidate for this role, you will be responsible for the following key responsibilities: - Account Reconciliation - Claims Management - Reporting - Communication - Documentation - Compliance To be successful in this position, the desired candidate profile includes the following qualifications: - Ability to learn and adapt to new practice management system - Detailed Orientation - Team managing skill - Ledger Maintenance, bills, Bill Maintenance - Large data set of numbers & QuickBooks - Multiple portals working experience - Computer Fluency In addition to the job requirements, the company offers the following benefits: - Competitive salary and benefits package - Opportunity to lead a te...

Job Opening: Claims Associate (P&C / Insurance / Healthcare) Bangalore Position: Claims Associate – P&C / Insurance / Healthcare (Claims Processing / Adjudication) Location: Bangalore Experience: Minimum 2 years in Claims / Insurance / Healthcare claims processing / adjudication Qualification: Graduate / Undergraduate Shifts: 24/7 rotational shifts Off Days: 2 rotational weekly offs Salary: Up to 4.5 – 5.0 LPA Transport: Two-way cab provided (within 25 km radius) — no additional transport allowance Key Responsibilities: Process and adjudicate insurance / healthcare claims accurately and in line with company policy. Review claim documents, validate coverage, verify loss/event details, and det...

About The Role Skill required: Property & Casualty - Property and Casualty Insurance Designation: Insurance Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 world’s 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...

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 ...

Claims operations On monthly basis, monitor key performance parameters such as – Claims settlement TAT Claim Settlement Ratio Efficiency ratio, etc.; Track deviations against set targets and identify reasons for deviations Closely monitor and control the high ageing open claims, including co-insurance claims Review the reserve revisions for Non Motor claims in the zone Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly To keep liaison with other departments Co-ordinate with Surveyor/Investigator Recommend head office to empanel service provider, after taking market feedback. Appoint appropriate surveyor and ...

Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with our clients across real estate, infrastructure, energy and natural resources, we transform together delivering outcomes that improve people's lives. Working in partnership makes it possible to deliver the world's most impactful projects and programmes as we turn challenge into opportunity and complexity into success. Our capabilities include programme, project, cost, asset and commercial management, controls and performance, procurement and supply chain, net zero and digital solutions. We are majority-owned by CBRE Group, Inc., the world's largest commercial real estate...

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 ...

*Please share your resume before coming to the walk-in on 29th Saturday 10:30am - 03:00pm Role: Claims Adjudicators/Sr. Claims Adjudicators Location: Noida Key Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills. Experience: 3 + years in Claims Adjudication or in relevant field (Fresher dont apply) Job Description: We are seeking a detail-oriented and analytical Claims Adjudicator to review, evaluate, and process insurance claims in accordance with policy guidelines and regulatory standards. The ideal candidate will have a strong understanding of claims procedures, excellent decision-making skills, and a co...

Role Overview: As a Legal Advisor for the global Supply Chain Management (SCM) function, you will serve as the day-to-day counsel and provide guidance on claims management. Key Responsibilities: - Collaborate with external/internal counsel and internal stakeholders on various legal strategies, pleadings, discovery, mediations, settlements, and trials - Handle a diverse range of legal matters including contract/commercial, personal injury, property damage, environmental, insurance, labor/employment, and others - Evaluate litigation, claims, disputes, and other legal issues for potential reserves and receivables, financial statement disclosure, and compliance with reporting requirements - Comm...

We are seeking a talented individual to join our Client Engagement Manager team at Marsh India Insurance Brokers Pvt Ltd. 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. Client Engagement Manager We will count on you to: This role encompasses managing client insurance operations, supporting content creation/concept notes for clients, and assisting in the development of engagement plans to drive business growth. The role requires strong communication skills, analytical capabilities, and the ability to coordinate cross-functional teams to deliver high-quality, timely, and client-focused solutions. Key Responsi...

Contract Management: Draft, review, and negotiate commercial agreements: Container leasing agreements – Transport & haulage contracts – Vendor/Transporter agreements – Storage/yard agreements – Shipping line contracts – Customer service agreements (CSA/SLAs) • Maintain contract repository and ensure timely renewals. • Ensure all contracts follow company risk guidelines, liability clauses, and insurance requirements. Claims, Disputes & Litigation Manage container damage claims (P&I, cleaning, repair charges). • Handle demurrage/detention disputes with customers and shipping lines. • Coordinate with external lawyers on litigation, arbitration, and recovery matters. • Support operations teams d...

Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, Mexico and India. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Key Responsibilities Claims Processing Review and process medic...

ESSENTIAL RESPONSIBILITIES: Describe the essential responsibilities in order of importance: Begin each responsibility with an action verb. Claims Reporting Evaluate claims to ensure sufficient information is available for loss reporting. Submit claims to carriers and confirm receipt along with adjuster assignment. Manage claims intake queues, including new claims and exceptions. Ensure compliance with offshore reporting criteria for claims processing. Cross-verify reported claims and maintain accurate documentation. Claims Acknowledgment Send acknowledgment emails for claims information received via calls with insurance carriers. Follow special handling instructions for specific claims categ...

Preferred candidate profile Objective: Ensuring contract compliance, mitigating legal risks, and resolving disputes to protect the company's interests. Key Accountability; Must have Civil Engg. background with infra (Roads, irrigation, Railways, Airports) experience. Contract Negotiation and life cycle management. Drafting and vetting of Commercial Contracts, NDA, JVs. Drafting Notices, and replies Handle contractual (Pre- tendering & post tendering) matters and guide contractual adherence & liability to operations teams. Interpretation of contractual clauses. Handle claims, arbitration matters, contractual dispute management & resolution Coordinate with BD, Proposals & Operations Staff for ...

Preferred candidate profile Objective: Ensuring contract compliance, mitigating legal risks, and resolving disputes to protect the company's interests. Key Accountability; Must have Civil Engg. background with infra (Roads, irrigation, Railways, Airports) experience. Contract Negotiation and life cycle management. Drafting and vetting of Commercial Contracts, NDA, JVs. Drafting Notices, and replies Handle contractual (Pre- tendering & post tendering) matters and guide contractual adherence & liability to operations teams. Interpretation of contractual clauses. Handle claims, arbitration matters, contractual dispute management & resolution Coordinate with BD, Proposals & Operations Staff for ...

Role and Positions: GM/ Senior GM Contract Exp: 16-25 Years Location: Gurugram HR Industry: Real Estate Developments Academics: BE/ B Tech Civil Engineering, PGDM/ NICMAR/ MBA/ RICS will be plus Role Objective : This role mainly focuses on overseeing all aspects of contract management within construction projects Ensure smooth execution of contracts, manage daily correspondence, participate in meetings, and manage the contractual closing stage Key Job Responsibilities: 1. Lead end-to-end contract lifecycle management for projects from pre-contract to post-contract stages 2. Draft, review, negotiate, and finalize various types of contracts (e g, construction contracts, consultancy agreements,...

Handle end to end claims settlement Connect with Insurers/TPA/hospital Good in building relations Help clients with Claims settlement Documents Local Mumbai candidates/can handle work pressure/ready to work post working hours

As a Relationship Manager Commercial Lines, your role will involve managing and developing commercial client accounts, providing exceptional customer service, overseeing claims management, and coordinating with underwriting teams. You will be responsible for maintaining and growing client relationships, ensuring client satisfaction, and identifying opportunities for new business. Collaboration with other departments to ensure seamless service delivery and contributing to the overall growth of the company will also be part of your duties. Key Responsibilities: - Manage and develop commercial client accounts - Provide exceptional customer service - Oversee claims management - Coordinate with u...

As an experienced professional in the motor insurance industry, you will play a crucial role in overseeing operations, placement, and claims processes. Your responsibilities will include: - Strategic Planning & Process Optimization: - Develop and implement efficient operational strategies aligned with underwriting, claims, and distribution goals. - Continuously assess and improve turnaround time (TAT) for policy issuance, endorsements, and claims processing. - Streamline internal workflows to enhance productivity and reduce operational costs. - Policy Administration & Underwriting Support: - Oversee end-to-end policy issuance, renewals, endorsements, and cancellations. - Coordinate with unde...

Responsibilities: * Ensure timely claim settlement within policy limits * Manage medical claims from start to finish * Collaborate with healthcare providers on claim resolution

Job Responsibilities of a TPA Coordinator (Hospital Billing Department) 1. Patient Admission & Pre-Authorization Verify patient insurance/TPA details at the time of admission. Collect required documents and submit cashless pre-authorization requests to the respective TPA. Communicate approvals, denials, or queries from TPA to patients and concerned departments. Ensure timely follow-up on pending pre-auth approvals. 2. Coordination With TPA / Insurance Companies Act as the primary point of contact between the hospital and TPAs/insurance companies. Respond promptly to TPA queries related to patient treatments, packages, line of treatment, etc. Maintain healthy working relationships with TPA re...

As a Business Solution Specialist for Prudential Health India (PHI), your role is crucial in shaping a customer-centric Claims Management function/ workflow powered by Data & Technology. Your responsibilities include: - Collaborating and co-creating with cross-functional workstreams for new products, processes, testing, and implementation. - Developing an in-depth understanding of business processes, articulating use-cases, user-stories & requirement documents/change requests for identified features/capabilities. - Reviewing business process flow diagrams with Business Analyst to ensure comprehensive documentation and identify areas for enhancement. - Leading testing in collaboration with fu...

As a candidate for this role, you will primarily be responsible for Policy Management, Claims Management, Internal stakeholder management, VAS & Technical audit management, Periodical risk assessment, GL ownership, and tracking policies for various entities and vendors. Your key responsibilities will include: - Policy Management - Claims Management - Internal stakeholder management - VAS & Technical audit management - Periodical risk assessment - GL ownership - Tracking policies and proactively seeking timely proposals for various entities - Tracking vendor policies as per contract - Ensuring coordination with advisory for VAS - Maintaining monthly reconciliation trackers for assets, employe...

As an Insurance Claims Manager, you will be responsible for overseeing the entire claims process to ensure efficient, fair, and timely resolution of insurance claims in alignment with company policy and regulatory requirements. Your role will involve managing a team of claims adjusters/officers, streamlining claims procedures, mitigating risk, and upholding excellent customer service standards. Key Responsibilities: - Lead and manage the day-to-day operations of the claims department. - Develop, implement, and refine claims handling policies and procedures. - Ensure all claims are thoroughly investigated, evaluated, and settled promptly and efficiently. - Review complex or high-value claims ...