710 Claims Processing Jobs - Page 24

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 2 to 4 years of experience in handling a team in a P&C or Specialty Insurance BPO service provider Must have managed the FNOL & FROI Processes Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 2 to 4 years of experience in handling a team in a P&C or Specialty Insurance BPO service provider Must have managed the FNOL & FROI Processes Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad

Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM Responsibilities: Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and Identifying the fraudulent claims. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hospital and medical procedures Understanding of Treatment Protocol Understanding of Diagnostic Protocol Ready to work from Office, No Work from Home, open on rotational shifts/ rotational week offs Office Address: Tata AIG GIC Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad, Telangana (State)

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak Hindi & Malayalam. CTC – Upto 3.5 LPA.

Job Title : Analyst Qualification : Any Graduate Experience : Fresher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statements and accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential and advanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-day activities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l 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. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.7 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Note : NA -- Thanks & Regards, Tanishaa.S Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 7899490271 Tanishaa.S@blackwhite.in | www.blackwhite.in

Job Title : Analyst Qualification : Any Graduate Experience : Fresher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statements and accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential and advanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-day activities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l 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. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.7 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Janhavi Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432471| janhavi@blackwhite.in | www.blackwhite.in

Job Title : Analyst Qualification : Any Graduate Experience : Fresher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statements and accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential and advanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-day activities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l 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. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.7 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432407| deekshitha@blackwhite.in | www.blackwhite.in

Job Title : Analyst Qualification : Any Graduate Experience : Fresher Must Have Skills : > Good working knowledge of the Microsoft office, particularly Excel & PowerPoint > Relevant Claims/risk management/Accounting Knowledge experience as a minimum according to the role Good to Have Skills : l Excellent analytical problem-solving skills. l Strong communication skills, both orally and in writing. l Commercial awareness a commercial and pragmatic approach to managing compliance. l IT literate knowledge of Microsoft office packages needed. Roles and Responsibilities : Accounts: l Good understanding of financial statements and accounting concepts l Strong analytical skills l Excellent knowledge of Microsoft office is essential and advanced Excel skills l Maintain and manage carrier accounts and settlements l Perform financial analysis and reporting Risk managements: l Collaborate with various teams for performing day-to-day activities ensuring effective risk management: l Engage with different departments to integrate risk management practices into their daily operations. l Identify potential risks and develop strategies to mitigate them in collaboration with cross-functional teams. l Ensure that risk management policies are consistently applied and adhered to across the organization. Claims: l Adjudicate international claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. l 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. l Handling and resolving complex claim issues l Collaborating with internal teams to ensure accurate claims processing l Providing support in claims settlement negotiations l Maintaining detailed documentation of claims activities Location : Bangalore CTC Range : 3.7 lpa (lakh per annum) Notice period : Immediate Shift Timings : Early morning / Afternoon shift Mode of Interview : Virtual Mode of Work : Hybrid Mode of Hire : Permanent Note : NA HR Sanjana Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432404| sanjana.b@blackwhite.in | www.blackwhite.in

Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster Roles and Responsibilities : 1.Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2.Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3.Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. 4.Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5.Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6.Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune CTC Range : 4.5 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid Thanks & Regards, Amulya G Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Role: Senior Manager/Manager - Health Claims (Claims Processing) Job location: Goregaon East Role & responsibilities Experience: 2+ years (preferably with Insurer/TPA) Key Responsibilities: Process and review health insurance claims in line with policy and regulatory guidelines. Verify clinical documents (discharge summaries, prescriptions, medical reports) for claim validation. Coordinate with TPAs, brokers, and clients for claim-related queries and document collection. Manage client escalations related to claim disputes or delays. Review and reject claims where necessary, providing clear reasons and communication Ensure compliance with health insurance regulations and company policies. Prepare reports on claim processing status and outcomes. Suggest process improvements to enhance efficiency and accuracy. Qualifications & Skills: Degree in BAMS, BHMS, MBBS, or Dentistry. Minimum 2 years experience in health claims processing with insurers or TPAs. Good understanding of insurance products, claims procedures, and regulatory requirements. Strong analytical, communication, and coordination skills. Proficient with MS Office and claims management tools. Ability to handle multiple tasks and client interactions effectively.

Job Title: Director /Sr Director - RCM Operations END TO END Location: Chennai & Bangalore Preferred candidate profile -RCM END TO END AR Job Title: Director /Sr Director - Coding Director Location: Chennai & Bangalore Preferred candidate profile: Handling medical coding Team - 20+ years of experience in the RCM (Revenue Cycle Management) industry with a minimum 10+ years of experience working on various leadership roles. - Should have experience in managing multiple processes with a strength of at least 800+ employees. Job Description Director of Operations Responsibilities: Manage RCM teams across all areas claim scrubbing, charge submission, payment posting, denial management and account receivables. Responsibilities include work allocation, capacity planning, training and development, performance evaluation, problem resolution. Deliver best in class KPIs on charge lag, Days in AR, 90% + AR, Denials, Collections for the clients managed. Analyze claims data to come up with actionable insights to send out clean claims, increase collections and minimize account receivables. Provide leadership and guidance to develop team members to perform at high levels of performance standards both in terms of quality and productivity. Serve as “in-house” subject matter expert for all billing and collections processes and queries. Build strong relationship and collaborate with US based teams. Ensures compliance with billing guidelines, data / privacy requirements, etc. Identifies and collaborates with other key stakeholders on automation, analytics and transformation initiatives. Requirements: Director Operations RCM Minimum of 20 years of experience with minimum of 10 years in medical billing / collections area. 5+ years of experience in executive leadership role. Strong subject matter experience Revenue Cycle Management: certification in medical billing / coding preferred. Proficient in multiple EMR systems, MS Excel, PowerPoint and Word. Strong leadership, team development and coaching skills. Excellent communication, problem solving and analytical skills. Willingness to work flexibly in a fast-paced environment. Experience in driving transformation and automation will be an added advantage. Perks and benefits Best in industry Share Resumes to Ahmed@talentqs.com Whatsapp cV - 9246192522

Hiring for AR Caller - Medical billing Job Location: Mohali/ Chandigarh Salary Range: 18000-20000 Qualification: 12th+6 Months experienced with letter Graduate fresher can also apply 5 Days working with Night Shift Cab facility available Required Candidate profile Can Contact@ 7696111291

We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

Dear Candidate, We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

Dear Candidate, We are looking for Dynamic Candidate with good Communication Skill Roles and Responsibilities Greeting and welcoming passengers, and responding to questions. Checking in baggage. Making reservations. Selling airline tickets. Stocking aircraft with refreshments. Cleaning aircraft after flights. Assisting disabled passengers and those with small children. Providing information to passengers.

Handle Motor third party claims for particular states. Review investigation reports Drive TP claim settlement before Courts / Lok Adalat Interact with External Counsels to brief them to present the Company s defence effectively before the Courts. Review the performance of Advocates. Conduct periodic review and monitor the claims. Work out a litigation strategy for the regions handled to enable proper decision making. Review of high value TP claims handled for reserve adequacy and effective defence Candidate must have: - Strong communication & coordination skills - Ability to engage with External Advocates & stakeholders within the Company - in-depth market knowledge w.r.t. Court procedures and local practices - Ability & passion to drive the performance to achieve the set objectives - Analytical mindset - Need to know local language Hindi & English - Conversant with system MS Office

Responsible for ensuring the nurse training and educational and educational programs of the hospital are in line with the hospitals mission, vision and values of the institution. Develops an environment of learning for nurses in the hospital; Facilitate adult learning in the hospital by planning, identifying the needs. Responsible for identifying the changes in the nursing practice using an evidence based approach and facilitating the initiation of, adoption of, and adaptation to change. Facilitates the new learning in implementation the same in nursing practice. Responsible for designing, creating and applying research by supporting the integration of research into practice and helping to develop staff members knowledge and skills in the research process, as well as fostering the use of systematic evaluative research with regard to clinical, educational data. Responsible for enhancing the clinical competence all across the hospital. Responsible for providing ongoing evaluation of the quality and effectiveness of the educational activities to ensure that they maintain and enhance professional development that promotes the delivery of cost-effective high quality healthcare. Collaborating with the others in the practices of nursing professional development at the institutional, local, regional, and state levels.

Job Description: Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 6 months to 1 year of experience in medical billing, insurance claims, or a related field and possess strong English proficiency . As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Key Responsibilities: Outbound Calling: Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details. Conduct all calls in full compliance with company's guidelines and applicable healthcare regulations. Maintain professionalism and ensure clear communication during each call. Data Categorization and Labeling: Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client. Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis. Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency. Call Transcript Analysis: Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns. Compile findings into periodic reports, providing valuable information to client to support process improvements and optimize workflows. Qualifications: Minimum of 6 months to 1 year of experience in medical billing, insurance claims, or a related field. Strong English proficiency , both verbal and written. Familiarity with healthcare regulations and industry guidelines. Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records. Ability to work independently while adhering to internal guidelines and procedures. Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus. Additional Information: This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.

Service Experience Lead, Assurant-India(digital & non digital) This position is responsible for the delivery of exceptional customer service through claims review as per SLA. This position will be Work from the Office at our Mumbai, India location. What will be my duties and responsibilities in this job? • Adjudicate each claim with available details of defect & estimates. Collect, verify and analyze information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures, • Ensure Service partners work as per agreed SLAs to meet service standards. • Create monthly claims reports • Claim cost reduction plans and actions. • Demonstrate flexibility, enthusiasm and strong learning agility in learning new products, systems and processes while maintaining high customer service and compliance standards. What are the requirements needed for this position? • Graduate in any stream • Min 5 years of experience of working in Service Operations.