727 Claims Processing Jobs - Page 17

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 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? Written Communication Claims Processing 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

Below is the JD for Non Voice. Job Openings for Freshers US Healthcare Process Salary; 14k take home Interview Date 05/06/2025 To 19/06/2025 Interview Timings; 11.30 am to 6 pm Qualification -B.Pharmacy / B.Sc (Computer Science) graduates Feamle And Male 5 Days Week Experience: Freshers Roles and Responsibilities Candidates with Excellent communication skills (verbal and written) Good typing speed Knowledge of Medical Billing / US Healthcare will be an added advantage Willing to work on Day shifts Good verbal communication in English. Contact Pearson; Arun Hr 6303339324 Location ;HMDA Maitrivanam, 8th Floor Swarnajayanthi Complex,Adj:, Ameerpet, Hyderabad, Telangana 500038

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 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. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Mega Walkin Drive for the role of Process Developer/Domain Trainee- Broker Technical Support Specialist|| Property & Casualty & Underwriting || Madurai Location || 7th June2025 Drive Date - 7th June 2025 Venue - Genpact Madurai, 3, 120 Feet Rd, Swami Vivekananda Nagar, K.Pudur, Madurai, Tamil Nadu 625007 Time - 10 AM to 2 PM Shift - US shift Your role will require you to utilize your experience in and knowledge of insurance/reinsurance and underwriting processes to process transactions for the Underwriting Support Teams and communicate with the Onsite Team. Responsibilities • Perform necessary activities to support broking teams in collaborating with account management to initiate a renewal, preparing and submitting marketing proposals to underwriters, processing endorsements and policy checking along with other requests • Identify and retrieve relevant compliance documentation necessary to process new policies and policy renewals, changes, additions, deletions and cancellations. • Calculating adjustments and premiums on policies and other insurance documents. • Ensure repository of record is accurate and current to ensure outputs and client deliverables will be produced according to guidelines and policy detail. • Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. • Monitor and attend to requests via client service platform that require action in a timely manner. • Help colleagues troubleshoot and resolve basic issues and perform other related duties as required. Qualifications we seek in you! Minimum Qualifications • Graduate with an excellent interpersonal, communication and presentation skills, both verbal and written • 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 • 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.

Accountable to manage daily activities of coding Patients chart, Diagnosis report Coding/ Auditing charts Updating the production/pending reports Participate in client calls, understand the quality requirements both from process prospect & targets Required Candidate profile Extensive Quality experience Audits, Coaching & training as per process defined.Sound knowledge in Medical Coding concept. Sound knowledge in Healthcare concept. Must have Good Product Knowledge

Job Description: • Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members • Work on the customers applications, eligibility and fallouts arising out of discrepancies in the systems • Ensure the accuracy and completeness of applications taken • Billing activity includes monthly generation of member premium bills and payments received to fulfill those bills • Correct all Billing discrepancies in a way that member no longer owes money • Changes in Payment types as requested by Member • Complete Account reconciliation of members post terminating the member from Services • Works flexibly and cooperatively under supervision with all team members • Completes all responsibilities according to established protocols, policies and standard practices plus adhere to regulatory compliance programs such as HIPPA Skills Required • Good verbal and written communication skills, • Ability to multi-task, Critical thinking abilities, open and ready to work on feedback • Quality focused, Good Analytical skills. • Proficiency with Windows, MS Office and basis computer skills • Demonstrate skills necessary to interpret regulations and guidelines • Ability to interact positively with internal and external customers Eligibility Criteria • At least 6 months of experience in preferably in health care domain and preferably with experience of working in night shift • Proficiency in Microsoft Office Suite • Must be an Graduate from an recognized university (No B.Tech, MCA or IT related degree) • Should be willing to work from Office • Typing - 20 WFM with 90% Accuracy • Should have the ability/resources to WFH if required

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Job description Eligibility and Criteria 1. Good Knowledge about RCM industry is required 2. Accounts Receivable (AR) Knowledge - min 1.5 yrs is must 3. Provider Side experience is required, not payer side 4. Good Communication skills is needed 5. Relieving letter is mandatory 6. Immediate joiners are preferred 7. No Female Candidates

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Job Track Description: Requires experience in a professional, sales, or technical area through formal education. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results with teams and can complete work self-guided. A college or university degree required. General Profile Requires in-depth knowledge and experience. Uses best practices and understanding of business issues to improve products and services. Solves complex problems. Takes a new perspective using existing solutions. Works unaided and receives minimal guidance. Acts as a resource for colleagues with less experience. Functional Knowledge Understands and applies concepts in the field of expertise. Basic knowledge of related disciplines. Business Expertise Has knowledge of best practices and team integration. Is aware of the competition and what makes them different in the market. Impact Impacts a range of customer, operational, project, or service activities in teams. Works within broad guidelines and policies. Leadership Acts as a resource for colleagues with less experience. May guide small projects with manageable risks and resource requirements. Problem Solving Solves complex problems. Takes a new perspective on existing solutions. Exercises judgment based on reviewing many sources of information. Interpersonal Skills Explains difficult or sensitive information. Works to build consensus within a team. Responsibility Statements Serves as liaison between end-users and product development teams. Manages and communicates deliverable status to development teams. Reviews, defines, and documents project requirements. Examines requirements and defines technology solutions. Defines a go-to approach for system construction. Produces component specifications and translates these into detailed designs for implementation. Directs a small project team of business analysts across client portfolio projects. Helps prepare technical plans to ensure resources are available. Provides advice on technical aspects of system development and integration. Applies relevant technical strategies, policies, standards, and practices. Performs other duties as assigned. Complies with all policies and standards. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

Job Track Description Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Receives instruction, guidance, and direction from others. Functional Knowledge Requires a conceptual understanding of theories, practices, and procedures. Business Expertise Applies general knowledge of business developed through education or experience. Impact Works self-guided with no supervisory responsibilities. Follows standardized procedures and practices to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Responsible for developing technical contributions. Problem Solving Uses existing procedures to solve standard problems. Examines information and standard practices to make judgments. Interpersonal Skills Exchanges information and ideas effectively. Asks questions and checks for understanding. Responsibility Statements Serves as liaison between end-users and product development teams. Partners with senior BA's to examine, define, and document project requirements. Communicates project requirements to development teams. Supports analyzing requirements and defines tech solutions. Defines a go-to approach for system construction. Performs other duties as assigned. Complies with all policies and standards. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

Minimum Mandatory Skill Set Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Brief Job Profile Claims adjudication, Fraud and leakage control, Client/provider feedback, Team training and retention, Investigation Desired Competencies/ Skill Set MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry Health Insurance, TPA, Hospitals, Healthcare

Payroll Company: Teamlease Digital Role & responsibilities: Accurately enter insurance data into the database Maintain Insurance Company database Maintain quality score Perform other duties as assigned Observe professional standards of conduct, including attendance, professional behaviour, and dress code. Required Candidate Profile: - Adaptable and flexible -Knowledge of excel basics - Ability to perform under pressure - Problem-solving skills - Detail orientation - Ability to establish strong client relationship -Comfortable with Night Shifts -Good Communication Skills -Stability Shifts- Night Shifts Mode of work- Work from Office Perks and benefits: -5 days working. -Apart from development, and engagement programs, we offer transportation facility to all its employees. (Subject to hiring zone) -There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. -All employees are covered under insurance program. Interested candidates can share their resumes via whatsapp on 9773714088

Minimum Mandatory Skill Set Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Brief Job Profile Claims adjudication, Fraud and leakage control, Client/provider feedback, Team training and retention, Investigation Desired Competencies/ Skill Set MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry Health Insurance, TPA, Hospitals, Healthcare