1040 Claims Management Jobs - Page 9

We are looking for a dynamic and detail-oriented professional to lead Trade Schemes, Channel Programs, Distributor Incentives, POS allocation, and Claims Management . The role demands strong cross-functional collaboration with Sales, Marketing, and Finance teams to drive seamless execution, budget control, and impactful trade marketing initiatives across India. 1. Trade Scheme & Implementation Lead the implementation and execution of Trade Schemes across India and cascade the same to all regions. Ensure timely uploading and execution of schemes across all platforms (DMS, SAP, ) without affecting billing processes. Monitor and evaluate scheme performance on a monthly basis; share insights wit...

Role Overview: You will be responsible for providing high-quality insurance-related support to Lockton Global Solutions (LGS) clients and teams, ensuring smooth operations, timely query resolution, and effective delivery of post-sale services. Your proactive and solutions-oriented approach will play a key part in enhancing client satisfaction, driving efficiency, and ensuring compliance with global and local insurance standards. As the primary point of contact for LGS teams and clients, you will address their insurance-related needs, inquiries, and concerns to ensure a seamless client experience. Key Responsibilities: - Build and maintain strong, trust-based relationships with LGS clients th...

As a Cost & Contracts Manager in India, you will play a crucial role in driving efficiency, cost management, and contract excellence across large-scale projects. Your main responsibilities will include: - Developing & implementing procurement strategies such as RFPs, LOAs, CSAs, and Contracts - Managing cost plans from concept design to execution - Overseeing variations, claims & contractual resolutions - Ensuring compliance & timely approvals - Capturing knowledge & best practices to strengthen the business To be successful in this role, we are looking for candidates with the following qualifications: - Degree in Quantity Surveying / Building / related field - Minimum of 7 years" experience...

As a Medical Coder at VISION iKnowledge Solutions Inc., based in New York with a delivery center in Gurgaon-India, your role will involve independently working on claims denied due to Coding Issues and preparing Coding guidelines for the Billing team. **Key Responsibilities:** - Independently handle claims denied because of Coding Issues - Prepare and regularly update Coding guidelines for the Billing team **Qualifications Required:** - Education and Certification: Any Graduate - Ideal candidate: Possesses good communication skills and a strong willingness to learn - Experience: Minimum 3 to 4 years of experience in Coding for a Pain Management Ambulatory Surgery Center. Experience with Athe...

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...

Role & responsibilities Contract Administration & Tracker Management i. Develop, update, and maintain a Contracts Tracker covering obligations, deliverables, payment milestones, bank guarantees, securities, warranties, and contract closure timelines. ii. Maintain an Insurance Tracker to ensure timely renewals, coverage adequacy (CAR, WC, Third Party Liability, Professional Indemnity), and claim documentation. iii. Regularly track statutory compliances (Labour laws, ESI, PF, BOCW Cess) from contractors and flag deviations. Risk & Compliance i. Ensure timely submission and release of bank guarantees, performance securities, and insurances. ii. Oversee compliance with statutory, regulatory, and...

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At l...

Description And Requirements Sr. Insurance Associate Position Title:Sr Associate Reports to (Responsibility Level):Assistant Manager Supervises: NA Location: Jaipur Global Grade: GG 8 Complexity: PID/s Load Mapping: Position Summary To contribute to the proactive management of claims administered by MetLife, providing reassurance to customers through service excellence and accuracy of work, whilst developing and maintaining strong relationships with internal and external customers. Job Responsibilities Fast Track claims assessment: Responsible for the claim assessment, decision making and customer communication within agreed controls on fast-track claims. Ensure that work is completed to req...

good communication skills for processing Critical Illness and Personal Accident Claims.

Experience in Data Analytics. Should be good at Communication and Reports generation.

As a Dental Billing Specialist at our company, you will be a vital part of our team dedicated to providing exceptional billing solutions for dental practices across the US. Your role will involve verifying patients" insurance coverage, resolving billing issues, staying updated on coding regulations, and generating billing reports to enhance the financial health of our clients. Key Responsibilities: - Verify patients" insurance coverage and benefits for accurate billing. - Communicate with patients and insurance companies to resolve billing issues. - Stay informed about dental coding regulations, billing guidelines, and compliance standards. - Generate and analyze billing reports to identify ...

Company Description Nuvae delivers an advanced GenAI-powered Revenue Management Agent and Conversational AI Platform tailored for hospitals and healthcare practices. Our solutions specialize in information retrieval, Retrieval-Augmented Generation (RAG), process automation, and generating actionable insights. By leveraging Nuvae, healthcare organizations can improve operational efficiency and maximize revenue outcomes. About the Role We are seeking an experienced Revenue Cycle Management (RCM) Manager with deep knowledge of the U.S. healthcare system. The ideal candidate will bring strong expertise across the full RCM cycle, with a focus on eligibility verification, prior authorization, and ...

About you Minimum of 5+ years of experience in risk management, claims management, insurance industry Strong technical aptitude with project management skills, capable of learning emerging products and creating plans to support the business Comfortable working in a fast-paced environment while still meeting deliverables Candidate should be flexible and willing to work during US time zones Meticulous attention to detail and effective communication to align data needs with organizational goals. What Youll Be Doing Facilitating seamless communication between the broker and the insured party to ensure comprehensive risk management and the integrity of insurance policies Collect and prepare Insur...

KEY RESPONSIBILITIES DELIVERS AN OUTSTANDING CUSTOMER EXPERIENCE 1. Recognises the impact of an efficient warranty process on the customer experience; works to meet customer expectations and minimise delays, demonstrating behaviour which is dependable, transparent and easy to do business with 2. Understands the end-to-end warranty process and works with colleagues across the Retailer (including the Service Advisor, Workshop Controller, Technicians, Parts Advisors) to manage warranty claims 3. Supports colleagues in the retailer (e.g. Service Advisor, Workshop Controller) by providing detailed advice and guidance of warranty provisions and procedures PROCESSES WARRANTY CLAIMS 4. Interprets Jo...

Key Responsibilities - 1. Claim Management (Modern Trade & E-Commerce) Process and post trade claims (General Trade, Modern Trade, and E-commerce) in a timely and accurate manner. Reconcile promotional activities with customer deductions and ensure end-to-end claim settlement to improve working capital efficiency. 2. Revenue & Expense Tracking (Provision vs Actuals) Track and monitor trade spends, promotional expenses, and other customer-related costs against provisioned budgets. Analyze variances between actual vs. provisioned spends to provide insights and support accruals for monthly financial closing. 3. Accounts Receivable and Credit Management Manage the accounts receivable cycle by en...

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 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 t...

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 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 insu...

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 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 insu...

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...

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 ...

As an Accident-sito Investigator, your role will involve being located in Sagar and focusing on claims resolution, handling, management, insurance, and on-site investigation of claims. You will be responsible for handling hospital administration and cooperating with police agencies. Key Responsibilities: - Resolve claims efficiently - Handle and manage claims effectively - Conduct thorough investigations into claims - Collaborate with hospital administration - Work closely with police agencies Qualifications Required: - Proficiency in claims resolution, handling, and management - Strong skills in insurance and claim investigation - Excellent analytical and problem-solving abilities - Excepti...

As an Assistant Manager in the Mining industry, your role will involve assisting the Mining Team in various consultancy and transaction advisory assignments. You will support the evaluation of techno-commercial options, including mining methodologies, equipment configurations, and estimation of CAPEX & OPEX for both opencast and underground mining projects. Your expertise in mine planning, preparation of Detailed Project Reports (DPR), and securing pre-development clearances will be crucial. Key Responsibilities: - Conduct comprehensive research on developments in the mining and natural resources sectors at both national and international levels - Identify new opportunities for growth, diver...

As a Quantity Surveyor, your role involves preparing and reviewing all Tenders, Work Orders, and Purchase Orders for various civil/MEP/interior works across different projects. You will be responsible for creating tender scrutiny reports for bidder selection and prequalification. Additionally, you will oversee Contract Management issues and Claims management procedures for all projects. Key Responsibilities: - Reviewing contract documents, including conditions of contracts, and providing timely advice to Project Owners/Managers to protect our contractual interests. - Ensuring updated correspondence with projects regarding contractual matters. - Preparing documents for alliances and having kn...

As a Domain Trainee - Auto Claims at Genpact, you will be responsible for managing claims related to automobile accidents. You will work closely with policyholders, claimants, and other stakeholders to ensure efficient handling of all automobile accident claims. Your main responsibilities will include: - Managing high-volume low complexity claims from beginning to end. - Investigating automobile accidents to determine cause and liability. - Analyzing insurance policies and relevant laws to determine coverage. - Negotiating repairs and settlements with claimants. - Providing regular updates on automobile claims to various stakeholders. - Assessing damage to vehicles involved in accidents. - C...

As a Cashless Claims Specialist in the healthcare industry, your main responsibility will be to manage and handle claims efficiently. Your daily tasks will include verifying and processing claims accurately, as well as coordinating with insurance companies. Your role will also involve analyzing claims thoroughly and communicating with clients and other stakeholders to resolve any issues related to claims. Key Responsibilities: - Manage and handle cashless claims in the healthcare sector - Ensure accurate and efficient processing of claims - Liaise with insurance companies for claim settlements - Analyze claims for proper evaluation - Maintain communication with clients and stakeholders to re...