3155 Claims Processing Jobs - Page 10

Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities. Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving prob...

As a General Insurance Executive at our company located in Naranpura, Ahmedabad, you will be responsible for managing Health & Motor Insurance processes, which includes handling quotations, claims, and client coordination. Your role will require industry experience and strong organizational skills. Your key responsibilities will include: - Managing general insurance processes for health and motor insurance effectively. - Processing quotations, claims, and related services efficiently. - Acting as a liaison between the insurance company, relationship managers (RMs), and clients for paperwork, claims, services, and guidance. - Ensuring accurate documentation and timely query resolution. - Foll...

In this role, you are encouraged to drive team performance, ensuring daily service level metrics are met while maintaining a high level of accuracy, providing mentorship and development to your direct reports, and meeting defined quality, customer experience, and efficiency requirements. Responsibilities: - Drive transformation projects from operations, digital asset implementation, standard methodologies" framework, case studies, benchmarking for making processes more efficient and effective - Effectively engage with customers to understand and address customer pain points - Provide direction and mentorship to the operations team for delivery of goals, promote a learning culture, and build ...

As a member of Swiss Re Solutions, you will be part of a team that offers a powerful suite of tools and services to help businesses become more efficient and competitive in a changing industry landscape. With access to global insurance expertise and specialist models, you will play a crucial role in ensuring client agility and competitiveness. **Key Responsibilities:** - Lead and manage business service teams for pre-sales, onboarding, and post-sales processes - Ensure stable and reliable delivery of business services across the entire value chain in Solutions - Responsible for capacity and budget planning of the Business Service Teams - Define service catalogue and key performance indicator...

As a candidate based in Gurugram, you will be part of a hybrid working model with shift timings from 6 PM to 2 AM. Your role at MongoDB will involve various responsibilities including: - Involved in month-end, quarter-end and year-end close activities such as preparing journal entries and balance sheet account reconciliations. - Supervising and managing 2-3 AP specialists by assigning tasks and developing team members through performance management, goal setting, training, and maintaining strong employee relationships. - Guiding the AP on transactions, balance sheet reconciliations, and various report preparations. - Assisting in the design and implementation of internal controls, process im...

Role Overview: Niva Bupa Health Insurance Company Limited, a joint venture between Fettle Tone LLP and the Bupa Group, is looking for goal-oriented individuals to be a part of their exciting growth journey. With a current employee strength of 7000+ and a growth rate of 154% since FY 20, Niva Bupa aims to achieve more than 10000 Cr GWP By 2027. Key Responsibilities: - Fully integrated health insurance provider with in-house claims processing - Underwriting and servicing of health insurance policies - Contributing to the company's growth story and achieving set goals Qualifications Required: - Goal-oriented individuals with a passion for the BFSI industry - Previous experience in health insura...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

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...

Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : GuideWire ClaimCenter Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Architect, you will be responsible for leading current state assessments and identifying high-level customer requirements, defining the business solutions and structures needed to realize these opportunities, and developing a business case to achieve the vision. Your typical day will involve working with GuideWire ClaimCenter and collaborating wit...

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 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 mod...

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 Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 insurance ...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development process. Manage learning solutions, including activities such as registration, vendor management, product support, learning management system.Multi-cultural awareness.Passion for customer service.Team player.MS Office skills:Ability to understand and make sense of large amounts of data in a complex environment, strong Excel & Word skills, working knowledge of other MS Off...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development process. Manage learning solutions, including activities such as registration, vendor management, product support, learning management system.Multi-cultural awareness.Passion for customer service.Team player.MS Office skills:Ability to understand and make sense of large amounts of data in a complex environment, strong Excel & Word skills, working knowledge of other MS Off...

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 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 mod...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development process.Personal organization to ensure work is monitored and completed in priority order and on time.Data collation / AnalysisDSM / Onshore interactionAbility to work on own InitiativeManage learning solutions, including activities such as registration, vendor management, product support, learning management system.Respond to incoming mail in the Scheduling mailbox and res...

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 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 mod...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement ser...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 you d...

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Tower:UK Life and Pensions- Claims Processer- CL 11 What are we looking for? Skillset:Graduate in any discipline from a recognized institution. While a degree in finance, commerce, or business administration is an advantage, it is not mandatory. Experience in the UK Life and Pensions domain (Preferred, not mandatory)Open to flexible shifts based on business requirements.Strong verbal and written communication skills in English, with the ability to convey information clearly and pro...

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Service Delivery Ops Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years About Accenture 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 i...