3165 Claims Processing Jobs - Page 36

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Bill...

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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 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 mod...

Walkin drive for "S&F - Claim Analyst with Supply Chain Management" at Pune on 25 Sep 2025. Greeting from Infosys BPM Ltd., You are kindly invited for the Infosys BPM:: Walk-In Drive on 25 Sep 2025 at Pune. Note: Please carry copy of this email to the venue and make sure you register your application before attending the walk-in. Please mention Candidate ID on top of the Resume Registration link for 2 to 5 years exp https://career.infosys.com/jobdesc?jobReferenceCode=PROGEN-HRODIRECT-226077 Interview Information: Interview Date: 25 Sep 2025 Interview Time: 09:30 Am till 12:30 Pm Interview Venue - Venue : Ground Floor, A wing, Embassy Tech Zone, Rhine Building, Hinjewadi Phase II, Hinjewadi R...

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Job purpose To manage the end-to-end claims reimbursement process efficiently and accuratelyensuring timely claim submission, verification, adjudication, and resolution—while maintaining compliance, improving customer satisfaction, and contributing to the organization’s operational excellence. Duties and responsibilities 1. Claim Submission Initiation : The insured individual or the service provider submits a claim to the insurance company for reimbursement. Required Documentation : Policy details (policy number, coverage specifics). Proof of service or expense (invoices, bills, or receipts). Supporting documents (e.g., medical reports, repair estimates, or loss reports). Submission Channels...

Exp. working as a BA preferably for financial lines,Insurance background familiarity with Duck Creek is advantageous,Skilled in gathering & documenting requirements through Business Requirement Documents (BRDs) & User Stories. Location :-PAN INDIA Required Candidate profile Strong interaction skills to quickly establish rapport wid business & technical SME personnel at all levels.Able to work in a team & help assist team members develop Business Analysis skills, Agile

Role Overview: As a Junior Associate Claims at Carelon Global Solutions India, your main responsibility will be processing level delivery & performance according to set SLA parameters. Reporting to the Team Lead of Business Operations, you must have a thorough understanding of business delivery, metrics, and leadership. Your role will involve briefing and delivering in-house process requirements, as well as coordinating with onshore partners when necessary. Key Responsibilities: - Evaluate and process claims in compliance with company policies and procedures, productivity and quality standards. - Consistently meet production and quality standards based on quality control expectations. - Demo...

Role Overview: As a Global Client Manager at Lockton Global Solutions (LGS), your role is crucial in providing high-quality insurance-related support to clients and internal teams. Your proactive and solutions-oriented approach will ensure smooth operations, timely query resolution, and effective delivery of post-sale services to enhance client satisfaction and compliance with global and local insurance standards. Key Responsibilities: - Serve as the primary point of contact for LGS teams and clients - Build and maintain strong client relationships - Coordinate with local teams and partners - Structure and manage insurance policies - Assess client risks - Resolve client queries and issues - ...

Billing Operations Management Supervise and manage OP & IP billing teams. Ensure accurate and timely generation of patient bills. Monitor daily billing activities, reconciliations, and cash collection. Validate service coding (ICD/CPT) and pricing in accordance with policies. Generate and present daily, weekly, and monthly collection reports to senior leadership. Analyze aging reports, highlight trends, and propose corrective actions. Insurance Coordination & Claims Processing Oversee pre-authorization, insurance eligibility verification, and approvals. Supervise submission of insurance claims and monitor turnaround times. Follow up on pending claims and coordinate with insurers for settleme...

Role: Claims Processing and Adjudication Experience: 6 to 8 years Job Location: Bengaluru JD : Kindly refer to the end of the post Interested candidates please mail with EP ID (registration number process mentioned) in the mentioned Email ID (subhasish.g@tcs.com) Please mention “#Claims Processing and Adjudication_Bengaluru” in your EMAIL SUBJECT LINE Mandatory Requirements (How to generate your EPCN) EPCN number is mandatory for eligibility of the interview Step 1: Visit https ://ibegin.tcs.com/iBegin/ Step 2: Click to login Step 3: Click New user (Register with us) Step 4: Select "BPO" in areas of interest and complete the registration. (Fill the details) Step 5: Once completed, your TCS n...

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do To maintain quality and service standards of the Warranty ...

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Service Delivery Ops Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years What would you do? Tower:UK Life and PensionsLevel :Management CL8RequirementOver 12 years of experience in the Life, Pensions and Investment domain, with a strong focus on Claims processing, within the UK market. Candidates with equivalent experience in U.S. retirement services will also be considered. Proven track record of over 5 years managing policy administration processes, leading teams of 3550 professionals, and ensuring operational excellence.Skilled in overseeing remote transitions and expe...

Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do To maintain quality and service standards of the Warranty ...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would yo...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you d...

About The Role Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, whi...

H.Sc / Graduate freshers with good communication, Preferably from Science stream US healthcare Exp will be an advantage. Knowledge of basic computer operations. Willingness to work in the late evening and night shifts. Courteous with strong customer service orientation. Good listening and speaking skills. Typing speed 30/90% Work from office only Mandatory Skills: Claims_Processing.

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficiencies What are we looking for? BE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive e...

Role Purpose The purpose of this role is to increase revenue, maximize process efficiency & cost-effectiveness, and ensure excellent customer experience, through effective supervision of daily operations and personnel, contract compliance, resource optimization and capability development within an account. Do Maximize process efficiency and cost effectiveness through strategic planning, contract compliance and governance mechanisms Strategy Planning with Senior Stakeholders Collaborate with leaders to provide strategic and operational plans associated with the account Plan the strategy for the coming years by identifying new geographies for alternate revenue streams Ensure a deep enough unde...

Contributes to own team/closely related teams by ensuring quality and accuracy of team output. Builds productive internal relationships at team lead or management level. Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of transaction processing Ensures accurate and timely processing of transactions to meet or exceed customer service level agreements. Identifies and resolves issues around nonstandard pending transactions Ability to analyze reasons behind incomplete transactions Understand process interdependencies Possess expert domain knowledge in Healthcare and Insurance domain Requirements for ...

Before you apply to a job, select your language preference from the options available at the top right of this page. Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrowpeople with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level. About The Role : Position Designation: Senior Assistant ( (Temporary) Shift Timing: 06:00 PM to 03:00 AM IST Department: Healthcare Sub-...