3155 Claims Processing Jobs - Page 24

Urgently Hiring for Associate Service Consultant-Underwriting Salary - 3 LPA - 4.5 LPA + (Incentives) Job Location - Gurugram Share your resume to HR Nikita: 9717102713 / 9773626804 Immediate Joiner Preferred Role Description This is a full-time on-site role for an Underwriter at Policybazaar.com, located in Gurugram. The Underwriter will be responsible for assessing and evaluating insurance applications, analyzing risk factors, determining policy terms, and reviewing insurance contracts. They will also collaborate with insurance agents and brokers to review applications and provide expert advice on underwriting policies. Qualifications Strong analytical and problem-solving skills Ability to...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on experien...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on experience...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on experien...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on experience...

About The Role Skill required: Property & Casualty- Underwriting - Insurance Underwriting Designation: Underwriting Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? 6-8 years of experience in Property & Casualty Underwriting or Policy Servicing across shared services/Third Party BPO service providers (Essential) Define Insurance policy and calucating premium including terms and condition for PropertyRating and quoting including receipt, clearance, data gathering and submission for operation of insurance services to set-up new business or renewal submissions in the support of developing an insurance quote. What are we looking for? Hands on experience...

Job Title: AR Caller Location: Bangalore / Hyderabad / Coimbatore Job Type: Full-Time Shift: Day / Night / US Shift Experience Level: 0 to 8 years Job Summary: The AR Caller is responsible for calling insurance companies in the US to follow up on pending or denied medical claims. The role requires strong communication skills, attention to detail, and the ability to analyze and resolve billing issues to ensure timely payments. Key Responsibilities: Call insurance companies (in the US) to follow up on outstanding accounts receivables. Understand the denials and take necessary action. Analyze claims and determine the reasons for rejections or delays. Initiate appeals or corrections as needed. D...

About The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: BCom/B.B.M Years of Experience: 0 to 1 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 Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and ratin...

7-9 years of overall years of IT experience. At least 4+ years of experience in working on Guidewire PolicyCenter Configuration & Integration. Performed Guidewire PolicyCenter configuration as well as integration developer. Must be Guidewire certified in any of the Xcenters, preferably PolicyCenter Guidewire Configuration Development experience(Gosu, Rules Engine, Data Model,PCF, Wizards, Workflow, Activity and Product Model development) Possess good knowledge in Message queue, events, Batch, Web services, API. Experience in Agile SCRUM or SAFe methodology P & C Insurance domain knowledge is required Cloud Implementation experience/knowledge is beneficial Convert User Stories to code to conf...

- Bangalore Were hiring experienced professionals in US Healthcare! : •4+ yrs. US Healthcare claims experience for Non Voice (Claims adjudication/claim processing) • 4+ yrs. of experience in International contact Centre (Inbound Voice) Claims adjudication in US Healthcare or Internation contact center experience is mandatory. Should have good communication skills Speak , read and written . Open : • Operations -Team Leader / AM/DM/M/SM •Quality Specialist & TL Quality •Subject Matter Expert (SME) •Process Trainers. •WFM- RTA/ Cap Planning/ Forecasting & Scheduling (Specialist, AMs and DMS ) ? •Leading US Healthcare brand •Fast-track growth & leadership opportunities •Attractive benefits & rew...

Greetings from PERSONAL NETWORK Top MNC hiringg: experienced Ar Callers us healthcare process Advance Your Career in the US Healthcare Industry! A leading multinational company is actively hiring experienced professionals for its Accounts Receivable (AR) Calling US Healthcare Process . If you have a background in Denial Management and RCM , this is your opportunity to join a high-performing team in a globally growing domain. Key Responsibilities: Follow up with US insurance companies via outbound calls to resolve unpaid or denied claims Review and interpret Explanation of Benefits (EOBs) to analyze claim issues Handle denial management and underpayments efficiently Document call activities a...

Role Overview: As a Business Data Analytics professional in the BFSI industry, you will be responsible for leveraging data analytics to enhance banking, financial services, and insurance operations. Your role will involve improving risk assessment, fraud detection, and service customization through advanced analytics. To excel in this role, you must meet the following requirements: Key Responsibilities: - Possess BFSI Domain Knowledge: Understand banking, financial services, and insurance processes, including risk evaluation, claims processing, and fraud detection. - Data Analytics & Visualization: Extract, analyze, and visualize data to drive insights for BFSI operations. - Risk & Fraud Ana...

As an experienced professional in US healthcare (Non Voice) Provider Data Validation and Provider Data Management, your role involves various key responsibilities: - Training the team on new processes and updates, ensuring everyone is well-informed. - Collaborating with Quality Assurance to manage process knowledge and variances effectively. - Developing Process SOPs, Process Maps, and identifying outliers within the process. - Reviewing Discrepancy reports, identifying gaps, and sharing insights with Team Leads. - Recognizing Non-Value Added (NVA) activities and proposing automation solutions. - Leading teams to efficiently manage daily inventory. - Monitoring QA scores of production resour...

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None What You Will Do Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claim...

Job Description: As a Faculty Member at Britsure Insurtech Pvt. Ltd. located in Pune, your primary responsibility will be to deliver engaging and informative training sessions to internal teams. You will also be conducting workshops on insurance technology solutions and providing mentorship to junior staff members. Key Responsibilities: - Deliver engaging and informative training sessions to internal teams - Conduct workshops on insurance technology solutions - Provide mentorship and guidance to junior team members Qualification Required: - Strong knowledge and experience in insurance technology solutions - Excellent communication and presentation skills - Experience in conducting training s...

Job Title: CLAIMS HANDLER Location: Bangalore Job Type: Full-time Experience Required: 0 to 3 Years/ fresher can also apply Education: Any grad Process 1st round HR Round 2nd round SHL Test 3rd round SD(OPS Round) Qualification/Experience grad Location Sutherland Global services. Unit no 202, 2nd floor, campus D, Centennial Business park Kundan Halli main road, EPIP Area, Bangalore, Karnataka 560066. Transport 2-way cab Salary 4.5 lpa Note Work from office WANT A GOOD WORK LIFE BALANCE Fixed shifts and fixed weekend off Collection Voice Process Sutherland is seeking highly proficient * Claims associate in Bangalore. If you have the right experience and expertise, this could be an excellent c...

JOB DESCRIPTION Designation/ Role: Trainee Department : Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: Good verbal and written communication Skills. Able to build rapport over the phone. Strong analytical and problem-solving skills. Be a team player with positive approach. Good keyboard skills and well versed with MS-Office. Able to work under pressure and deliver expected daily productivity targets. Ability to work with speed and accuracy. Medical billing AR or Claims adjudication experience will be an added advantage. Experience 01-year experience US calling process will be an added advantage. Job Description The jo...

Hiring for Claims Process Associate !!! Skills Required: Candidate should be excellent in verbal communication skills Freshers and Experienced candidates can apply for this position Experienced candidates must have atleast 6 months to 1 year of experience into claims processing Graduation mandatory Education: Non-Technical education background required(eg.BA,B.com,BBA) Additional Information: *Should be flexible to work from office and rotational shifts *Candidate should be in 20 kms of radius from work location * 5 days working, 2 days week offs Interview Location BLOCK-D, CENTENNIAL. 201 Kundalahalli Main Road EPIP Zone, Brookefield,Bengaluru- 560066 POC - HR Sharon Note : Sutherland never...

Responsibilities AreaGreet and welcome all walk-in customers, directing them to the clinic to promote free eye check-ups. Participate in stocktakes, maintain sales floor standards, and handle daily tasks to ensure an exceptional shopping experience for customers.Familiarize with the POS system to ensure smooth and accurate transaction processing.Commit to customer satisfaction by addressing and resolving any customer concerns.Focus on customer needs, driving overall satisfaction. Personal Attributes & Competencies:Minimum qualification: Diploma or Bachelor's degree in Optometry Freshers are welcome to apply no prior work experience required Strong ability to build rapport and foster trusting...

Conduct eye examinations using specialized equipment. Evaluate patients for the presence of vision problems and other eye disorders. Prescribe eyeglasses, contact lenses, and other visual aids. Provide advice to patients on eye care and recommend treatment options. Degree in Optometry or related field. Valid license to practice as an Optometrist. Strong knowledge of optometry practices and procedures. Excellent communication and interpersonal skills. Are you a passionate Optometrist looking for an opportunity to showcase your skills in West Bengal? We at xxxxx are seeking a skilled professional to join our team. As an Optometrist, your responsibilities will include conducting eye examination...

SUMMARY P&C Insurance Team Lead ========================== Summary ----------- We are seeking an experienced P&C Insurance Team Lead to manage a team and oversee all relevant technical/operational processing activities. The successful candidate will provide direct assistance to underwriting teams as needed, while also handling people management, performance appraisals, and client interaction. Responsibilities - - - - - - - - - - - - - - - - - - - Monitor the performance of a team of Claims adjusters and provide timely feedback Conduct employee performance reviews and assist with professional development Set objectives and manage the team's progression Coordinate with internal customers and m...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). Analyze the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Provides basic-level of support on programs, projects, reporting, filing (electronic and hard-copy), confidential materials handling, and issue resolution. Scope of work is routine and decision ma...

The Billing Manager responsible for overseeing the hospital’s billing operations, ensuring accurate and timely submission of claims, payment posting, and revenue collection. The Manager leads the billing team, coordinates with clinical departments.

We have vacancy for the post of TPA manager. Qualification - BAMS/BHMS Experience - 2 to 10 yrs. as TPA Manager Job description - Act as the primary liaison between the hospital and various TPAs, insurance companies, and corporate clients. Handle empanelment and renewal of contracts with TPAs and insurance companies. Ensure smooth coordination for pre-authorization, approval, and discharge processes. Resolve disputes or issues related to pending approvals, denials, or short payments. Supervise TPA executives/coordinators in the billing or insurance desk. Train staff on TPA procedures, documentation standards, and claim follow-up. Conduct regular performance reviews and ensure efficient team ...