3165 Claims Processing Jobs - Page 31

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

Guidewire Policy Center Support and Maintenance (Senior 6-8 years) Must be flexible to work in shifts (Rotational Shift India Shift, UK Shift) and On Call Support on a roster-ed rotational basis. Proficient in maintaining and supporting applications, enhancements, conducting testing, and managing deployments, performing root cause analysis defect fixes. Manages the Guidewire Configuration. Designs, modifies and implements Guidewire product suite. Skills and attributes for success Deep understanding of Guidewire framework Policy Centre, implementation, architecture and components Must have Guidewire Policy Center 9.0 version + technical/functional/cloud certification. Well versed in developme...

KPMG India is looking for Manager - Business Analyst to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaini...

Guidewire Policy Center Support and Maintenance (Senior 6-8 years) Must be flexible to work in shifts (Rotational Shift India Shift, UK Shift) and On Call Support on a roster-ed rotational basis. Proficient in maintaining and supporting applications, enhancements, conducting testing, and managing deployments, performing root cause analysis defect fixes. Manages the Guidewire Configuration. Designs, modifies and implements Guidewire product suite. Skills and attributes for success Deep understanding of Guidewire framework Policy Centre, implementation, architecture and components Must have Guidewire Policy Center 9.0 version + technical/functional/cloud certification. Well versed in developme...

Reviewing and investigating claims processing, verifying the proper payment of claims, and bringing insurance claims to full resolution through a combination of external third-party relationships and cross-functional communication and collaboration. Maintaining service level agreements regarding assigned accounts receivable tasks while ensuring timely resolution of all claims while prioritizing responsibilities, problem solving, and thinking critically as you perform your regular duties and accommodate other time sensitive tasks as they arise. Conducts regular review and follow up of accounts receivables, ensuring the timely resolution and payment of accounts. Utilizing multiple reports and ...

Roles: Perform follow-up with US insurance companies on outstanding claims. Handle denials, rejections, underpayments, and appeals effectively. Understand EOBs, ERAs, and AR aging reports. Send resume to careers@osprosys.com contact : 9845701484

We are hiring for Voice Process *Process : (Healthcare Voice Process)* Shift Window : 24*7 Shifts (any 9.5 hours working ) *Working Days : 5* Week Offs : Any two ( Rotational Weekoffs) *HSC/Grad* Voice Selects : Only ( Execellent Communication) *FRESHERS* *Salary - 23k* Rounds of Interview: HR Ops Voice Versant - Only 1 Attempt Score - 59 and above Typing - 30 wpm Note: *Its Work From Office* *Drug Test* *Immediate Joining* *All documents required* Batch Date -6th October Interested candidate can share CV On sangeetay1@hexaware.com

Job Opportunity For Women Returnees We are delighted to share that we will be conducting a walk-in drive in October for women who are currently on a career break and wish to return to the corporate world. Date: Friday, 10th October 2025 Time: 12 P.M. - 2 P.M. Location: WTW GDS, iTHINK Techno Campus, 7th Floor, A&B Wing, Off Pokhran, Road No. 2, Close to Eastern Express Highway, Thane (West) 400 607 Job Title: Insurance claims Great Britain Experience: 3-5 years Role: Insurance Claims Advisor Shift: 1.30 P.M. 10.30 P.M. Work location: Thane Great Britain Claims, a line of business within the Corporate Risk and Broking segments operates to deliver the best client outcomes by fully integrating ...

HDFC ERGO General Insurance is hiring for Manager - Non-Motor Claims | Mumbai - Andheri Key Responsibilities & Skills Required : Candidate should have experience in Claims processing (from survey appointment to settlement) Exposure in handling Commercial claims. Responsible to appoint surveyors, interact & review the surveyors/brokers/agents as per defined TAT Handle Customer Grievances - Retail/Corporate clients Education - Any Graduate Target Companies- Broking & General Insurance If this sounds interesting to you or someone you know, please reach out to me at nancy.bhanushali@hdfcergo.com

INTERNATIONAL VOICE CUSTOMER SUPPORT To schedule an interview contact - HR Rusha (8310391640) Job Summary: We are seeking motivated and customer-focused individuals for the position of International Voice Process Executive . This role involves handling inbound and/or outbound calls to customers across international markets, primarily in English-speaking countries such as the US, UK, Canada, or Australia. The ideal candidate will possess excellent verbal communication skills, strong problem-solving abilities, and a willingness to work in night shifts or rotational shifts aligned with international time zones. Roles & Responsibilities: Handle incoming calls from customers or clients. Address c...

About The Role Project Role : Business Analyst Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Must have skills : Performance Testing Strategy Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Analyst, you will engage in a variety of tasks that involve analyzing organizational processes and systems. Your typical day will include assessing ...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsMS Office skills:Ability to understand and make sense of large amounts of data in a complex environment, strong Excel & Word skills, working knowledge of other MS Office Suite (Outlook, PowerPoint & One Note) applications, ability to comprehend and quickly learn client data bases / menu based systems and ability to present data in a comprehensible formatClient Interfacing skills (Email & Phon...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development processMS Office skills:Ability to understand and make sense of large amounts of data in a complex environment, strong Excel & Word skills, working knowledge of other MS Office Suite (Outlook, PowerPoint & One Note) applications, ability to comprehend and quickly learn client data bases / menu based systems and ability to present data in a comprehensible formatClient Inte...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model t...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insu...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insu...

Job Title: Quality Analyst US Healthcare (RCM) Location: Hyderabad Experience Required: Minimum 1 year in US Healthcare – Revenue Cycle Management (RCM) Transport: Two-way cab facility available Role Overview: We are seeking a Quality Analyst in the US Healthcare domain (RCM). While you’ll begin performing QA responsibilities from Day 1, the official designation will be confirmed after 6 months based on performance and company policies. Key Responsibilities: * Monitor and evaluate calls, claims, and transactions for adherence to RCM quality standards. * Conduct regular audits and provide actionable feedback. * Identify process gaps and recommend improvement strategies. * Collaborate with ope...

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About Client Hiring for One of the Topmost Prestigious Multinational Corporations!!! Job Title : Premium Handler Qualification : Any Graduate and Above Relevant Experience : 0 - 4 Years Must Have Skills : 1. Reinsurance premiums 2. Excellent verbal and written communication 3. Billing and Placement 4. Pre Placements(Health Insurance and Medical Billing experience will not be considered) 5. Accounting work Good Have Skills : NA Roles and Responsibilities : 1. Process premiums (PPC & PPW, multi-currency) with in SLA 2. Prepare LPANS, do market submissions and process LORS splits 3. Resolve bureau queries 4. Ensure Proactive Communication 5. Handle enquires 6. Resolve Queries of team members 7....

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Work location Vidal Health Insurance TPA PVT LTD Global Gopalan Tech Part, G-Block, Satya Sai Baba, Whitefield, Bangalore Contact No -9901837404 Contact Person Name ...

Designation : International Voice process - Healthcare Department : Operations Location : Hyderabad Report to : Team Leader, Operations. Work Set-up: Work from Office Essential Knowledge: Basic knowledge of using MS office basic applications like Word, PowerPoint, Excel, Notes, etc. MINIMUM QUALIFICATION: Graduate Freshers are eligible. Note : Kindly mention HR- Nawaz khan on top of CV at the time of Walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or priyanka.narayanamoorthy@firstsource.com

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well ...

Role Overview: You will be joining as an Insurance Specialist at MITS Solution with a focus on the Australian insurance industry. Your role will involve managing insurance policies, processing claims, providing customer service, evaluating applications, and staying updated on industry trends and regulations. Key Responsibilities: - Effectively manage and administer insurance policies, ensuring accuracy and compliance with regulations. - Process and manage insurance claims efficiently, liaising with clients, adjusters, and underwriters for timely resolutions. - Provide excellent customer service, addressing inquiries, concerns, and offering expert advice. - Evaluate insurance applications, as...

Job Responsibilities Scrutinizing dental claim documents & settlements Process claims as per the set healthcare guidelines Follow HIPAA guidelines Accurate processing of Dental claims and meeting productivity targets Good understanding of Claims adjudication fundamentals Good understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process Handle escalations Need to ensure quality and productivity targets are met Ensure compliance with internal policies and procedures, external regulations and information Technical Skills/other skills C...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Description Job Title : Guidewire Claim Center QA Qualification : BE / B.tech Relevant Experience : 5 to 8 Years Must Have Skills : Candidate should possess at least 5 years testing experience in Claim Center. Good to Have Skills : ISTQB certification is an added advantage. Roles and Responsibilities : Candidate should possess strong knowledge of STLC and SDLC. Candidate should have good experience towards Agile projects and processes. Candidate should be able to Demo the user stories to the Scrum Master. Candidate should possess at least 5 years testing experience in Claim Center. Candidate should have worke...