414 Claims Management Jobs - Page 8

About Company: The Amara Raja Group is a fast-growing conglomerate in India with a revenue exceeding USD 1.2 Billion. The group consists of 7 companies and 16 businesses, with a workforce of over 15,000 employees. The company is committed to making a positive impact on the environment, society, customers, suppliers, employees, and shareholders. The Amara Raja Group fosters an inspiring workplace and values that promote personal growth and development. Amara Raja Group, founded in 1985 by Dr Ramachandra N Galla, the Amara Raja Group is a global conglomerate with a revenue exceeding USD 1.75 Billion through highly engaged customers across the Globe. Amara Raja Group, is an expert in developing, engineering, building, and operating large-scale photovoltaic (PV) systems. Amara Raja Group is the competent partner for international financial investors who wish to install turn-key solar power plants in the megawatt range (EPC) as well as for plant operation & maintenance (O&M). Job Title : Manager Contracts and Claims (EPC Power Business). Location : Hyderabad. Reporting : Head Legal & Contracts. Role Description: This is a full time-role based out at Hyderabad for the role of contracts and claims for power business unit of Amara Raja Group. A contract and Claims manager take care of multiple projects being executed by Amara Raja by supporting different business units under power division (Solar, Transmission, Distribution, Railways, BESS, etc..) in Identifying, analysing risk and providing mitigation measures associated with multiple projects. Negotiate EPC contracts before project awards and supporting all contractual maters related to the projects like contractual communications, notices, claims, changes, defects, disputes during post award. Ensure the company is not exposed to any kind of contractual or financial risk. Ensure the protection of the company’s contractual and legal position. Experience: 12-14 Years of full time Work Experience and Minimum 4-6 Years of field experience in Projects and 4 - 6 years of experience in contract / procurement management at Business / Corporate level. Experience in large complex capital EPC projects, Power Projects in India, Middle East / Global will be preferable. Key Responsibilities: Negotiating all EPC contract agreements for Transmission, Distribution, Railways, Solar, BESS etc... Drafting and negotiating all subcontract agreements for e.g. Supply, civil Services. Drafting/Vetting of all critical contractual & legal communications to clients, Suppliers and sub-contractors as per project requirement. Development and implementation of Contractual Compliance for each project including handling of claims (time, cost & variation), delays, defects and disputes Working along with the Project Team for Dispute Resolution and Assisting Legal during Arbitration and Court Proceedings. Key performance Indicator: Timely signing of contract agreements; Cost savings through risk management. Timely submission / response of Contractual Communications. Avoidance /Settlement of claims with minimum cost/Losses to Company. Documentation for Arbitration, defending company’s position minimizing cost/Losses to business. Educational requirement and Skills: Post-Award Contracts: Engineering degree (preferably Civil or Mechanical) combined with a PGDM in Contract Administration from NICMAR or RICS. Pre-Award Contracts: Law degree with a focus on contract law. Drafting Skills and Language Appropriateness. Understanding construction / commercial Contracts Risks. Knowledge of project management methodologies and tools. Basic Financial Principles and Legal Awareness. Collaboration with Cross functional team of Projects/O&M/Engg /Finance/SCM/Legal etc... Interested candidates can share their updated resumes to ko1@amararaja.com

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim Adhere to legal requirements, industry regulations and customer quality standards set by the company. Handle any complaints associated with a claim Claims Executive Requirements: A bachelor's degree in any discipline. At least 2-4 years' experience as a claims handler or a similar role. Excellent time management skills and organizational abilities. Top-notch client interaction skills. Ability to work in a high-pressure environment. A general understanding of insurance terminology and abbreviations. Attention to detail and process-orientated thinking. The ability to work independently and multitask. Proficient in basic computer handling.

Role & responsibilities Effective complaint management for Firefighting Engine+ Industrial pumps Responsible for on time complaint closure Complaint/commissioning coordination with engine OEM Managing field service coordinators of engine OEM & follow up with them till complaint closure Document all complaint interactions & resolutions Investigate the root cause of complaint & identify potential solutions Implement corrective actions to prevent recurrence of complaint Monitor and evaluate the effectiveness of implemented solutions Provide technical support to Field service team as required. Booking & Execution of spares for warranty complaints with close coordination of engine OEM. Coordination with TSS, PMPS, QA & Production for product/process improvement Prepare reports on complaint trend, defect trend, resolution times & other relevant metrics. Present findings & recommendations to management in monthly meeting. Arranging Technical Trainings for firefighting industrial pumps Enhancing the service processes and practices to the industry standard Warranty & Service agreements with engine suppliers. Preferred candidate profile Formal education: Degree/Diploma Mechanical $ Professional experience: 10 /12 Years (Experience in Engine + Pump Industry Only) $ Male candidates with comprehensive firefighting pump knowledge $ Special skills: 1) Strong customer facing skills 2) Excellent leadership qualities 3) Innovative 4) Good communication & having quick decision-making skills

At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job involved leading a team of Property claims processing specialists whose primary role involved in supporting the data entry updates with regards to pre-fill activity. As part of the role the teams review images and documentation received with regards on the claims and as per guidelines update the information into the relevant fields with the systems. Details are shared virtually with the team and the primary resposibility for the speciaist is to accurately review the documenation and accordingy update details into the necessary tools and systems. The role would require the lead to aptly scale up towards assessing inputs on the pre-fill template as per Allstate guidelines. Managing tasks and workflows inaccordance to set standards and ensuring necessary claims processing guidelines and authourity limits are being adhered to through the process. Handling new hire training and transitions for the scope of services. Will need to have a high interest in driving domain certification and effectively collaborate with our Learning and Development partners to execute on industry certifications and training programs. Monitoring the KPI health of the business and ensuring claims severity and quality of reviwes meet agreed standards. Interact with stateside partners and provide necessary reporting across people and process KPIs. Lead teams of high performing individuals, execute on actions and initiatives in line with organization culture. Collaborate across multiple cross functional teams (not limited to Technology, Hiring, Training, Quality). Develop talent and create an environment of trust and motivation in which team can thrive and drive results. Key Responsibilities Ensure knowledge upkeep of the property specialists and adherence to standards and KPIs Proactively identify challenges from a delivery/operational perspective and build out recovery action plans Accuracy of line items and Quality of pre-fill meet set standard and increase STP of Claims to downstream teams Drive Transformation outcomes through digital and operational levers Fair practices to manage tasks and have a Claims ownership mindset Continually focusing on enhancing Customer Experience and influencing strategic goals and objectives Ensure specialists are adhering to processing guidelines and effectively updating any inputs with regards to the claims with necessary accuracy Build expertise within the property claims teams and be able to perform pre-fill tasks with necessary accuracy and efficiency Retention of talent is key and ensure all EWS procedures and stability reporting is in place Participate in Transition related calls and share relevant updates with regards to the team (Knowledge Transfer/Training Progress Updates/Health review of team) Review Inspire and Barometer survey outcomes and build actionable plans to sustain targets Optimum resource utilization across the team and actively manage the demand/capacity basis volume inflow Conduct process trainings / refresher trainings / Feedback sessions across the team Walk the Talk by leading the way with Continuous improvement best practices- rigor with daily huddles, performance/ knowledge management, build resiliency through training etc. Initiate Ideation sessions and identify problem areas across the process lifecycle Deliver operational efficiencies through defined levers Arrange and attend business meetings (in-person/virtually) Monthly/Quarterly/Annual Performance tracking and management for people and business with necessary metric/health reporting Interact with leadership teams and raise flags on any business/financial risk that is observed in the process Mentor and guide team members through our shared purpose behaviors and leadership practices Self-grooming from a leadership and domain perspective to drive capability expansion and growth Define learning pathways for the team and effectively identify leadership/skilling needs in collaboration with HR and training partners Have strong reporting and review in place to effectively escalate issues to stakeholders/leadership Adherence to employee engagement processes (1-0-1s, Development plan building) Education 4 year Bachelors Degree (Preferred) Experience Bachelors Degree or equivalent experience 7 - 9 years of related experience Managed a team with at least 15+ FTE Exposure to handling voice / Backoffice / digital support channels will be an added advantage Operational experience handling Claims Insurance processing will be preferred Supervisory Responsibilities This job has supervisory duties. Education & Experience (in lieu) In lieu of the above education requirements, an equivalent combination of education and experience may be considered. Primary Skills Auto Insurance, Auto Insurance Claims, Call Center Management, Casualty Insurance, Claims Adjustments, Coaching, Customer Experience Management, Motor Insurance, Performance Management (PM), Property Claims, Property Claims Management, Property Damage Claims, Property Insurance, Property Insurance Claims, Relationship Building Shift Time Recruiter Info Dipti Murudkardsudh@allstate.com About Allstate Joining our team isnt just a job "” its an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. And one where you can impact the future for the greater good. Youll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, weve proven that Allstate empowers everyone to lead, drive change and give back where they work and live. Good Hands. Greater Together. The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to get to the heart of customer issues, diagnose problem areas, design innovative solutions and facilitate deployment resulting in client delight. You will develop a proposal by owning parts of the proposal document and by giving inputs in solution design based on areas of expertise. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization’s financial guidelines Actively lead small projects and contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Ability to develop value-creating strategies and models that enable clients to innovate, drive growth and increase their business profitability Good knowledge on software configuration management systems Awareness of latest technologies and Industry trends Logical thinking and problem solving skills along with an ability to collaborate Understanding of the financial processes for various types of projects and the various pricing models available Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Client Interfacing skills Project and Team management Technical and Professional : 5+ Years of SAP Insurance with multi-module expertise 3+ years of SAP Claims Management with excellent understanding of Key processes of claim handling and standards in insurance industries is must. 5+ Years of ABAP development with focus on ABAP OOPS Should have in depth knowledge of master data and different claims process like notification, processing, payments, closure and reserves Should have in depth knowledge of ABAP, ABAP OOPS, BRF+, BDTs, ODATA and workflow. Should be familiar with integration of FS-CM with key SAP insurance modules (FS-CD, FS-PM, FS-RI and FS-ICM) Experience with ECC GL and any finance Sub ledger experience relating to SAP insurance / banking products is added advantage 1 full lifecycle implementation of SAP Claims Management as a lead will be added advantage Preferred Skills: Technology-SAP Functional-SAP FSCM

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 8951865563 Whatsapp CV mail id -sarika.pallap@mediassist.in

Key Deliverables: Manage a portfolio of complex Long Term Disability (LTD) claims Evaluate medical and contractual eligibility for benefit continuation Maintain strategic case plans and conduct detailed customer interactions Ensure timely and quality decisions on benefits and return-to-work discussions Role Responsibilities: Communicate with customers, employers, and clinicians to support return-to-work goals Analyze medical and vocational information to validate claims Collaborate with internal teams (nurses, vocational counselors) for holistic case management Maintain documentation accuracy and comply with regulatory and service standards

Skill required: Supply Chain - Warranty Management Designation: Func & Ind Intelligence Associate Qualifications: BE Years of Experience: 1 to 3 years 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 you do Warranty Claim adjudicationWarranty Claim ProcessDefine warranty offerings; run outsourced after-sales warranty support and entitlement programs; evaluate customer feedback and planned versus actual costs of warranty coverage; use warranty data analytics to reduce cost and improve product quality; increase recoveries from suppliers and design and deploy warranty solutions. What are we looking for Automotive Warranty Claims adjudicatorAutomotive Warranty Claims adjudicator Roles and Responsibilities: Warranty Claims management Qualification BE

Role & responsibilities Key Responsibilities: 1. Hospital Visit Management: Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives. 2. Claims Negotiation: Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions. 4. Pending Issues and Concerns: Identify, track, and resolve pending issues and concerns related to hospital partnerships, including billing disputes, service quality, and contractual obligations. Act as a liaison between the hospital and internal teams to address and mitigate concerns promptly. 5. Coordination with Internal Stakeholders: Collaborate with internal departments to ensure alignment on hospital-related activities and strategies. Facilitate effective communication and coordination between internal teams to address issues and implement solutions. 6. Documentation and Reporting: Prepare and maintain comprehensive documentation of hospital visits, pricing agreements, claims negotiations, and issue resolutions. Document and update sales meetings, including key takeaways, action items, and progress reports. 7. Sales Meeting Coordination: Organize and lead sales meetings to discuss hospital partnerships. Provide regular updates and reports to sales teams and management on hospital-related activities and performance. Qualifications: Bachelors degree in Business Administration, Healthcare Management, Doctor Minimum of 3 years of experience in hospital relations, healthcare finance, or a similar role. Strong negotiation skills with a proven track record of successful claims resolution. Excellent communication and interpersonal skills to effectively interact with hospital partners and internal teams. Proficiency in documentation management. Ability to handle complex issues and provide strategic solutions in a fast-paced environment. Preferred Skills: Experience with hospital billing systems and healthcare reimbursement processes. Knowledge of insurance industry regulations and compliance requirements. Working Conditions: Occasional travel to hospital sites for visits and meetings.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 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 model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProperty and Casualty Insurance Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Timely settlement of assigned claims Effectively coordinating between client branch office insurer surveyor to ensure timely resolution of non-EB claims within Company defined TATs Handling day-to day servicing requirements of claims on a timely basis to ensure complete customer satisfaction Effectively managing the team of Executives who may report to him her Ensuring that all required MIS reports are updated and submitted on a timely basis Ensuring compliance with IRDA requirements in respect of claims management Maintaining excellent relationships with insurers surveyors to ensure support for claims settlement Ensuring that all operational requirements processes are met as per Company defined TAT

Manage group insurance, claims, compliance, audits, assets, and policy renewals; ensure risk coverage, legal adherence, cost efficiency, and insurer coordination across all business units.

In this role, you will: Support and capture all pertinent information from customers about their claims Conduct research and provide updates on status of new and existing claims Identify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claim Perform routine customer support tasks by maintaining balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment Receive direction from team lead and escalate questions and issues to more experienced roles Interact with colleagues on basic day-to-day issues, and network with supporting functional areas to create a seamless experience for the customers Required Qualifications: 6+ months of customer service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education

Role & responsibilities Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. Conducts complex research, review and analysis of medical records, treatment plans and claim information. Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans. Assess training needs and creates, authors, and presents medical training to claim and business partner associates. Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining functional abilities. Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return-to-work potential. Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality. Performs other related duties as assigned or required Preferred candidate profile Education: Bachelor's degree (Medical) or diploma with a minimum of 15 years of education. Required Current RN licensure 4+ years of experience as an RN with Clinical/Ops Experience Preferred 7+ years Disability claims and/or clinical experience. Disability claims experience Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist). Shift Timing: 5:30 pm to 2:30 am Mon to Fri 5 day's work from office Note: This is an individual contributor role for a blended process.

JOB DESCRIPTION : HOSPITAL RELATIONS MANAGER Department: Hospital Relations Location: Hyderabad,Warangal,Nizamabad,Vijaywada,Visakhapatnam Job Type: Full-Time Job Summary: The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making. Key Responsibilities: 1. Hospital Visit Management: Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives. 2. Claims Negotiation: Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions. 4. Pending Issues and Concerns: Identify, track, and resolve pending issues and concerns related to hospital partnerships, including billing disputes, service quality, and contractual obligations. Act as a liaison between the hospital and internal teams to address and mitigate concerns promptly. 5. Coordination with Internal Stakeholders: Collaborate with internal departments to ensure alignment on hospital-related activities and strategies. Facilitate effective communication and coordination between internal teams to address issues and implement solutions. 6. Documentation and Reporting: Prepare and maintain comprehensive documentation of hospital visits, pricing agreements, claims negotiations, and issue resolutions. Document and update sales meetings, including key takeaways, action items, and progress reports. 7. Sales Meeting Coordination: Organize and lead sales meetings to discuss hospital partnerships. Provide regular updates and reports to sales teams and management on hospital-related activities and performance. Qualifications: Education: Any Medical Background Minimum of 3 years of experience in hospital relations,Provider Management, healthcare finance, or a similar role. Strong negotiation skills with a proven track record of successful claims resolution. Excellent communication and interpersonal skills to effectively interact with hospital partners and internal teams. Proficiency in Excel, PowerPoint, MS Word. Ability to handle complex issues and provide strategic solutions in a fast-paced environment. Preferred Skills: Experience with hospital billing systems and healthcare reimbursement processes. Knowledge of insurance industry regulations and compliance requirements. Working Conditions: Outdoor visits to hospitals. Flexibility to work outside regular office hours as needed for urgent issues or meetings.

Role & responsibilities Arbitration documentation, involved in the preparation of Statement of Claim. Timely identification of potential claims in projects and their time extension. Issuing of timely notices and submissions to the Client as required under the Contract. Preparation of LOAs, Work Order, Subcontract Agreements and Involving in Negotiations meeting. Identifying Contract Deviations and taking steps to minimize financial risks Drafting of Contractual Correspondences. Preferred candidate profile Project planning and coordination, Stakeholder management, Budgeting and cost control Risk management Communication and interpersonal skills Problem-solving and decision-making Team leadership and collaboration.

Description SAP TPM (Trade Promotion Management) Consultant specializes in implementing and supporting the SAP TPM module, which helps companiesespecially in the consumer products (CPG) industryplan, execute, and analyze trade promotions with retailers and distributors. Key Responsibilities Requirement Gathering Work with business stakeholders to understand trade promotion processes. System Design & Configuration Configure TPM in SAP (typically part of SAP CRM or SAP S/4HANA, sometimes integrated with SAP BW and SAP ECC). Integration Ensure smooth integration with other modules like SAP SD, FI, CO, and BI for data consistency and reporting. Promotion Planning & Execution Support tools for planning promotions, budgeting, settlement (claims and deductions), and analytics. Testing & Training Create test cases, support UAT (User Acceptance Testing), and train users. Support & Enhancements Troubleshoot issues and enhance existing TPM functionalities. Skills & Tools SAP CRM or S/4HANA TPM Trade Promotion Planning (TPP), Fund Management, Claims Management

Role & responsibilities Marine Insurance Preferred candidate profile With end to end experience in marine claim.

Hi, We are hiring for the Leading ITES Company for Travel Audit Analyst Profile. Overview A Travel Audit Analyst is responsible for reviewing and auditing employee travel and expense claims to ensure compliance with company policies and financial guidelines. The role involves processing time and expense reports, managing queries, and utilizing tools like Concur and AppZen for claim verification. It requires strong skills in financial accounting, MS Office (especially Excel), and problem-solving, along with the ability to work independently and communicate effectively. Key Skills: Minimum 1 yr Experience in financial accounting & reporting. Experience of working in various claim management tools, e.g., Appzen, Concur Any Graduate To Apply, WhatsApp 'Hi' @ 9151555419 Follow the Steps Below: >Click on Start option to Apply and fill the details >Select the location as Other ( to get multiple location option ) a)To Apply for above Job Role ( Bangalore) Type : Job Code # 561 Job Description: Bachelors degree in commerce or equivalent 1 to 4 years of relevant experience Experience in financial accounting & reporting, time & Expense processing, query mgmt. Strong and proven proficiency in MS Office (mainly Excel, Word, Power Point) Adaptable to different technology and/or software application tools Experience of working in various claim management tools, e.g., Appzen, Concur Ability to work independently Problem Solving expertise Sense of urgency to meet agreed-upon deliverables schedules Strong verbal and written communications skills

Job Overview: We are looking for a person who has possesses understanding in the insurance industry, including premium, claims, reserves, and treaty types, with strong accounting knowledge. Key Responsibilities Claim Intake and Assessment: Receiving and logging new claims, verifying policy details, and assessing the validity of the claim based on policy conditions. Information Gathering: Collecting necessary information and documentation from claimants, witnesses, and other relevant parties, including photographs, reports, and financial records. Liaison: Maintaining communication with claimants, solicitors, loss adjusters, and other professionals involved in the claim process. Documentation and Reporting: Maintaining accurate records of all claim-related activities, preparing reports, and ensuring compliance with company procedures and regulations. Customer Service: Providing excellent customer service to claimants throughout the claim process, addressing their inquiries and concerns. Fraud Detection: Identifying and investigating potential fraudulent claims. Compliance: Ensuring compliance with all relevant regulations and guidelines, including those set by the Financial Conduct Authority (FCA). Required Skills and Qualifications: Communication Skills: Excellent verbal and written communication skills for interacting with various parties. Analytical Skills: Ability to analyze information, assess claims, and make informed decisions. Organizational Skills: Ability to manage a large workload, prioritize tasks, and meet deadlines. Customer Service Skills: Ability to provide excellent customer service and build rapport with claimants. Knowledge of Insurance: Understanding of insurance principles, policy wording, and claims handling procedures. Attention to Detail: Ability to pay close attention to detail when reviewing documents and assessing claims. Problem-Solving Skills: Ability to identify and resolve issues that arise during the claim process. Qualifications: Graduate What We Offer Joining QX Global Group means becoming part of a creative team where you can personally grow and contribute to our collective goals. We offer competitive salaries, comprehensive benefits, and a supportive environment that values work-life balance. Work Model Location: Vadodara Model: WFO (Indian Shift)

Roles and Responsibilities Manage contractual agreements between clients and organizations, ensuring compliance with railway regulations. Oversee claims management processes, resolving disputes through arbitration when necessary. Coordinate contract administration activities, including documentation and reporting requirements. Negotiate contract terms and conditions to ensure mutually beneficial outcomes for all parties involved. Ensure timely completion of projects by managing resources effectively.

Who are we Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of Industry including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing. Headquartered in the bustling city of New Jersey, Fulcrum was rated among the fastest growing Software Companies in Inc 5000 Club and No. 7 Technology firm in New Jersey by NJ Biz. Our team of business and technical consultants are spread across the US and other regions including the UK, Portugal, LATAM, Australia, and Finland where we have our operations. The Role Must have experience in insurance Domain, Property & Casualty, medical health Claims processing and Operations. Create, update, and maintain operations / SOP documents and access systems on behalf of the Claims leadership group and provide the right data to them. Need ability to operate effectively at all levels, from managing front line employees to interacting with executives. Demonstrate ability to identify and implement efficiencies within an operations environment. Need ability to manage operational inventory to meet stated Service Level Agreements. Ensure that all activity is properly documented within the appropriate Client system. Communicate with Global Claims relationship managers to support their delivery and execution of the global claims strategy to assigned carriers and promote continued engagement. Manage and process claims related to property damage, personal injury, and liability. Investigate the validity of claims, assess coverage, and ensure accurate settlement outcomes. Collaborate with adjusters, legal teams, and clients to resolve claims efficiently. Review policy details with clients to ensure clear understanding and compliance. Maintain accurate records of policies, claims, communications, and necessary documentation. Requirements Good verbal and written communication skills. Knowledge on how to use claims processing tools like File Handler Must be able to communicate with onsite people. Working knowledge of Medical health claims processing. Experience in working for medical stop loss and healthcare industry for US Clients Need ability to operate effectively at all levels, from managing front line employees to interacting with executives Demonstrate ability to identify and implement efficiencies within an operations environment Need ability to manage operational inventory to meet stated Service Level Agreements Ensure that all activity is properly documented within the appropriate Client system Communicate with Global Claims relationship managers to support their delivery and execution of the global claims strategy to assigned carriers and promote continued engagement

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : Knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days in office

MBA in finance having 7 years plus relevant experience of Underwriting risk cover, Claims Management, suuport to Business Development team, Client Relations, Leadership, Operations, Documentation, MIS & Compliances