1040 Claims Management Jobs - Page 8

Allianz is looking for Claims Analyst to join our dynamic team and embark on a rewarding career journey. Oversee the claims processing department and ensure timely settlements. Verify and validate claims documentation and eligibility. Handle complex or disputed claims and resolve issues efficiently. Coordinate with other departments for claim investigations. Train and guide claim processors to maintain accuracy and efficiency. Disclaimer : This job description has been sourced from a public domain and may have been modified by Naukri. com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

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 & responsibilities Coordinate with patients, TPAs, and insurance companies for pre-authorization, approval, and final claim settlements. Prepare and submit claim documents and bills to TPAs/insurance companies in the prescribed format. Follow up regularly with TPAs for claim status, pending queries, and settlement updates. Verify patient insurance details, coverage, and eligibility before admission and discharge. Maintain accurate and up-to-date records of all claims submitted and settled. Handle rejections, discrepancies, and short settlements by coordinating with relevant departments and TPAs. Ensure compliance with hospital policies and TPA/insurance requirements. Generate periodic r...

About Company: INTECH Insurance Surveyors And Loss Assessors Pvt Limited is India's most preferred and trusted Insurance Survey and Loss Assessment Company has always been at the forefront in providing a wide gamut of loss adjusting and claims management services across various disciplines across India. Roles & Responsibilities: Conduct inspections and investigations to verify losses, ownership, and policy compliance. Assess damage, determine liability, and prepare accurate survey and claim reports. Advice insured parties on safety, loss minimization, and compliance measures. Resolve queries from insurers/insured, ensuring transparency, neutrality, and timely closure. Consult experts when re...

Key Responsibilities: Adjudicate medical, dental, and vision claims using the Facets platform. Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules. Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA). Identify discrepancies or issues in claims data and take corrective actions. Apply plan benefit designs and provider fee schedules during claim review. Collaborate with cross-functional teams including customer service, provider relations, and medical management. Participate in audits and quality checks to ensure process accuracy. Maintain confidentiality and compliance with data protection ...

Responsibilities: * Lead contract negotiations and claims resolution * Manage project schedules using Primavera tools * Collaborate with stakeholders on scope definition and change requests * Monitor progress against plans Food allowance Health insurance Provident fund Office cab/shuttle

Role Overview: As a detail-driven professional, you will be responsible for managing insurance policies, renewals, claims, and compliance across group companies. Your role will involve reviewing insurance policies, maintaining insured asset registers, managing renewals and vendor negotiations, handling insurance claims, and preparing MIS reports to support audits. Key Responsibilities: - Review insurance policies & recommend improvements - Maintain insured asset & inventory registers - Manage renewals and vendor negotiations - Handle insurance claims & coordinate with surveyors - Prepare MIS reports & support audits Qualification Required: - Strong knowledge of insurance clauses, risk assess...

You will be responsible for handling loan disbursements of the Loans Business. This includes managing vendor relationships, verifying and authenticating pre-sanction and post-sanction documents, and processing necessary loan documents. Additionally, you will be tasked with resolving discrepancies and addressing customer queries post disbursal. It is essential to update sanctioned customers" details in the system accurately. - Experience in handling insurance claim financing - Proven track record in Claims Management, with a preference for experience in working with Network Hospitals - Proficiency in MS Excel,

As an Assistant Vice President-Life Insurance at MYLIFE JOB CONSULTANCY in Hyderabad, your role will primarily focus on day-to-day tasks related to finance, insurance, actuarial science, claims management, and team management. Key Responsibilities: - Utilize your 10 years of experience in life insurance sales to drive business growth - Demonstrate leadership and decision-making abilities in managing a team - Apply strong analytical and problem-solving skills to assess market trends and risks - Communicate effectively with clients and stakeholders to ensure customer satisfaction - Maintain relevant industry certifications or qualifications to stay updated with industry standards Qualification...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Hello Job Seekers, Greetings from ShiningstarsITPL !! We are hiring enthusiastic and detail-oriented professionals for our Claims Processing team in Bangalore. The role involves handling Property, Content Damage, Liability, and Injury claims with accuracy, compliance, and excellent customer service. Hiring for Claims Associate Location: Bangalore (Kundanhalli) Experience: Minimum 6 months (with all supporting documents) Qualification: Graduation Mandatory Salary: UPTO 4.2 LPA Shift: 9 Hours (5 Days Working) Cab Facility: Two-way cab available within 25 km radius Roles & Responsibilities Accurately capture and update claim files while maintaining compliance with company policies. Analyze fact...

Role Overview: You will be responsible for preparing and reviewing all Tenders, Work Orders, and Purchase Orders for various civil/MEP/interior works across different projects. Additionally, you will be involved in tender scrutiny reports, contract management, claims management, contract document review, and budget estimation. Key Responsibilities: - Prepare and review Tenders, Work Orders, and Purchase Orders for civil/MEP/interior works. - Create tender scrutiny reports for bidder selection and prequalification. - Manage Contract Management issues for all projects. - Handle Claims management procedures. - Review contract documents and provide timely advice to Project Owners/Managers. - Mai...

People & client mngmnt, report analysis (daily/weekly/monthly), SLA tracking onshore/offshore mngmt, process query resolution, insurer reconciliation, payment processing, process improvements, ad-hoc reporting, SOP/error log updates, team calibration Required Candidate profile People management (2+ yrs), English communication, EMEA/APAC exposure, Analytical & multitasking, Excel, Accounting, Reconciliation & payments, Bank systems Team lead on Papers, Insurance AP/AR Claims

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate 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 insuranc...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting 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 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. We e...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 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. We emb...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting 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 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. We e...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 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. We e...

Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting 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 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. We e...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 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. We emb...

Retail Claims - Automation & ProjectsKey Responsibilities1 Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency Daily production issue - Troubleshootissues and resolve problems related any day-to-day production issues across allclaim systems for death and health claims5 Collaborate with IT stakeholders, claim team and other requiredstakeholders to understand requirements and implement solutions6 Strong techn...

Listening and Typing Data Entry Work Accounts Management and Claims Management Voice Preferred candidate profile Freshers with UG Perks and benefits Food provided Health insurance Provident Fund Weekend off Incentives Provided Shift allowance.

As an Executive - Insurance at Hexa Health in Gurugram, you will be responsible for handling cashless and reimbursement claims, coordinating with TPAs, obtaining pre-authorization approvals, and addressing insurance queries. Your role will include verifying billing, liaising with doctors, and ensuring compliance with standard operating procedures. Your success in this position will require strong relationship management skills and a deep understanding of health insurance policies. Your key responsibilities will include: - Managing cashless and reimbursement claims from initiation to settlement. - Ensuring accuracy in discharge summaries and TPA billing for billing and discharge verification....

Job Description : Claims Management Review the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region. Key responsibility of review and ensure to propose adequate reserve that needs to be reserved for each case to the approval team based on case facts, this have huge impact on company financials considering the volume in TP Claims. Key link between company and Advocates High frequency of travel to different courts in the allocated Warangal & Part of Hyderabad location Collect all evidence relevant to the case and thereby devise an appropriate case strategy. Prepare and file the WS (written Statement) document in the court appear in court when re...

myG is looking for TRAINEE - SCHEMES & CLAIMS to join our dynamic team and embark on a rewarding career journey Assisting experienced employees with their daily tasks and responsibilities Observing and gaining hands-on experience in various aspects of the job Receiving feedback and guidance from supervisors and mentors Completing assigned projects and tasks under the supervision of experienced employees Collaborating with team members and contributing to team projects Demonstrating a strong work ethic, positive attitude, and a willingness to learn and grow Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for ou...