1040 Claims Management Jobs - Page 6

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were 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's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services...

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! HR Ananya 8884496986 (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 inter...

As a Claims Unit Manager at Mrald (Mphasis's dedicated UK Insurance operational services delivery vehicle), your main responsibility is to lead the day-to-day activities of a Claims team. You will ensure the delivery of an effective and high-quality Claims service for the business while meeting agreed SLAs & KPIs. Additionally, you will support the Claims Manager in providing strategic leadership and overseeing improvement initiatives for the Claims function as a whole. Key Responsibilities: - Oversee and lead the performance and running of a Claims team - Ensure the team possesses the necessary knowledge, skills, and cultural requirements to perform their roles effectively - Deliver service...

Project & Job Location: Goregaon Mulund Link Road Twin Tunnel. Goregaon - Mumbai. Job Summary: The Contracts Engineer is responsible for managing and administering contracts, ensuring compliance, and mitigating risks in infrastructure projects. This role involves contract review, negotiation, and administration, as well as collaboration with project teams and stakeholders. Key Responsibilities: 1. Contract Review and Analysis : Review and analyze contract documents, identifying potential risks and opportunities. 2. Contract Administration: Administer contracts, ensuring compliance with contractual obligations, and managing variations and claims. 3. Risk Management: Identify and mitigate cont...

Greetings from Black and White business solutions !! About the Company Hiring for Top Multinational corporation !! Job Title : P&C Quoting Specialist Qualification : Any Graduate and Above Relevant Experience : 3 to 5 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 ac...

About the Company Hiring for Top Multinational corporation !! Job Title : P&C Quoting Specialist Qualification : Any Graduate and Above Relevant Experience : 3 to 5 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 multiple carrier po...

As a Claims Management Specialist, your primary role is to process and manage cashless insurance claims efficiently and accurately. You will be responsible for ensuring timely closure to policyholders and maintaining seamless coordination with insurance providers. Key Responsibilities: - Act as a Claims buddy by managing end-to-end cashless claims of employees, including verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring accurate and efficient processing. - Verify Policy Coverage by reviewing and confirming policy details to ensure that the claim is eligible for cashless processing according to the insurance policy's terms and conditions. - Provide...

As an RCM Specialist at Nucleon Health, your role involves optimizing revenue cycle processes, minimizing receivables, and ensuring accurate billing and claim management. You will be responsible for eligibility verification, denial management, medical coding, and automation of billing processes to maximize revenue and enhance customer satisfaction. Key Responsibilities: - Ensure medical coding compliance by adhering to ICD-10 standards, reducing AR backlogs, and improving provider documentation. - Manage claims and accounts receivable transparently, focusing on revenue recovery and implementing denial management strategies. - Utilize process automation tools like EDI for electronic claim sub...

What We Expect Lead, mentor, and manage a team of claims adjusters and support staff, fostering a positive and high-performing work environment. Oversee the entire claims lifecycle, from initial notice to resolution, ensuring timely and accurate processing of all claims related to elevator issues. Possess or utilize in-depth technical knowledge of elevator and escalator systems to understand the nature of claims, including mechanical, electrical, and hydraulic components. Conduct thorough investigations into claims, gather documentation, and evaluate the extent of liability and damages based on policy provisions and technical assessments. Ensure all claims handling activities adhere to inter...

As a US Trucking Insurance Claims and Endorsements Specialist, your role is crucial in managing policy changes and assisting clients with commercial trucking insurance claims. Your strong knowledge of trucking insurance products and excellent communication skills will be essential in this position. **Key Responsibilities:** - Process and manage policy endorsements like adding/removing vehicles, drivers, or adjusting coverage limits. - Guide clients through the claims process from initial report to resolution, ensuring timely and accurate handling. - Communicate with carriers, adjusters, and clients to gather documentation and provide updates on claims status. - Review and verify Certificate ...

Claims Associate Medical Company : GoDigit General Insurance Department : Health Claims – Medical Position Overview Looking to leverage your medical expertise in a dynamic insurance environment? As a Claims Associate – Medical, you will play a key role in ensuring the accuracy, quality, and integrity of health claims decisions by applying clinical knowledge, regulatory awareness, and strong attention to detail. This role demands a balance of technical understanding and operational execution. Key Responsibilities Claims Processing: Review, analyze, and process health claims accurately and within turnaround time (TAT) as per internal SOPs and regulatory norms. Medical Review: Assess the clinic...

A TPA (Third Party Administrator) Executive's job description can vary based on the specific company or industry they work in However, here's a generalized job description for a TPA Executive:Job Title: TPA ExecutiveJob Summary:As a TPA Executive, you will be responsible for managing and overseeing various aspects of third-party administration services for clients Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations Responsibilities:Claims Management...

Masina Hospital is looking for Sr Exceutive TPA to join our dynamic team and embark on a rewarding career journey. As a TPA Executive, you will be responsible for managing and overseeing various aspects of third-party administration services for clients Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations Responsibilities: Claims Management: Handle and process insurance claims efficiently and accurately, adhering to the company's guidelines and relev...

Role & responsibilities : Manage the performance of the key accounts in the branches Set goals and targets for the teams. Monitor and review the performance of the team periodically. Preparation of reports which will be shared with other teams. Understand the training needs of team members, develop them through training, coaching and mentoring sessions. Handle escalations and associated documentation if any. Preferred candidate profile : Education: Min Graduation completion. Experience: 7+ years of experience with broker or hospital or insurance background preferred. Managed large accounts in a TPA/insurance/hospital background with ability to handle 10-20 team members. Location: Bangalore- ...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on exp...

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 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 (Eg.BA,B.com,BBA) Experience: Minimum in between 0 -3year 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 work location Location: Bangalore We're looking for individuals with strong analytical skills, a s...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determini...

Responsibilities: * Oversee commercial operations on gem portal * Manage PSU sales through Excel & PowerPoint * Conduct claims management with commercial accounting expertise

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were 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's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services...

Manager - Operations?ROI, oversees the operational performance and strategic direction of offshore healthcare processes, ensuring efficiency, quality, and compliance.?This role involves leading teams, managing client relationships, and driving continuous improvement in a fast-paced, global environment. Manager Operations is a key leadership position that requires a blend of operational expertise, leadership skills, and a deep understanding of the healthcare industry.?The role is crucial for ensuring the smooth and efficient delivery of offshore healthcare services while maintaining high standards of quality and compliance. Key Responsibilities: Operational Oversight: Manage day-to-day operat...

We currently have an excellent opportunity for an Accounts Receivable Chargeback Analyst to join our team. The Accounts Receivable Analyst is responsible for managing and resolving retail chargebacks, disputes, and deductions related to the retailers. Roles & Responsibilities: Review all deductions taken from customer payments, review remittance information to determine the reason for deduction Review all documents supporting the customer claims, including purchase order copies, proof of delivery and invoices Dispute all claims including shortages, pricing deductions, and violations; disputes are completed via web portal or via email Retrieve data from customer web portals Contact customers ...

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...

As a Process Analyst – Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communic...

Your Role: Lead SAP TPM implementations and enhancements across global CPG/FMCG clients. Collaborate with cross-functional teams to design, configure, and optimize TPM processes. Ensure seamless integration with SAP SD, CRM, and BW modules for end-to-end promotion management. Drive solution workshops, stakeholder alignment, and deliver high-quality documentation and training. Your Profile: 612 years of hands-on experience in SAP TPM with strong functional and technical understanding. Proven track record in managing full-cycle TPM projects and post-go-live support. Expertise in trade spend planning, claims management, and performance analytics. Strong communication, client-facing skills, and ...

Role & responsibilities Experience in Data Analytics. Should be good at Communication and Reports generation. good communication skills for processing Critical Illness and Personal Accident Claims. Preferred candidate profile