710 Claims Processing Jobs - Page 28

Urgent requirement for BHMS/BAMS/BDS/MBBS-Pune (Vadgaonsheri) Freshers/candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and responsibilities: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS/ MBBS graduate. Good Medical & basic computer knowledge Should have completed internship (Provisional /Permanent Registration number is mandatory) Freshers can also apply. Work from office . Interview Timings-11am To 5pm(Monday To Saturday) Venue Details: MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune 411014

Skill required: Provider Network - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Timely and Accurate Enrollment:Ensure that all members and groups are enrolled within the agreed-upon timelines by capturing required information and verifying eligibility, generating Invoice and reconciling payments. You will facilitate a smooth enrollment and billing process while maintaining attention to detail to meet deadlines ID Card Issuance:After completing enrollments, promptly issue ID cards to members, ensuring all details are accurate. This will help members gain seamless access to healthcare services Processing Changes and Terminations:Accurately process changes, additions, deletions, and terminations for members to ensure their records are always up-to-date. Ensure that all updates are reflected correctly in the system and communicated to relevant parties Enrollment & Billing Materials Distribution:Ensure that members and groups receive the necessary enrollment and Billing materials, such as benefits guides and plan details. You will provide clear and accessible information to help members understand and navigate their healthcare benefits Compliance and Accuracy:Adhere to all organizational policies, compliance standards, and SLAs while processing enrollments. You will focus on data accuracy to minimize errors and maintain reliable records for all members and groups What are we looking for? Minimum 0-1 Year Experience in Enrollment and Billing:Basic understanding of enrollment and Billing process, eligibility verification, and billing practices in the healthcare domain Attention to Detail and Accuracy:Ability to accurately process enrollments, changes, terminations, and ensure all data is up-to-date and error-free Efficiency and Timeliness:Ability to process enrollments and changes promptly while adhering to established SLAs and ensuring smooth operations Strong Communication and Compliance:Ensure clear communication of enrollment materials and compliance with organizational policies and regulations NA Roles and Responsibilities: Timely Enrollment and Data Accuracy:Ensure the accurate and timely enrollment of members and groups, generating Invoice and reconciling payments. Verifying eligibility and billing data by capturing all required information to meet organizational timelines ID Card Issuance and Verification:Issue ID cards promptly post-enrollment, ensuring all member details are correct and meet organizational standards for seamless healthcare service access Processing Changes and Terminations:Accurately process member and billing changes, additions, deletions, and terminations, ensuring timely updates and communication across relevant systems and departments Compliance, Enrollment Materials, and Quality Assurance:Distribute necessary enrollment materials to members and groups, adhere to compliance requirements, and maintain high accuracy in data entry to ensure reliable and up-to-date records Qualification Any Graduation

Job Description Position Details: Efficiently oversee CLD Claims for external clients, ensuring files are downloaded through automation, verifying successful uploads, and promptly communicating the status of each request. Thoroughly examine diverse Excel and text files to address any error handling requirements in CLD uploads. Possess a proficient understanding of multiple portals, adeptly navigating their functionalities, and assisting colleagues in retrieving essential data. Effectively communicate any concerns within the business process, ensuring seamless execution from initiation to completion. Collaborate with cross-functional teams to streamline CLD claims processes and implement improvements for enhanced efficiency. Stay updated on best practices related to CLD claims management, actively seeking opportunities to enhance internal processes. Contribute to a positive work environment, fostering teamwork, and actively participating in team meetings and initiatives. Resolve the errors based on a defined set of rules and perform corrections where required. Meeting contractual deadlines. Managing workload to accommodate more challenging timelines. Ensuring customer compliance with contract terms. Also, there could be inconsistencies in information from different sources. Working with unconventional customer data formats. Working with a whole new contracting system that was recently launched in the market. Relies on instructions and pre-established guidelines to perform the functions of the job. Monitors and reviews data from the system. Reconcile, track, and troubleshoot requested vs actual data received/validated. Analyze errors and troubleshoot solutions. Job Profile: Resolve the errors based on a defined set of rules and perform corrections where required. Meeting contractual deadlines. Managing workload to accommodate more challenging timelines. Ensuring customer compliance with contract terms. Also, there could be inconsistencies in information from different sources. Working with unconventional customer data formats. Working with a whole new contracting system that was recently launched in the market. Relies on instructions and pre-established guidelines to perform the functions of the job. Monitors and reviews data from the system. Reconcile, track, and troubleshoot requested vs actual data received/validated. Analyze errors and troubleshoot solutions. Qualifications Any graduate (with preference for backgrounds in business, finance, accounting, or information management preferred) Exceptional attention to detail and strong organizational skills. Excellent communi

Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Key Responsibilities: Claim Submission Insurance Verification Payment Processing Patient Communication Record Keeping Claim Follow-up Compliance Revenue Cycle Management Accessible workspace Flexi working Cafeteria Work from home Annual bonus Performance bonus

Role & responsibilities: Handle and process insurance claims (Property, Casualty, Motor, Liability, or Employee Benefits) as assigned. Serve as the primary point of contact for clients, insurers, and third parties regarding claim status and inquiries. Perform claim intakes , document claim details, and validate policy coverage. Work independently (or with the AM / CSA) to manage and resolve queries from Clients and Claims adjusters / Reinsurers, seeking assistance as required ensuring escalation where necessary and resolution with minimum delay. Evaluate and negotiate settlements , ensuring fair and timely resolution. Maintain accurate and up-to-date claim records in the system. Prepare claim reports, summaries , and assist with trend analysis. Ensure compliance with regulatory standards , internal policies, and service level agreements (SLAs) . Escalate complex or fraudulent claims appropriately. Contribute to process improvements and client retention efforts. Preferred candidate profile: Minimum 5 years of experience in claims handling , insurance operations, or related fields (freshers with strong internships may be considered for junior roles). Understanding of insurance products and claims procedures . Excellent communication and customer service skills. Strong attention to detail, organizational, and time-management abilities. Proficiency with claims management software (e.g., Guidewire, Claim Center, or similar) and MS Office tools. Interested candidates can share their cv on below mentioned mail id: sonaly.sharma@crescendogroup.in References are highly appreciated.

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 Inviting applications for the role of Process Developer Broker Technical Support Specialist|| Property & Casualty & Underwriting || Madurai Location 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.

Role & responsibilities: Analyzing and summarizing medical records for pre and post settlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. Daily reporting to Medical team lead for productivity & quality EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRE: MBBS graduate (No experience required) BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).

Role & responsibilities Allocates and delegates takes amongst employees. Provides operational support to employees on all phases of transaction processing. Interacts with clients and internal departments to solve issues. Identifies and resolves issues around pending transactions. Performs quality audit on accounts . Preferred candidate profile Skills Required 3-5 years of experience in claims adjudictaion. Demonstrated client interaction skills. Ability to analyze reasons behind incomplete transactions. Understands process interdependencies • Possesses deep domain knowledge in Healthcare and Insurance domain Interested please share your resume to pushpa.shanmugam@nttdata.com

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 10-May-25 (Saturday) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners & Candidates having relevant experience US Healthcare AR Caller/Follow UP can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

In this Role you will be Responsible For The candidate is responsible to read and understand the process documents provided by the customer. Analyse the insurance request received from the customer and process as per standard operating procedures. Stay up to date on new policies, processes, and procedures impacting the Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Associate need to report to work from office mandatory Requirements for this role include Candidate should have min 6months – 1year experience Display good analytical skills Should have basic insurance knowledge Possess excellent communication skills Should have typing speed with minimum 21WPM. Ready to work in complete Night Shift. Should be flexible & adopt to situations Should extend support to the team during crisis period Ready to relocate as per the business requirement. Should be confident, aggressive and result oriented Preferences- Ability to communicate (oral/written) effectively to exchange information with our client. Any Graduate with English as a compulsory subject Required schedule availability for this position is Monday-Friday (6.00 PM to 4.00 AM IST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

Level-SME/TL Experience in Claims adjudication CTC-ME-6.5LPA TL-9.2LP Location-Bangalore Hybrid US Shifts share resume on-archi.g@manningconulting.in contact-8302372009

We are hiring graduates with at least 1 year of experience in eligibility verification or payment posting. This is a full-time role. Fixed Saturday and Sunday off. Cab facility and meals are provided. Required Candidate profile Good communication skills are required. Candidates should be familiar with US healthcare processes.

Greetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements: 3-8 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills **Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Interested Candidate Please share me your Resume to Ganga.Venkatasamy@nttdata.com

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Days : Saturday ( 10th May 25 ) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 9, 7th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Role & responsibilities Process claims in line with required service standard and in accordance with delegated authority. Collate information from correct sources to assess ensuring accurate and fair assessment of all claims. Challenge any anomalies including declining all invalid claims. Communicate effectively with customers, representatives and veterinary practices to manage expectations throughout the claims process. Pro-actively managing caseloads. Manage multi-channel correspondence across emails, post and telephone calls. Effectively manage claim cost. Organize, record and distribute incoming correspondence through multiple channels efficiently. Update and maintain policy records accurately Liaise with both internal and external customers via telephone and email. Maintain an appropriate level of knowledge regarding products, procedures, service, system and frameworks. Any other tasks deemed appropriate by the Line Manager. Requirements: Willingness to learn the intricacies of Claims. Excellent verbal and written communication skills. The ability to prioritise workloads and meet deadlines. Attention to detail. To be pro-active and self-motivated. Experience in handling of insurance claims. Excellent attention to detail. Strong written and verbal communication skills. Ability to build and maintain positive relationships with all customers, colleagues and members of management. A professional and proactive customer focused outlook with a passion to demonstrate a high level of customer service. To be Pro-active and self-motivated

CVminimizationrisk Join Hella Infra Market Limited as an Insurance Specialist Are you an expert in handling trade credit and corporate insurance policies? We're looking for a skilled professional to manage end-to-end insurance operations and ensure minimised across our diverse business operations. Key Responsibilities: Manage and oversee Trade Credit Insurance and ensure full compliance. Handle a broad range of corporate insurance products such as Fire, Electronic Equipment, PII, Machinery Breakdown, Liability, Contractor's Plant and Machinery, Transit, and D&O policies. Process claims and coordinate with insurers and brokers to ensure timely settlements. Draft, renew, and manage proposals, endorsements, and policy modifications . Communicate effectively with internal and external stakeholders. Negotiate coverage, premiums, and discounts to secure optimal insurance terms. Prepare and manage insurance MIS and reports for leadership review. Key Skills & Competencies: Strong understanding of corporate/general insurance and claims processing . Effective negotiation and analytical skills . Excellent verbal and written communication . Proficient in MIS/reporting . Ability to juggle multiple policies and ensure seamless execution. Share your cv at sahil.sangurdekar@infra.market Why Hella Infra Market Limited? Join one of the leading names in infrastructure, known for innovation, scale, and impact. If you thrive in high-performance environments and are ready to take ownership of critical insurance functions, this is the place for you.

Investigate health insurance claims, verify medical records, detect fraud, conduct field visits, and prepare detailed reports. Coordinate with hospitals and ensure compliance with TPA policies and IRDAI guidelines. Medical background preferred.

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. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Inviting applications for the role of Process Associate/ Developer - Broker Technical Support Team- Madurai 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. Should be open to work in any shift as per the business requirement 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.

Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

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. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Inviting applications for the role of Process Developer Broker Technical Support Specialist|| Property & Casualty & Underwriting || Madurai Location 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.

Role & responsibilities Handle end-to-end accounts receivable (AR) for US healthcare clients. Work on claim denials and rejections from insurance companies. Initiate calls to insurance providers to obtain claim status and resolve denials. Work in compliance with HIPAA regulations. Update billing systems and provide accurate documentation after each interaction. Follow up with insurance companies to track unpaid claims. Meet performance metrics such as call quality, turnaround time, and accuracy. Preferred candidate profile Minimum 1 year of experience in international voice process, specifically in US Medical Billing. Sound understanding of US healthcare processes, insurance policies, and denial management. Strong verbal communication skills and ability to handle US clients over the phone. Comfortable with 24x7 rotational shifts. Immediate joiners preferred. For more details call (Shreshtha- 7669211991) Email id- shreshtha@expertstaffingsolutions.in

Department - Claims Auto Role & responsibilities Closing Ratio/Minimize cost : Negotiate with dealers ; Avoid cost wastage in workshops; Regular training of claims policies ; Faster settlements Re-open ratio/Segmentation of vehicles: Separating the Claims according to Vehicles and minimizing the expenses Repair claims: Timely follow up with agent; visit the workshop within 48hrs of receiving the claim and follow up within 2days. Maintain the Hygiene/TAT(Total Around Time) : Proper evaluation on customer claims ; Claims should be closed within defined TAT (i.e.; Approval or rejection) Sort out claims related issues according to Regulations. Policy Compliance : Ensure that the claims process adheres to the insurance company's policies and guidelines. Customer Service : Communicate with policyholders, repair shops, and other relevant stakeholders to provide updates, explain assessment findings, and address any queries or concerns. Compliance with Regulations : Ensure compliance with local, state, and national regulations regarding motor vehicle assessments, repairs, and insurance claim processes. Negotiation Skills : Engage in negotiations with repair shops, policyholders, and other involved parties to reach mutually agreeable settlements. Fraud Detection : Detect and report any suspected cases of fraud or misrepresentation during the assessment process and work closely with the investigation team to gather evidence if necessary. Preferred candidate profile - BE in Automobile/Mechanical - 4-6 years experience in any of the automobile workshop specially in body shop or in an insurance company in motor claims dept.

Roles and Responsibilities: - Process employees claims in Happay or Concur. - Communicate with employees via emails and calls. - Prepare and send the daily reports. - Graduated from a non-finance background, such as BA English literature or a similar degree. - Excellent English communication skills, good typing skills. - 2-3 years of experience in Travel desk and employee claim processing. - Based in Pune, the employee will work from the Akurdi office and visit the client office as needed.

Candidate should be working as a Team leader OR Quality analyst on papers in US Healthcare for Claims adjudication process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.