2030 Claims Processing Jobs - Page 41

We are Hiring for Senior AR Callers!! Position: AR caller - RCM Exp: Denial Management (HB / PB) Shift Details: US Shift Cab Boundary Limit: We provide cab Up to 23 km (One way drop cab | Doorstep only) from the below venue Venue: 5th Floor, Block 1, Survey No 142, BSR Builders LLP IT SEZ Nanakramguda Village, Serilingampalle (M), Hyderabad, Telangana 500008 Roles & Responsibilities: Understand Revenue Cycle Management (RCM) of US Healthcare Providers. Good knowledge on Denials and Immediate action to resolve them. Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverables adhere to quality standards. Eligibility Criteria: Candidates should have experience in AR Calling, Denials Management, Web Portals, Denial Claims! Minimum 1year experience. Work from Office mode. Immediate Joiners and candidates those who are in notice period can apply. Should have proper documents (Education certificates, offer letter, Pay-slips, Relieving letter etc..) Note : Kindly mention HR Nawaz Khan on top of CV at the time of walk-in Interview 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 abhilash.cbb@firstsource.com

Job Overview: We are seeking a highly motivated and experienced Training Specialist to join our Claims Administration team. The primary focus of this role is to design develop and deliver comprehensive training programs that enhance the knowledge and skills of new and existing staff. The ideal candidate will have a strong background in training within the insurance or claims domain and a passion for continuous learning and development. Key Responsibilities: - Collaborate with Claims Administration leadership to assess training needs and define strategic learning goals. - Conduct onboarding training sessions for new hires ensuring alignment with workflows and processes. - Deliver ongoing training programs to enhance the skills and performance of current staff. - Facilitate training sessions through various channels in-person virtual classrooms webinars and one-on-one coaching. - Evaluate training effectiveness by collecting feedback and analyzing training impact on performance. - Partner with subject matter experts to ensure content accuracy and relevance. - Maintain comprehensive training records and prepare progress and outcome reports for management. - Develop and support e-learning content using digital tools and platforms. - Contribute training insights to cross-functional projects and strategic initiatives. - Prepare regular reports on training activities effectiveness and areas of improvement. Skills & Attributes: - 3+ years of experience in Customer Support domain and 1+ years of experience in Process Training preferably in insurance or claims operations. - Strong knowledge of claims processes and industry best practices. - Excellent presentation and communication skills across varied group sizes. - Strong organizational and multitasking capabilities. - Familiarity with instructional design principles and e-learning tools. - Analytical skills to assess training impact through measurable KPIs. - Technologically adept with experience in LMS platforms and multimedia content. - Adaptable proactive and committed to continuous improvement. - Collaborative mindset with the ability to engage stakeholders at all organizational levels. - Willingness to travel occasionally for onsite training sessions if required. Contact Person : Anusiya Y Contact Number : 9840114871 Email : Anusiya@gojobs.biz

Skill required: Supply Chain - Warranty Management Designation: Business Advisory Associate Qualifications: 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 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 efficienciesTo 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 efficienciesDefine warranty offerings; run outsourced after-sales warranty support and entitlement programs; evaluate customer feedback and planned versus actual costs of warranty coverage; use warranty data analytics to reduce cost and improve product quality; increase recoveries from suppliers and design and deploy warranty solutions. What are we looking for BE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive experienceExperience in WarrantyExperience with Auto componentsInterpersonal skills to deal with dealers, warranty engineers, etcData processing accuracy, detail oriented, and ability to evaluate/research a warranty claimExpert level capability in use of desktop software (MS Office Suite, with focus on Excel)Organized, timely, pro-active and highly productiveStrong written communication in EnglishAttention to detail and ability to multi-taskExperience in Warranty /Auto DealershipMechanical knowledge of machinery/auto-componentInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decision Roles and Responsibilities: BE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive experienceExperience in WarrantyExperience with Auto componentsInterpersonal skills to deal with dealers, warranty engineers, etcData processing accuracy, detail oriented, and ability to evaluate/research a warranty claimExpert level capability in use of desktop software (MS Office Suite, with focus on Excel)Organized, timely, pro-active and highly productiveStrong written communication in EnglishAttention to detail and ability to multi-taskExperience in Warranty /Auto Dealership Qualification Diploma in Automobile

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Operations role Pune/Hybrid Permanent Job Description. The Role Must have experience in the insurance domain, specifically in Property & Casualty, claims processing, and operations. Create, update, and maintain operational and SOP documents; manage system access for the Claims leadership team and provide accurate data. Able to work effectively at all levels from managing frontline employees to engaging with executives. Demonstrated ability to identify and implement process improvements within an operations environment. Skilled in managing operational inventory to meet defined Service Level Agreements (SLAs). Ensure all activities are accurately documented in the appropriate client systems. Communicate with Global Claims Relationship Managers to support the execution of global claims strategies and ensure ongoing engagement with assigned carriers. Handle and process claims related to Auto Liability, property damage, personal injury, and liability. Investigate claims, verify coverage, and claim details, and ensure accurate and fair claim submission. Collaborate with adjusters, legal teams, and clients to resolve claims efficiently. Review policy details with clients to ensure clarity and compliance. Maintain detailed and accurate records of policies, claims, communications, and related documentation. Requirements Strong verbal and written communication skills. Familiar with claims processing tools, such as FileHandler. Able to communicate effectively with onsite teams and stakeholders. Capable of operating at all organizational levels from managing frontline staff to interacting with executives. Proven ability to identify and implement process improvements in an operations environment. Skilled in managing operational inventory to meet established Service Level Agreements (SLAs). Ensure all activities are accurately documented in the appropriate client systems. Collaborate with Global Claims Relationship Managers to support the execution of global claims strategies and maintain carrier engagement.

Process health insurance claims. Should have knowledge of cashless and reimbursement. Location - Chembur. Should have knowledge of excel. Graduation mandatory. Call or send your resumes on 8097516521. TPA experience Mandatory

Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

Walk-in Drive || Clinical Doctors || Cotiviti Pune || IPDRG || Fresher & Experienced || Walk-in Date : 12th Jul 25 Walk-in Time : 10 AM to 2 PM Job Location : Pune Venue : COTIVITI INDIA PRIVATE LIMITED - Plot C Binarius Building 190 / 192 Plot C, Deepak Complex, National Games Road Off Golf Course, Shastrinagar, Yerawada, Pune, Maharashtra 411006 Eligibility : Fresher Eligibility Criteria : Medical Degree (MBBS or BAMS or BHMS or BPT) with Clinical experience or US Healthcare experience Strong analytical, critical thinking and problem solving skills Should have general knowledge on Medical Procedures, Conditions, illness & Treatment Practices Excellent verbal and written communication skills Should be ready to work in night shifts during training time Experience Eligibility Criteria : Any graduates with IP DRG Experience (Min of 1+ years) Active credentials through CIC & CCS is mandatory Excellent verbal and written communication skills Should be ready to work in night shifts during training time Interested candidates can share resume - abdul.rahuman@cotiviti.com or contact the below number Regards, Abdul Rahuman | Sr HR Executive 9080276094

This role will focus on increasing client adoption of Perfios suite of products. In this role, you will serve as a key resource ensuring that clients successfully engage with the Perfios products, and they are realizing the full potential of the solutions. This will be accomplished by understanding the user journey, proposing and guiding clients on right Perfios products, analyzing key performance indicators and provide recommendations on how to maximize the potential of the software which will enhance ROI and improve the clients bottom line Experience : 6-10 years of prior experience in technical marketing of products/ solution consulting. Knowledge Skill Requirements Requirements Gathering Elicitation Advanced Business analysis requirements gathering and design techniques; the ability to produce structured BRDs, and write functional specification. Excellent Verbal and Written Communication Skills - the ability to communicate to a variety of audiences across business function and level and tailor messages appropriately. Presentation, facilitation, oral, written, listening and conflict resolution. Ability to interact with client/ prospects day in day out. Industry expertise Insurance Industry, specifically Health General Insurancesegment or experience is needed. Additional weightage will be provided if involved in claims processing division A MUST Direct customer interaction/ engagement management/ program management exp a must. Should be tuned to interact externally day in day out. Flexibility in travel - might have to travel to client locations as you grow in the system and take on larger prospects/ clients/ role (Mostly day trips). Must have handled in person interactions with Clients and not on remote basis Must be tech savy and should be able to understand technology terms and willing to learn high-level concepts Self-Starter: You are motivated and ambitious and you pursue your work without the help or prompting of others Technical Skills Desirable: Conversant with presenting solutions to clients in any of the following programming domains ( knowledge of two or more of the following programming languages is highly desirable). Understanding of REST, Webservices and SOAP well. Experience with Business Intelligence tools would be a plus Flair for evaluating alternatives and deciding plan of action. Responsibilities Develop deep functional and technical know-how on Perfios suite of products Provide technical consultancy to customers Educate newly on-boarded customers on functional and technical aspects of Perfios products Conduct POCs and hand hold client. Ensure successful on-boarding of new customers. Assess and analyze client key performance indicators to identify strategic opportunities and client educational needs. Identify the needs within the client organization and recommend new product or service offerings and develop a plan to drive maximum utilization of Perfios products. Cultivate strategy based on products owned, client structure, and adoption issues. Contact clients, identify and perform assessments and create action plans to improve product usage. These should identify and include: Upsell Opportunities Educational Needs Assessments Action Plan Executive Summary Consistent client engagement to execute action plan Escalation point for problem resolutions.

Role & responsibilities Dealer Management: Profitability, Claims review and accounting, Collection supervision, Reconciliation, Incentive processing, Warranty, Pre-sale and any other claim processing Month End review: Review of General Ledger, dealer ledgers, Incentive ledgers, Overhead variance analysis and reporting. Provisioning of expenses, review of provisions on monthly basis. Vendor Management: vendor supervision, claim processing and reconciliations. Customer management: Review and reporting , project and private customer outstanding, Collection of statutory forms wherever applicable Education: Bachelors, MBA Experience: Hands of Experience on handling Dealer management, Claims processing, Reconciliation, Month end activities, Customer handling Excellent Spoken and Written Communication Skills Hands on Excel / MS Office Skills Hands of experience in SAP /ERP Excellent Presentation and Analytical skills Kindly share your resume on sv7@svmanagement

Verify documents received from internal teams and Ensure timely updation of account details Share account details with insurance companies as per the agreed TAT Proactively address issues arising from account detail errors Coordinate with Medi Assist branches to get necessary documents required for account updation Follow up with internal teams to ensure data collection and issue resolution. Manage grievances and follow-up with internal stakeholders. Report daily on updated and pending account details updation Identify and implement process improvements for efficient account detail updation. Knowledge and Skill Requirement: Knowledge of Excel formulas Soft-spoken yet firm in interactions Keen eye for detecting errors and inconsistencies in data Meticulous in verifying and validating documents and information Strong follow-up skills to ensure timely completion of tasks and collection of data.

BAMS, BHMS, B Sc. Nursing MBBS (India Reg Mandatory) Purpose of role: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms conditions while applying their domain medical knowledge. Roles and Responsibility Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly Key Results and Outcomes driven by this role: Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Behavioral competencies: Analytical Skills Basic Computer knowledge Type writing skills Communication skills Decision Making

Location- Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facilities 5 days’ Work-Week Saturday, Sunday fixed off Experienced required

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Tanishaa Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432422 WhatsApp: 7899490271 | | Tanishaa.S@blackwhite.in | www.blackwhite.in

Wipro hiring for Insurance Back-office profile in Kolkata location. We are hiring Any Graduate fresher OR Experienced. Candidate must be comfortable with WORK FROM OFFICE. *Must BE* Gradutaion is Must The candidate must have good verbal communication skills. The candidate must be staying or ready to relocate to Kolkata. As it is WORK FROM OFFICE. Roles and Responsibilities Candidate will take care of Insurance claims of International customers. Desired Candidate Profile Any Grad fresher- 3.3 Lakhs Experienced- 3.3 Lakh + Inc.+ Cabs Other Benefits Fixed Shift time- US shifts Complete Inbound Voice Profile Cabs in odd hours only If you are meeting the above requirements. Then please please call our recruiter. Click on Apply NOW Tab Contact: Ravinder Singh Rawat

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Sneha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| sneha.v@blackwhite.in | www.blackwhite.in

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432405| deekshitha@blackwhite.in | www.blackwhite.in

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| amala@blackwhite.in | www.blackwhite.in

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Sanjana Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432421| sanjana.b@blackwhite.in | www.blackwhite.in

. Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Performs Claims duties under direct instruction and close supervision. Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*. Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong customer focus with ability to identify and solve problems. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range*: Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing . Join us in driving growth and improving lives. Understands simple instructions and procedures. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Strong interpersonal skills. Ability to work under own initiative and proactive in recommending and implementing process improvements. . Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* - International insurance claims processing for Member claims. Job Description* - Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. - Monitor and highlight high-cost claims and ensure relevant parties are aware. - Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. - Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. - Interface effectively with internal and external customers to resolve customer issues. - Identify potential process improvements and make recommendations to team senior. - Actively support other team members and provide resource to enable all team goals to be achieved. - Work across International business in line with service needs. - Carry out other ad hoc tasks as required in meeting business needs. - Work cohesively in a team environment. - Adhere to policies and practices, training, and certification requirements. Requirements*: - Working knowledge of the insurance industry and relevant federal and state regulations. - Good English language communication skills, both verbal and written. - Computer literate and proficient in MS Office. - Excellent critical thinking and decision-making skills. - Ability to meet/exceed targets and manage multiple priorities. - Must possess excellent attention to detail, with a high level of accuracy. - Strong interpersonal skills. - Strong customer focus with ability to identify and solve problems. - Ability to work under own initiative and proactive in recommending and implementing process improvements. - Ability to organise, prioritise and manage workflow to meet individual and team requirements. - Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range*: Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings*: 7:30 am- 16:30 pm IST Job Location*: Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. . Back to search results Previous job Next job JOB DESCRIPTION Driving Growth. Improving Lives.

Job Description Coordinate with patients, insurance companies, and internal departments for smooth processing of cashless claims. Facilitate timely pre-authorization approvals and ensure all required documents are submitted. Maintain records of all TPA communications and claim documents. Handle queries from patients and their attendants regarding insurance claims. Follow up with TPAs/insurance companies for pending approvals and payments. Reconcile TPA receivables and ensure timely payment posting and recovery. Assist the billing team in preparing final bills for insured patients. Ensure compliance with hospital policies and insurance guidelines. Regularly update TPA software and internal MIS systems with accurate information. Required Candidate Profile: Any Graduate with 1 to 5 years of experience in hospital insurance. Pleasant personality with good communication and interpersonal skills. Basic computer proficiency and familiarity with hospital billing/TPA processes. Ability to work in a fast-paced hospital environment. Interested candidates please forward your resume to the below mentioned contact number Thanks & Regards, HR Team- 7299052617. Miot International.

Job Overview: We are looking for an experienced Claims Manager to handle non-motor insurance claims (such as Fire, Marine, Liability, Engineering, and other commercial policies ) for our SME clients. The ideal candidate should have a strong technical understanding of policy wordings, loss assessment, and claims lifecycle management, with the ability to coordinate effectively with surveyors, insurers, and internal stakeholders. Location : Ahmedabad Key Responsibilities: End-to-End Claims Management for non-motor SME policies including Fire, Marine, Liability, Engineering, etc. Coordinate with Insurers and Surveyors for timely claim registration, survey appointments, and assessment updates. Verify claim documents and assist clients in claim documentation and submission. Ensure timely follow-up and track the status of pending and approved claims. Resolve claim-related queries or disputes raised by the clients or insurers. Liaise with internal teams (Sales, Operations, etc.) to ensure seamless customer experience. Maintain and update MIS for claims on a regular basis. Analyze claim trends, recommend process improvements, and reduce TAT. Ensure compliance with IRDAI regulations and company protocols. Interested candidates please share your resume on disha.doshi@probusinsurance.com

HIRING US Healthcare Openings for experienced in Payment Posting, Charges at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Payment Posting / Charge Posting Location : Hyderabad Work from office Ph: 9100337774, 7382307530, 8247410763, 9059683624 Email: jobs@advantumhealth.com Address: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Wipro hiring for Insurance Back-office profile in Kolkata location. We are hiring Any Graduate fresher OR Experienced. Candidate must be comfortable with WORK FROM OFFICE. *Must BE* Gradutaion is Must The candidate must have good verbal communication skills. The candidate must be staying or ready to relocate to Kolkata. As it is WORK FROM OFFICE. Roles and Responsibilities Candidate will take care of Insurance claims of International customers. Desired Candidate Profile Any Grad fresher- 3 Lakhs Experienced- 3 Lakh + Inc.+ Cabs Other Benefits Fixed Shift time- 1:30 PM to 11 PM Complete Inbound Voice Profile Cabs in odd hours only If you are meeting the above requirements. Then please please call our recruiter. Click on Apply NOW Tab Contact: Ravinder Singh Rawat