727 Claims Processing Jobs - Page 16

Bangalore Walk in Operations (15675A) Full-time Company Description WNS (Holdings) Limited (NYSEWNS) , is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries. We enable businesses in Travel, Insurance, Banking and Financial Services, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Healthcare, and Utilities to re-imagine their digital future and transform their outcomes with operational excellence. . About The Role Answer incoming calls and respond to customer queries Research and resolve customer issues using the tools and applications provided Identify and escalate issues to supervisors wherever necessary Document all calls as per the standard operating procedures Follow up on customer calls wherever necessary Identify and escalate to management any deviations observed in the call trends Maintain expected Quality Targets Must ensure the Average Handling Time, Average Speed of Answer and Answer Rate targets are met Meet internal Production, Utilization and Productivity target Qualifications Graduate from a recognized university Proficient in computer applications Knowledge of customer service practices Excellent listening, verbal and written communication skills Good logical, analytical and problem solving abilities Attention to detail and accuracy Good interpersonal skills and strong client focus Ability to communicate clearly, concisely and effectively Life insurance/claims processing knowledge preferredCookies Settings

Role & responsibilities As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Preferred candidate profile Bachelors degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance

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 and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Inviting applications for the role of Asst. Manager, Auto Claims In this role the claims Supervisor is responsible for the management of adjusters responsible for coverage and negligence investigations and resolution of your team’s claims in a low complexity, and high-volume and fast paced environment. This role is responsible for managing quality assurance, performance, and training activates with adjusters, clients, attorneys, and medical providers. The position is involved in developing and implementing on-going strategies, enhancing processes, materials, and communication tools. In addition, the position works closely in meeting client performance and quality standards. Responsibilities •Managing and coaching a team of claims adjusters, including setting goals, providing feedback, and conducting performance evaluations. •Ensuring that all claims are processed in a timely and efficient manner, and that all relevant policies and procedures are followed. •Developing and implementing processes and procedures to improve claims handling and ensure customer satisfaction. •Monitoring claims trends and identifying areas for improvement, such as training needs or process changes. •Coordinating with internal and external stakeholders, such as other departments, vendors, and customers, to ensure that all claims are handled effectively. •Providing regular updates to management on team performance, claims metrics, and trends. •Participating in departmental meetings and training sessions to stay informed about policy changes and new procedures. •Maintaining a high level of accuracy and attention to detail to ensure that all claims are handled ethically and in compliance with relevant laws and regulations. •Building strong relationships with internal and external stakeholders, such as customers, brokers, and vendors. •Working shift hours 08.00 AM CST to 05.00 PM CST Qualifications we seek in you! Minimum qualifications •Experience in handling Auto claims operations MD the US, Europe, India or LatAm •Experience leading adjudicating team of Auto MD the US, Europe, India or LatAm •College Diploma or commensurate work experience •Fluent in both spoken and written English •Ability to problem solve and create/update new processes that will improve operational efficiency and accuracy. •Strong written and oral communication skills •Thorough understanding of insurance claims best practices •Strong investigation and analytical skills •Must have willingness to roll-up your sleeves and put in the work as needed alongside your adjusters. •Proficient in MS Office (Word, Excel, PowerPoint) Preferred Qualifications/ Skills •Experience handling fast track/low touch claims •Insurance Designation(s) •Lean Six Sigma Certification(s) Why join Genpact? * Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation * Make an impact Drive change for global enterprises and solve business challenges that matter * Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities * Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day * Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

*Denial Management *Perform pre-call analysis & check status by calling the payer/ using IVR / web portal services for Hospital billing *Record after-call actions & perform post call analysis for the claim follow-up. *Resolve enquiries, complaints Required Candidate profile *Qualification: HSC/ 12th/ Under Graduates/Graduates *Experience: 01 to 4yrs *Good exposure to the US Healthcare Industry, Various Reports & Denial Management. *Open for night shifts

# 02 to 04 yrs Exp. in handling US Healthcare Medical Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *Qualification : HSC / 12th / Under Graduates / Any Graduates. *Good exposure to the US Healthcare Industry & Knowledge of various reports on Denial management, Global action etc.

# 02 to 04 yrs Exp. in handling US Healthcare of Hospital Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *02 to 04 Years experience in US Health care Hospital billing *Good exposure to US Healthcare Industry & various reports on Denial management, Global action etc. *Handling billing related queries

* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* International insurance claims processing for Member claims. * Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities- Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. *: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings* 7:30 am- 16:30 pm IST Job Location* Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Profile - Assistant Manager Department - Insurance Experience - 1 Year Location - Indore (MP), Ahmedabad (Gujarat) Responsible for managing insurance claims, verifying coverage, liaising with insurance companies, and ensuring timely processing of insurance-related documents. Maintain up-to-date knowledge of insurance policies, procedures, and regulations. Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables, VLOOKUP/XLOOKUP, data validation) Excellent verbal and written communication skills

Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports

Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Role Description Overview: The PC is accountable to manage day to day activities of coaching the employees, track and trend data for improvement Responsibility Areas: Understand the quality requirements both from process perspective and for targets To Train effectively the new joiners on Medical Billing concept with the guidelines. To monitor Trainees productivity per OJT glide path/ramp up targets. To monitor Trainees quality output per OJT glide path/ramp up targets. To initiate and implement improvement program for poor performers. Providing continuous feedback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Attainment of Internal & External SLA as per Process Defined. Strict adherence to the company policies and procedures. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Min of 1.5 Yrs of Professional and Relevant Experience. Sound knowledge in Healthcare concept. Excellent Communication skills Verbal & Non Verbal. Must have Good Product and Process Knowledge.

Role Description Overview: The Process Associate is accountable to manage day to day activities of Payment Posting or Demo & Charge or Correspondence or Charge Entry etc Responsibility Areas: To review emails for any updates Processing of Medical Data Entering charges and posting payments in the software Prepare and Maintain status reports. Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards.

GREETINGS FROM SUTHERLAND Currently Hiring for International Claims Associate Job Title : Customer Support Associate Company: Sutherland Global Services Job Type : Full Time About Us : We're a leading BPO company providing exceptional customer service to international clients. We're looking for talented individuals to join our team and deliver outstanding customer experiences. We're a dynamic team looking for talented individuals to join our crew! Key Responsibilities: 1. Customer Service: Provide exceptional customer service to international clients via phone, resolving their queries and concerns in a professional and courteous manner. 2. Communication: Effectively communicate with customers, understanding their needs and providing personalized solutions. 3. Issue Resolution: Troubleshoot and resolve customer complaints and issues in a timely and efficient manner. 4. Product Knowledge: Develop and maintain in-depth knowledge of our products and services to provide accurate information to customers. 5. Quality Assurance: Adhere to quality standards and metrics, ensuring high-quality customer interactions. Requirements: 1. Excellent Communication Skills: Strong verbal and written communication skills, with the ability to articulate complex information in a clear and concise manner. 2. Customer Service Experience: Previous experience in a customer-facing role, preferably in a BPO or call center environment. 3. Language Proficiency: Fluency in English, with a neutral accent and good diction. 4. Technical Skills: Familiarity with CRM software and other technology tools used in a call center environment. 5. Time Management: Ability to manage time effectively, prioritizing tasks and meeting productivity standards. 6. Adaptability: Willingness to work in a fast-paced environment, adapting to changing priorities and customer needs. Round of Interview 1. HR 2. Assessment 3. Operations How to Apply: Interested Folks can walk-in to the below mentioned location for Interview rounds and more details. Note: Virtual interviews are available & Immediate joiners only Walk in : 10:30AM to 2PM Documents to Carry: 1. Resume 2. Hard Copy of Aadhar Card Address: Unit no 202,2nd floor,Campus D, Centennial Business park, kundan Halli main road, EPIP Area, Bang,karnataka India 560066

Hiring for International voice Process (Insurance) min 6months to max 3 yrs exp into insurance b2c Location - Pune/Bangalore WFO | 5 days working | 2 days off CTC - Upto 5.3 LPA US Shifts contact - divyam@genesishrs.com

Hiring for International voice Process (Insurance) min 6months to max 3 yrs exp into insurance b2c Location - Pune WFO | 5 days working | 2 days off CTC - Upto 5.3 LPA US Shifts contact - divyam@genesishrs.com

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. Genpacts 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 thats shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Genpact Mega Walk-In drive for Insurance & Underwriting roles on 31st May 2025 (Saturday)_ Noida location *Walkin Date: 7 -June-2025 (Saturday) *Walkin time: 11:30AM - 1 PM *Venue details: Genpact Headstrong Office, Noida sector 59, D-4, D Block, Sector 59, Noida, Uttar Pradesh 201301 *Graduation: Any graduate is eligible except law *Work experience: 1.5 - 4 yrs (previous exp. in insurance is required) *Shift: US Only work from office Skill Sets - US Mortgage, Underwriting, US Brokerage, Insurance, Backend Ops, Insurance, Property and Casualty, P&C Insurance, In this role, you will be responsible for Provide expert advice on commercial insurance products, risk management strategies, and regulatory requirements. Your expertise will be required to ensure that team members receive the best possible advice and solutions tailored to their specific needs. You will be required to interact and work with the client partners for all process/business knowledge related documents are updated periodically and team is made aware of the same in a timely manner. Responsibilities Manage and resolve basic inquiries associated with all aspects of Client Services and service delivery (e.g. output delivery, basic broking inquiries, etc.). Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. Conduct training sessions for employees to enhance their understanding of commercial insurance principles and practices. Act as a liaison between clients and team members to ensure smooth communication related to updates, and inquiry responses received from client SMEs. Maintain accurate records of client interactions and knowledge material Conduct monthly knowledge assessment tests and TNI (training need identification) Ensure all controls are followed, existing exceptions are reviewed, and duplicate policies are reported before processing any transaction. Ability to handle varied volumes of workloads and to reach targets and deadlines on a timely basis. Lead by example by demonstrating and sharing knowledge with all lines of business the importance of best practices and acting as the subject matter expert to all operational and procedural activities for the Broking operations team Qualifications we seek in you!Minimum qualifications Graduate in any stream (except law) Relevant and meaningful years of experience of working in US P&C insurance lifecycle pre-placement, placement, and post-placement activities (such as endorsements processing, policy administration, policy checking, policy issuance, quoting, renewal prep, submissions, surplus lines, licensing, agency admin, inspections and so on. Demonstrate and cultivate customer focus, collaboration, accountability, initiative, and innovation. Proficient in English language- both written (Email writing) and verbal A strong attention to detail; analytical skills and the ability to multi-task are important Preferred Qualification and Experience An Insurance Certification would be an edge Awareness about Property & Casualty insurance regulation and anomalies will be preferred Relevant years of insurance experience and domain knowledge, especially P&C insurance Candidate having Broker (US P&C insurance) experience would be an asset Proficient with Microsoft Office (Word, PowerPoint, Excel, OneNote) A strong attention to detail; analytical skills and the ability to multi-task are important Should be a team player with previous work experience in an office environment required Client focused with proven relationship building skills Ability to work collaboratively as a key member of a team and independently with minimum supervision Highly organized with a proven ability to prioritize competing requirements and deadlines under pressure Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Claim registration - On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions - On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc. Co-ordination with Branch Offices/Clients/Hospitals for requirements - Need to have follow up with branches office/clients/hospitals for additional documents whenever require NEFT Updation - Updation of customer/insured NEFT details on system while processing the claims Travelling/Relocation - Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement.

Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication & Claims Adjuster!! US Healthcare experience. Work location : Navalur Chennai Required : Experience in International Healthcare BPO Education - Any Graduates and Diploma(10+3)can apply. Willing to work in Night Shift/rotational shifts. If interested , Share your resumes to Madhubala.suresh@firstsource.com Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 Pm Walk - in date: Monday to Friday Note: Bring your educational documents, Pan card, Aadhar card (both original and xerox) Contact person: Madhubala Contact Number - 7299080894(whatsapp only) Mention Hr name(Madhu) on top of your resume Refer your friends who are interested with similar experience. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or madhubala.suresh@firstsource.com

Experience Required:4+ years (Property and Casualty domain is mandatory) Notice Period:Immediate to 30 days Shift Timings:6:30 PM to 3:30 AM IST (US Shifts) Role Overview: We are looking for an experienced Property and Casualty ClaimsAdjuster to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards. Key Responsibilities: Review and process insurance claims and related documentation. Conduct claims assessments, ensuring accuracy and completeness. Coordinate with brokers and carriers to gather necessary information. Prepare claims reports and ensure timely follow-up on pending claims. Maintain accurate records in claims management systems. Ensure compliance with industry regulations and internal guidelines. Collaborate with team members to resolve claim issues and provide necessary support. Qualifications: Bachelor's degree in any field. 5+ years of experience in Property and Casualty claims processing, with exposure to the US insurance market. Strong analytical, organizational, and problem-solving skills. Excellent communication and customer service skills. Proficiency in claims management software and tools.

Experience Required:4+ years (Property and Casualty domain is mandatory) Notice Period:Immediate to 30 days Shift Timings:6:30 PM to 3:30 AM IST (US Shifts) Role Overview: We are looking for an experienced Property and Casualty ClaimsAdjuster to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards. Key Responsibilities: Review and process insurance claims and related documentation. Conduct claims assessments, ensuring accuracy and completeness. Coordinate with brokers and carriers to gather necessary information. Prepare claims reports and ensure timely follow-up on pending claims. Maintain accurate records in claims management systems. Ensure compliance with industry regulations and internal guidelines. Collaborate with team members to resolve claim issues and provide necessary support. Qualifications: Bachelor's degree in any field. 5+ years of experience in Property and Casualty claims processing, with exposure to the US insurance market. Strong analytical, organizational, and problem-solving skills. Excellent communication and customer service skills. Proficiency in claims management software and tools.

Job description Experience Required 4+ years (Property and Casualty domain is mandatory) Notice Period Immediate to 30 days Shift Timings 630 PM to 330 AM IST (US Shifts) Role Overview We are looking for an experienced Property and Casualty Claims Specialist to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards. Key Responsibilities Review and process insurance claims and related documentation. Conduct claims assessments, ensuring accuracy and completeness. Coordinate with brokers and carriers to gather necessary information. Prepare claims reports and ensure timely follow-up on pending claims. Maintain accurate records in claims management systems. Ensure compliance with industry regulations and internal guidelines. Collaborate with team members to resolve claim issues and provide necessary support. Qualifications Bachelors degree in any field. 5+ years of experience in Property and Casualty claims processing, with exposure to the US insurance market. Strong analytical, organizational, and problem-solving skills. Excellent communication and customer service skills. Proficiency in claims management software and tools.

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations Associate Qualifications: Bachelor of Pharmacy Years of Experience: 1 to 3 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.In Pharmacy Benefits Management, you will be responsible for the business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for? Adaptable and flexible Ability to perform under pressure Problem-solving skills Results orientation Prioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Bachelor of Pharmacy