702 Claims Processing Jobs - Page 5

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile – Executive If interested kindly share your resume to recruitment1@mdindia.com

To co-ordinate with cashless patients, Insurance companies and corporate for smooth functioning of cashless treatment provided to the patient. To send the pre-authorization forms to the concerned TPAs and to follow-up till receipt of initial approval

Job Summary We are seeking a skilled Claims Adjudication Specialist with 1 to 3 years of experience to join our team. The role involves working from the office during night shifts focusing on claims adjudication processes. The ideal candidate will have a strong understanding of claims and payer domains contributing to efficient and accurate claims processing enhancing our service delivery. Responsibilities Process claims efficiently and accurately to ensure timely adjudication and resolution. Collaborate with team members to identify and resolve discrepancies in claims processing. Analyze claims data to identify trends and areas for improvement in adjudication processes. Maintain up-to-date knowledge of industry standards and regulations related to claims adjudication. Communicate effectively with internal and external stakeholders to address claims-related inquiries. Utilize technical skills to enhance the accuracy and efficiency of claims processing. Implement best practices in claims adjudication to improve overall service quality. Monitor claims processing metrics to ensure compliance with performance standards. Provide feedback and suggestions for process improvements to enhance operational efficiency. Ensure all claims are processed in accordance with company policies and procedures. Support the team in achieving departmental goals and objectives through effective claims management. Participate in training sessions to stay updated on new technologies and methodologies in claims adjudication. Contribute to the development of a positive work environment by fostering teamwork and collaboration. Qualifications Demonstrate proficiency in claims adjudication with a strong technical background. Exhibit knowledge of claims and payer domains to enhance processing accuracy. Possess excellent analytical skills to identify and resolve claims discrepancies. Show ability to communicate effectively with stakeholders at all levels. Display commitment to maintaining up-to-date industry knowledge. Demonstrate problem-solving skills to improve claims processing efficiency. Exhibit teamwork and collaboration skills to support departmental objectives. Certifications Required Certified Claims Professional (CCP) or equivalent certification in claims adjudication.

Job Summary Google ChromeBook management Google Workspace Administration Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Responsibilities Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Ensure device security regular updates and compliance with organizational policies. Create and manage Organizational Units (OUs) for different departments or user groups. Manage user accounts groups and organizational units in Google Workspace. Configure and monitor Gmail Drive Calendar Meet and other Workspace apps. Provide technical support and training to end-users. Monitor and resolve issues related to mail delivery file sharing or access controls. Respond to service tickets related to Google Workspace and Chromebook issues. Develop documentation for users and IT procedures. Stay updated with Google product changes and new features.

Role: Business Advisory Associate - Automotive Supply Chain (Warranty Claims) Location: Navi Mumbai Experience: 0 - 3 years Are you passionate about cars, components, and customer experience? Ready to shift gears and take your career to the next level with a global powerhouse? Accenture is hiring for the role of Aftersales Services & Warranty Claims Adjudication. Who can apply? - BE in Automobile (with or without automotive experience) - BE in Mechanical (with automotive experience) - 1 to 5 years of experience in Warranty, Auto Components, or Service Advisors from authorized Auto dealerships. What you'll do? - Investigate and validate warranty claims using OEM tools, parts catalogs, and labor standards - Drive supply chain transformation through digitization and analytics - Work closely with dealers, warranty engineers, and internal teams to meet SLAs - Maintain accuracy, efficiency, and high-quality delivery in operational processes About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and, security. 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 world's 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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and, communities. Visit us at www.accenture.com

Job Description: Skills Required: Strong leadership, team management skills with Excellent communication and interpersonal skills Comprehensive understanding of hospital admission processes and billing systems Customer service oriented with problem-solving capabilities Ensuring accurate billing for services provided to inpatient (hospitalized) patients, including room charges, medical procedures, medications, and consultations. Leading and managing the team responsible for processing and generating bills for inpatient services. Collaborating with other departments like clinical, pharmacy, and insurance for timely and accurate billing. Overseeing day-to-day administration, directing and controlling of the IPD operations. Ensuring close adherence to prescribed Standard Operating Procedures (SOPs) in all functional areas. Organizing regular training inputs and organizing feedback sessions from Staff and Customers. Monitoring customer feedback on a day-to-day basis - acknowledges and take corrective action, wherever required. Interacting with Consultants in IPD and catering to their requirements. Oversee and streamline billing process and for the timely submission of medical claims to insurance companies Cross Checking of patients bills i.e. balance and final respectively. Taking any confirmation with IPA and coordinating with TPA for any deficiency in getting approval. Manages billing system updates and providing patient financial counseling Going over insurance pre-authorizations and verifications and tracking payment and payment plans. Educating the patients about their rights and responsibilities. To ensure timely and accurate compliance with the standards laid down under ISO for the departmental function. To handle inter and intra departmental coordination for smooth discharge. Preparing TPA approval as per given clauses and coordinating with Cash/ Corporate bill on daily basis. Authentication of documents CGHS/ PSU and same dispatch to concern for final payment. Post discharge checking of CGHS/ TPA bills. To ensure timely action on patient queries related to billing. To follow Cash / Credit / Corporate billing / discount instructions. To ensure accurate and timely Billing. Maintaining register for discharge flow. Checking of referral, approval and mandatory requirements of institutions. Package mapping during night hours. Updating OT sheets and assigning packages of Cath/ OT. Special vigil on international patient billing. To be well groomed, punctual & adhere to company policies and practices. To effectively utilize Hospital Information System and other software provided. To comply with the service quality process, environmental & occupational issues & policies of the respective area.

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Role & responsibilities Job Title: Claims Associate Job Location: Bangalore Experience Required: 0-3 Years Shift: Rotational Shift Screening Levels: Level 1: Typing Test and Communication Test Level 2: Managerial Round Job Description: Associate Claims (Business Operations) will be responsible for the following: Minimum 1+ years of experience-Experienced/Fresher Familiar with MS Office basics (Excel/Power point/Outlook – primarily) Very strong Communication & Comprehension skills with the ability to evaluate key technical/Calculations needed to deliver basic process delivery. Working knowledge on basic technologies around persistence, search, graph, and distributed technologies Excellent oral and written communication skills Healthcare domain knowledge - nice to have. Flexible to work in any shift & in office premises per set organizational/Business requirements.

Assist in the underwriting process for property and casualty insurance policies Review client details, assess risks, help prepare quotes & proposals Customer queries related to P&C products via email, phone, or in person Coordinate with underwriters Required Candidate profile Stay updated on industry regulations product knowledge. Basic understanding of general insurance concepts preferred. Proficiency in MS Office (Excel, Word, Outlook). Perks and benefits Perks and Benefits

Hurry up Authentic Healthcare is hiring Medical officers Non clinical job AT Noida, HYD , Bangalore Location Role/Position: Permanent Experience: 1 to 2 yrs in TPA or clinical Education: BPT, MPT,BDS, BAMS, BHMS Shifts: Day shift work from office

Responsibilities: * Manage AR calls, denial management & handling * Execute RCM processes with focus on denials * Ensure timely claims processing & revenue cycle optimization Health insurance Provident fund

Job Description: Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members Work on the customers applications, eligibility and fallouts arising out of discrepancies in the systems Ensure the accuracy and completeness of applications taken Billing activity includes monthly generation of member premium bills and payments received to fulfill those bills Correct all Billing discrepancies in a way that member no longer owes money Changes in Payment types as requested by Member Complete Account reconciliation of members post terminating the member from Services Works flexibly and cooperatively under supervision with all team members Completes all responsibilities according to established protocols, policies and standard practices plus adhere to regulatory compliance programs such as HIPPA Skills Required Good verbal and written communication skills, Ability to multi-task, Critical thinking abilities, open and ready to work on feedback Quality focused, Good Analytical skills. Proficiency with Windows, MS Office and basis computer skills Demonstrate skills necessary to interpret regulations and guidelines Ability to interact positively with internal and external customers Eligibility Criteria At least 6 months of experience in preferably in health care domain and preferably with experience of working in night shift Proficiency in Microsoft Office Suite Must be an Graduate from an recognized university (No B.Tech, MCA or IT related degree) Should be willing to work from Office Typing - 20 WFM with 90% Accuracy Interested candidates kindly contact HR Neha 9364011527 Neha.kumari@joulestowatts.co

SUMMARY Job Opening: Retail Staff Location: Jaipur Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team in Jaipur. This is an excellent opportunity for individuals looking to kickstart their career in the retail industry. Responsibilities: Folding and stacking at basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displayed on the right browser. Providing customers with shopping bags. Requirements Requirements: Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. 6 months contract period. 6 days working (week off between Monday to Thursday, any day). Open for male candidates. If you are enthusiastic, dedicated, and meet the above requirements, we encourage you to apply for this exciting opportunity in the retail industry. Must Have - Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. --- Note: The original job description did not specify any additional requirements. If there are specific requirements, please provide them for inclusion. Benefits Salary- 10600 NTH + Incentives

Role & responsibilities Customer Service & Support: Handle and resolve customer queries, issues, and complaints promptly via phone, email, or chat. Assist customers with claims processing and status updates. Ensure high levels of customer satisfaction through excellent service delivery. Back Office Operations: Process cheque clearance and reconciliation as per banking protocols. Perform KYC (Know Your Customer) verification and documentation checks in compliance with regulatory guidelines. Maintain accurate and updated records of customer interactions and transactions. Coordinate with internal departments to ensure smooth workflow and issue resolution. Other Back Office Duties: Data entry, document verification, and report preparation. Support administrative tasks and backend processes critical to customer operations. Assist in audits, quality checks, and compliance-related documentation. Preferred candidate profile Bachelor's degree in any discipline. 1-3 years of experience in back office operations and/or customer service. Strong communication skills (verbal and written) in English and regional languages. Good understanding of KYC norms, cheque processing, and customer service protocols. Proficient in MS Office (Excel, Word, Outlook) and basic computer operations. Ability to multitask, work under pressure, and maintain confidentiality.

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answering to specific trigger in reports. • Manage multiple cases with confidence and accuracy and respond well to working to meet targets and tight deadlines. • Prepare reports, maintain records and keep track of evidence trails. Address - MD India Health Insurance TPA Pvt. Ltd. H.No.6-3-883/A/1 #: 201, 2nd Floor, imperial Plaza, Beside Topaz Building, Panjgutta, Hyderabad - 500082. Contact Number - 7030949730 ( Neha Nanoti )

JOB DESCRIPTION: Roles and Responsibilities: - • Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions. • Must possess good communication skills with neutral accent. • Must be flexible and should have a positive attitude towards work. • Must be willing to work in Night Shifts. Desired Candidate Profile: - • Comfortable with night shift • Comfortable with WFO-Work from office • Having excellent English communication • Ready to join immediately. • Graduates (Freshers) ( B.Tech Graduates are not eligible ) Perks and Benefits: • Saturday and Sunday Fixed Week Offs. • 2 Way Cab Facility (within 25 Km Radius) • Night shift • 24days Leave in a Year. up to Rs.8000 incentives.

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606553811 / 9606557106 !!!Thanks & Regards HR TEAM!!!

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Aneesha HR Analyst Black and White Business Solutions Pvt Ltd Direct Number : 08067432440| Whats app : 9035128021|aneesha.g@blackwhite.in

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489/WhatsApp @7892150019 Lakshmi.p@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

We are currently hiring Medical Officers to handle the processing of cashless requests and health insurance claims for TPAs/Insurance companies and Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.

We are hiring for a Senior Process Associate in Insurance Claims with 37 years of relevant experience. This is an excellent opportunity to join a reputed financial services firm and play a key role in managing claims, ensuring operational accuracy, and supporting risk management initiatives. Your Future Employer - A globally respected organization in the financial services space, known for its strong commitment to process excellence, innovation, and employee growth. Responsibilities - Manage end-to-end claims processes within the insurance domain Demonstrate strong understanding of banking and insurance services Communicate clearly and effectively with internal and external stakeholders Perform risk management activities and support insurance programs Execute reconciliation tasks and ensure accurate documentation Prioritize tasks and meet deadlines in a fast-paced environment Collaborate with product and process experts to stay updated on workflows Requirements - 3-7 years of relevant experience in insurance claims Any graduate (Finance qualification preferred) Excellent written and verbal communication skills Proficiency in Microsoft Excel Comfortable working in a 6 PM - 3 AM shift (Hybrid work model, Pune) What is in it for you - A hybrid work environment providing flexibility and structure Opportunity to be a part of a high-performing, growth-focused team Exposure to end-to-end insurance operations with a global client base Continuous learning and career advancement in a leading firm Reach us: If you think this role aligns with your career aspirations, kindly send your updated CV to vasu.joshi@crescendogroup.in for a confidential discussion on the opportunity. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging, memorable job search and leadership hiring experience. Crescendo Global does not discriminate based on race, religion, color, origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Note: Due to the high volume of applications, if you do not hear back within 1 week, please assume your profile was not shortlisted. Your patience is appreciated. Scam Alert: Crescendo Global never asks for money, purchases, or system upgrades. Verify all opportunities at www.crescendo-global.com and report any fraud immediately. Stay alert! Profile Keywords - Claims Management Jobs, Insurance Jobs, Finance Operations, Reconciliation, Claims Analyst, Risk Management, Hybrid Jobs Pune, Excel Insurance Jobs, SPA Jobs Pune, Insurance Claims Processing, Banking and Insurance Careers.

Walk-in Drive North America Insurance Claims Role: North America Insurance Claims Walk-in Time: 12:00 PM to 1:00 PM Work Mode: Hybrid Work Location: Vikhroli Experience Required: 1 to 4 Years Qualification: Graduation (Any Stream) Shift Timing: 6:30 AM to 3:30 PM Interview Venue: WTW iThink Techno Campus, 7th Floor, A & B Wing, Off Pokhran Road No. 2, Close to Eastern Express Highway, Thane West 400607 Roles & Responsibilities Notify Claims to the insurer on behalf of the Client Maintaining and updating the centralized inbox and tracking database regularly Liaising with team members and US peers to ensure all aspects of Claims are addressed Extreme focus on quality with the understanding of financial implications Ensuring Claims operational reports are reviewed daily and followed up with Carriers Escalate errors and breaches to the Lead Work as per compliance requirements of the organization Revert to emails in a professional manner Active participation in all interactions (Team huddles, Stakeholder discussions, etc.) Qualification Graduation Skills:- Excellent command over written and spoken English Attention to detail, quality and accuracy Ability to prioritise and organise tasks, work within stiff timelines Ability to learn new processes and systems Flexible and adaptable to changing demands Ability to work under pressure and meet tight deadlines Should be a quick learner and team player Ability to work independently and as part of a team Extreme competence in comprehension Insurance experience preferred

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432432/WhatsApp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Monika HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432490/Whatsapp @9916116145 monika.j@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Roles & Responsibilities: - Expected to be an SME, collaborate and manage the team to perform. - Responsible for team decisions. - Engage with multiple teams and contribute on key decisions. - Provide solutions to problems for their immediate team and across multiple teams. - Conduct thorough analysis of business processes and systems. - Identify areas for improvement and propose solutions. - Collaborate with stakeholders to gather and document business requirements. - Create and maintain project documentation. - Assist in the development and execution of test plans. - Conduct user acceptance testing and provide feedback. - Support the implementation of new processes and systems. - Provide training and support to end-users. - Stay up-to-date with industry trends and best practices. - Assist in the evaluation and selection of technology solutions. - Contribute to the continuous improvement of business processes. - Ensure compliance with regulatory requirements. - Communicate effectively with cross-functional teams and stakeholders. Email- maya@mounttalent.com