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3.0 - 5.0 years

5 - 7 Lacs

Visakhapatnam

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As a hospital billing executive, you will be responsible for managing the billing process for patients receiving medical services at the hospital. You will work closely with insurance companies, healthcare providers, and patients to ensure accurate and timely billing. Responsibilities Review and verify patient billing information Submit insurance claims for reimbursement Follow up on outstanding payments and resolve billing issues Communicate with insurance companies and healthcare providers regarding billing matters Maintain accurate records of billing transactions Qualifications Bachelors degree in Healthcare Administration or related field Experience in medical billing and coding Knowledge of insurance billing practices and regulations Strong attention to detail and accuracy Excellent communication and interpersonal skills Skills Medical billing software proficiency Knowledge of ICD-10 and CPT coding Familiarity with insurance verification processes Strong analytical and problem-solving skills Ability to work in a fast-paced environment

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0.0 years

1 - 2 Lacs

Noida

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We are hiring for Backoffice role Graduate/undergraduate both can apply Night Shift(9:30PM to 6:30AM) 6 months relevant exp is mandatory Salary 17752 CTC (In Hand16000 ) For Contact - 9682722482 Richa Mishra(HR)

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3.0 - 8.0 years

3 - 8 Lacs

Mumbai Suburban, Pune, Mumbai (All Areas)

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We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims / Lability Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai /Kochi Location) Process : Back office Process /UK Insurance Process Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Ali : 7391077622 / 7391077621 / 8888850831 Regards Dipika 9623462146

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6.0 - 11.0 years

10 - 15 Lacs

Hyderabad

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Responsible for working with medical TPAs to execute medical testing operations for SLIC managing tele/video calling operations for the Underwriting function for underwriting / fraud detection,medical test feedback, grievance,agent verification etc. Required Candidate profile Prior exp in Medical TPA management for LI sector Must have basic knowledge of Underwriting guidelines&norms Must be able to supervise a small team Must have a strong process orientation

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0.0 - 3.0 years

2 - 4 Lacs

Gurugram

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Hiring Fresher's ! Job Description Manage day to day production and ensure SLAs are met Monitor analyses and report on trends in the key underwriting performance drivers Understanding of processing end-to-end underwriting cycle in clients application. Knowledge of up-stream and down-stream processes of underwriting and how they are linked with each other• Queue management effectively managing and monitoring the queue Perform deep dive audits and report out severity alerts process gaps• Root cause analysis on feedback received from internal or external audits Review departmental procedure manuals for completeness and report out any possible gaps Discuss process updates with operations and training teams to develop clear understanding around the changes Perform accreditation for new hires as per the defined guidelines Perform additional audits are for agents identified under bottom quartiles and training need identification exercise is conducted by collaborating with operations and training team Publish weekly and monthly accuracy reports to the stakeholders Contribute towards process improvements through brainwaves and kaizen Qualifications Minimum Graduate• 0-3 years P&C underwriting experience in London Market specially in Lloyds Insurance 5 Days Working Rotational shifts and offs One side cab provided

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5.0 - 10.0 years

5 - 10 Lacs

Kolkata

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1.Oversee claims process - commercial insurance products (Fire, Marine, Property) 2.Interpret insurance policy language to determine coverage 3.Conduct investigations to establish facts and assess damages. 4.Identify potential fraudulent claims. Required Candidate profile Handles the process of managing commercial insurance claims, from initial notification to settlement.

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0.0 - 3.0 years

2 - 3 Lacs

Gurugram

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Job Title : Insurance Executive Location : Gurgaon Note: This position is open to female candidates only as per our organizational requirements. Employment Type : Full-Time LUXURY CARS -INSURANCE or Claims and Endorsements A luxury automobile claims insurance executive manages insurance policies specifically tailored for high-end, luxury vehicles. This role involves: Managing claims: Investigating claims cases, alerting supervisors to discrepancies, and administering claims Updating clients: Keeping clients informed on the status of their claims Analyzing claims: Preparing analysis reports and claims activity reviews Maintaining documents: Filing and maintaining claims documents, and ensuring they are complete and accurate Collecting information: Coordinating with agencies to collect information and documents, and verifying their correctness Facilitating collection: Facilitating collection from insurers on medium-sized claims Tracking payments: Keeping track of the different parts of claims being paid for various claims settlements Connecting clients over calls. Documentation of Insurance. Job Types: Full-time, Permanent Schedule: Day shift Ready to join Immediately? Experience: total work: 0 to 3 year Insurance sales: 1 year

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0.0 - 5.0 years

1 - 2 Lacs

Kolkata, Pune

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Consulting Skills, Client Knowledge, and Client Service: Prioritizes work as required to respond to client needs effectively UK pension/retirement/claims Healthcare / Customer support Participates & contributes in daily huddles and status meetings Required Candidate profile Excellent communication skills Excellent understanding of the organization's goals and objectives. Takes ownership and responsibility for work assigned.

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2.0 - 4.0 years

2 - 5 Lacs

Bengaluru

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Supervisor, Operations Designation : Team Leader Healthcare Contact Center (Member/Provider Services) Location: Bangalore, India Job Type: Full-Time Shift: Fixed Night Shifts We are looking for an experienced and dynamic Team Leader to manage and guide a team of healthcare contact center executives in our Member/Provider Services division The ideal candidate will have strong leadership abilities, excellent communication skills, and a proven track record in managing performance and driving results in a BPO environment This role involves overseeing day-to-day operations, ensuring high-quality service delivery, and supporting team members in achieving their goals In This Role You Will Supervise and manage a team of contact center executives handling healthcare member and provider services Monitor team performance to ensure adherence to service level agreements (SLAs), quality standards, and operational metrics Provide coaching, mentoring, and regular feedback to team members to enhance their skills and productivity Conduct team huddles, performance reviews, and training sessions to address individual and team development needs Act as the first point of escalation for complex or unresolved customer queries and ensure timely resolutions Collaborate with quality analysts and trainers to identify gaps and implement corrective actions Prepare and present daily, weekly, and monthly performance reports to management Drive process improvement initiatives to enhance operational efficiency and customer satisfaction Ensure compliance with company policies, HIPAA regulations, and other industry standards We Are Looking For Someone Who Has Education: Graduate in any discipline Experience: Minimum 24 years of experience in a healthcare contact center/BPO environment At least 1 year of experience in a Team Leader or supervisory role Strong understanding of healthcare processes, insurance claims, and provider services Exceptional leadership, coaching, and conflict-resolution skills Proficiency in using CRM tools, reporting systems, and MS Office applications Ability to analyze data, interpret trends, and make data-driven decisions Willingness to work fixed night shifts to support international clients Key Skills Leadership and team management Customer service and problem-solving Performance monitoring and reporting Communication and interpersonal skills Analytical and decision-making abilities Time management and multitasking About ResultsCX ResultsCX is a premier customer experience partner to Fortune 100 and 500 companies We design, build, and deliver digitally influenced customer journeys that achieve the satisfaction and loyalty brands need to thrive and grow, while improving efficiency and reducing costs ResultsCXs 30+-year track record for reimagining the customer experience to meet consumersevolving expectations has driven growth to more than 20 geographic hubs and approximately 20,000 colleagues worldwide Our core expertise extends to actionable analytics, contact center as a service (CCaaS), and our own SupportPredict AI-powered digital experience platform Our strength lies in exceptional individuals working together in a high-performing, fun culture to deliver next-generation customer experiences on behalf of our clients ResultsCX is an equal opportunity and affirmative action employer and will consider all qualified applicants without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected factors under federal, state, or local law

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1.0 - 5.0 years

1 - 3 Lacs

Bengaluru

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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. Note : Bike is Mandatory for travelling. Kindly share your Resume on ta4@mdindia.com

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2.0 - 4.0 years

3 - 5 Lacs

Gurugram

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Role and Responsibilities :- * End to End Claims Analyses * Verify Policy/Claims Documents * Claims Setup and Payment Processing * Claims Submission and Tracking * Correspond with involved Claim Parties * Develop and Maintain Claims communication * Maintain Records of Activities * Manage day to day production and ensure SLAs are met * Knowledge of up-stream and down-stream processes of Claims and how they are linked with each other * Analytical and Reporting skills on excel * Team player with a ready to learn approach * Excellent written and verbal communication * Contribute towards process improvements through brainwaves Qualifications and Experience: Any Graduate degree (B.Com. preferred) Strong understanding of P&C insurance principles Must have London Insurance Market Claims Experience 2-5 years Excellent communication and interpersonal skills Comfortable working from the office and with rotational shifts

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0.0 - 2.0 years

2 - 3 Lacs

Mumbai Suburban, Navi Mumbai, Mumbai (All Areas)

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INTERNATIONAL VOICE PROCESS US HEALTHCARE Location: Airoli, Mumbai Shift: Rotational (Predominantly Night Shifts) Work Mode: Work from Office Joining: Immediate Batch Starts: 7th July Role Overview: Join a leading US Healthcare BPO as a Customer Support Associate and be part of a dynamic international voice process team. This is a great opportunity for fresh graduates to start their career in a fast-growing industry. Eligibility Criteria: Graduate Freshers with excellent English communication skills Not eligible: Technical or Hotel Management degrees Experience Advantage: BPO experience with complete documentation Full-time students / Out-of-boundary candidates Not eligible Compensation & Perks: In-hand Salary: 20,000/month Night Shift Allowance: 1,500 3,000/month Performance Incentives: 3,000 (Fresher) | 4,500 (Experienced 1+ year Intl Voice) Training Stipend: 5,000 during 10-day virtual training + 5,000 bonus post 30 days CTC: 2.4 – 3.0 LPA (based on experience) Transport: One-side cab (Night hours only: 7PM – 7AM) Working Structure: Days: 5 days/week Week Offs: 2 rotational (including split offs) Shift Type: Rotational, mostly night shifts Important Notes: Boundary conditions apply (Boundary list attached) No transportation during daytime Self-travel or out-of-boundary applicants won’t be considered Apply Now and kickstart your career in the growing US Healthcare industry ! Interested candidates are kindly requested to share their CV or reach out to our HR team directly: Rohit : 8630717558

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2.0 - 7.0 years

6 Lacs

Bengaluru, Mumbai (All Areas)

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Capable of handling customers service requests. Coordinate with insurance company and workshop for accident management. Provide Customers with technical information for the upkeep of the vehicle. Responsible for maintaining healthy relation.

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3.0 - 6.0 years

6 - 9 Lacs

Mumbai

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Company: Marsh Description: Ensures timely and accurate production/processing of complex documents/information (includes report preparation) Maintains a basic understanding of the core aspects of relevant Insurance and related legislation (customer awareness) and strengthen established relationships Adheres to Company policies and performance standards Contributes to the achievement of Operations team Service Level Agreements (SLA) , Key Performance Indicators (KPI) and business objectives Marsh, a business of Marsh McLennan (NYSE: MMC), is the world s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

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0.0 - 5.0 years

1 - 2 Lacs

Kolkata

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International Process Associate - US Healthcare Process - Night Shift Company Name - Sun Knowledge Inc (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - " HR Sanskrity " - 9046450266 - WhatsApp/Call. Applicants need to write "HR SANSKRITY" on the top of their Resume/CV. Dress Code: Formals/ Smart Casuals Documents to Carry: your hard copy CV and Aadhaar Xerox should be attached to it. Roles and Responsibilities: This is the US Healthcare process. Candidates have to resolve queries and issues of Doctors and hospitals regarding medical Billing and Insurances. Desired Candidate Profile : Must have Excellent Communication in English . (Both Oral and Written) Should Have Good Interpersonal & Analytical Skills. Must be well organised and detail-oriented . Knowledge in MS Office and Good typing Speed . Willingness to work for US Shift ( Night Shift ) Work from Office only. Minimum Qualification - Undergraduate . Only Immediate Joiner required Age Limit Up to 35 years old. FRESHERS AND EXPERIENCE BOTH CAN APPLY. Candidates from B.Sc and Pharma background are preffered. Perks and Benefits : Gross Salary 15 k to 22 k Attendance Bonus - 1000 Statutory Bonus - 15000 CAB Facilities or transportation reimbursement of 1800 5 days in a week ( Monday To Friday working ) Saturday and Sunday Fixed off.

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2.0 - 7.0 years

3 - 8 Lacs

Gurugram

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Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim Adhere to legal requirements, industry regulations and customer quality standards set by the company. Handle any complaints associated with a claim Claims Executive Requirements: A bachelor's degree in any discipline. At least 2-4 years' experience as a claims handler or a similar role. Excellent time management skills and organizational abilities. Top-notch client interaction skills. Ability to work in a high-pressure environment. A general understanding of insurance terminology and abbreviations. Attention to detail and process-orientated thinking. The ability to work independently and multitask. Proficient in basic computer handling.

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1.0 - 4.0 years

1 - 4 Lacs

Mumbai

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The selected candidate willbe responsible for managing the approval and rejection processes for cashlessclaims under TPA and MJPJAY schemes. This will involve close coordination withhospital doctors, wards, the billing team, and insurance companies. Key Responsibilities: Handle approval and rejection of cases within the TPA department. Coordinate with hospital doctors and wards to ensure the availability of cashless facilities for patients. Manage pre-authorizations, patient admissions, and discharges, especially in the absence of the respective TPA/MJPJAY team member. Collaborate with the in-house ward, ICU, IPCU, and billing team to ensure final cashless approval for patients. Resolve issues related to cashless claims with TPA/MJPJAY authorities. Coordinate with TPA and insurance companies for approvals, rejections, or queries related to cashless cases. Prepare daily MIS reports for cashless cases. Be well-versed with TPA and MJPJAY portals for smooth processing. Settle cashless cases on the HMIS portal. Prepare refund sheets for cashless deposit refunds. Qualifications

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1.0 - 4.0 years

4 - 8 Lacs

Bengaluru

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At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job is responsible for reviewing property claims tasks as per defined peril types basis from images/documentation received from the vendors. Damage details are shared virtually with the team and the primary responsibility for the team member is to accurately update the details into the tools and systems and maintain high levels of accuracy when updating data fields. This would require the resource to have a good understanding of the types of the homes and the material(s) used in the exterior and interior of the home & surrounding dwellings. Key Responsibilities Review virtual images and documentation received from vendor Accurately identify relevant data fields and inputs which are needed to be updated into the system and tools relative to the claim Able to differentiate between different aspects of the information shared and accordingly update relevant details in the system (.e.g. structures / materials) Do a thorough review of the documentation and capture relevant details to help create a pre-filled template for downstream teams to review Ensure the accuracy of the pre-fill are at set standards to reduce re-work increase straight through processing Return any claims for additional information in case of insufficient data Primary Skill- Voice, Semi Voice process, Excellent communication skill, Property Insurance, Claims Process. Education Bachelors degree or equivalent experience Experience 0-1.5 years experience (Preferred) Supervisory Responsibilities This job does not have supervisory duties. Primary Skills Claims Processing, Consumer Protection, Customer Data Management, Insurance Claims Processing, Performance Management (PM), Property & Casualty Insurance, Property Insurance, Relationship Building, Stakeholder Relationship Management Shift Time Recruiter Info Hiral Parag Rughanihparb@allstate.com About Allstate The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

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2.0 - 5.0 years

3 - 7 Lacs

Pune

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At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job involved leading a team of Property claims processing specialists whose primary role involved in supporting the data entry updates with regards to pre-fill activity. As part of the role the teams review images and documentation received with regards on the claims and as per guidelines update the information into the relevant fields with the systems. Details are shared virtually with the team and the primary resposibility for the speciaist is to accurately review the documenation and accordingy update details into the necessary tools and systems. The role would require the lead to aptly scale up towards assessing inputs on the pre-fill template as per Allstate guidelines. Managing tasks and workflows inaccordance to set standards and ensuring necessary claims processing guidelines and authourity limits are being adhered to through the process. Handling new hire training and transitions for the scope of services. Will need to have a high interest in driving domain certification and effectively collaborate with our Learning and Development partners to execute on industry certifications and training programs. Monitoring the KPI health of the business and ensuring claims severity and quality of reviwes meet agreed standards. Interact with stateside partners and provide necessary reporting across people and process KPIs. Lead teams of high performing individuals, execute on actions and initiatives in line with organization culture. Collaborate across multiple cross functional teams (not limited to Technology, Hiring, Training, Quality). Develop talent and create an environment of trust and motivation in which team can thrive and drive results. Key Responsibilities Ensure knowledge upkeep of the property specialists and adherence to standards and KPIs Proactively identify challenges from a delivery/operational perspective and build out recovery action plans Accuracy of line items and Quality of pre-fill meet set standard and increase STP of Claims to downstream teams Drive Transformation outcomes through digital and operational levers Fair practices to manage tasks and have a Claims ownership mindset Continually focusing on enhancing Customer Experience and influencing strategic goals and objectives Ensure specialists are adhering to processing guidelines and effectively updating any inputs with regards to the claims with necessary accuracy Build expertise within the property claims teams and be able to perform pre-fill tasks with necessary accuracy and efficiency Retention of talent is key and ensure all EWS procedures and stability reporting is in place Participate in Transition related calls and share relevant updates with regards to the team (Knowledge Transfer/Training Progress Updates/Health review of team) Review Inspire and Barometer survey outcomes and build actionable plans to sustain targets Optimum resource utilization across the team and actively manage the demand/capacity basis volume inflow Conduct process trainings / refresher trainings / Feedback sessions across the team Walk the Talk by leading the way with Continuous improvement best practices- rigor with daily huddles, performance/ knowledge management, build resiliency through training etc. Initiate Ideation sessions and identify problem areas across the process lifecycle Deliver operational efficiencies through defined levers Arrange and attend business meetings (in-person/virtually) Monthly/Quarterly/Annual Performance tracking and management for people and business with necessary metric/health reporting Interact with leadership teams and raise flags on any business/financial risk that is observed in the process Mentor and guide team members through our shared purpose behaviors and leadership practices Self-grooming from a leadership and domain perspective to drive capability expansion and growth Define learning pathways for the team and effectively identify leadership/skilling needs in collaboration with HR and training partners Have strong reporting and review in place to effectively escalate issues to stakeholders/leadership Adherence to employee engagement processes (1-0-1s, Development plan building) Education 4 year Bachelors Degree (Preferred) Experience Bachelors Degree or equivalent experience 7 - 9 years of related experience Managed a team with at least 15+ FTE Exposure to handling voice / Backoffice / digital support channels will be an added advantage Operational experience handling Claims Insurance processing will be preferred Supervisory Responsibilities This job has supervisory duties. Education & Experience (in lieu) In lieu of the above education requirements, an equivalent combination of education and experience may be considered. Primary Skills Auto Insurance, Auto Insurance Claims, Call Center Management, Casualty Insurance, Claims Adjustments, Coaching, Customer Experience Management, Motor Insurance, Performance Management (PM), Property Claims, Property Claims Management, Property Damage Claims, Property Insurance, Property Insurance Claims, Relationship Building Shift Time Recruiter Info Dipti Murudkardsudh@allstate.com About Allstate Joining our team isnt just a job "” its an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. And one where you can impact the future for the greater good. Youll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, weve proven that Allstate empowers everyone to lead, drive change and give back where they work and live. Good Hands. Greater Together. The Allstate Corporation is one of the largest publicly held insurance providers in the United States. Ranked No. 84 in the 2023 Fortune 500 list of the largest United States corporations by total revenue, The Allstate Corporation owns and operates 18 companies in the United States, Canada, Northern Ireland, and India. Allstate India Private Limited, also known as Allstate India, is a subsidiary of The Allstate Corporation. The India talent center was set up in 2012 and operates under the corporations Good Hands promise. As it innovates operations and technology, Allstate India has evolved beyond its technology functions to be the critical strategic business services arm of the corporation. With offices in Bengaluru and Pune, the company offers expertise to the parent organizations business areas including technology and innovation, accounting and imaging services, policy administration, transformation solution design and support services, transformation of property liability service design, global operations and integration, and training and transition. Learn more about Allstate India here.

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1.0 - 3.0 years

2 - 4 Lacs

Noida

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Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation 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 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 that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.S Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 5.0 years

1 - 5 Lacs

Noida

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Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 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 that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.S Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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0.0 - 1.0 years

1 - 2 Lacs

Noida

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Fresher's willing to work in US Shift (night shift) may apply !!! Role & responsibilities Receives documents from both electronic and hard copy form for processing. Sorts, images, documents, files, and archives by form type. Identifies documents and their purpose, creating a database of information. Classifies documents based on contract requirements. • Captures information based on client requirements. Verifies data from automated data extraction tools. Ensures transmission of processed data to appropriate next level. Requirement Excellent communication skills and Interpersonal skill. Only Fresher's willing to work in US Shift (night shift) may apply. Non Technical Graduate and post graduate fresher's are eligible. Flexible and eager to learn Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Fresher and your name in subject line

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0.0 - 5.0 years

3 - 4 Lacs

Pune

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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- 8951865563 Whatsapp CV mail id -sarika.pallap@mediassist.in

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1.0 - 5.0 years

2 - 3 Lacs

Ahmedabad

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We are seeking a Claims Manager General Insurance to join our growing team at Absolute Insurance Surveyors. The ideal candidate will manage client accounts, oversee the insurance claims survey process, and ensure accurate and timely reporting. Key Responsibilities: Independently manage client accounts, maintaining excellent client relations and satisfaction Oversee end-to-end claims handling from loss notification to final report submission Coordinate with field surveyors and internal teams to ensure timely assessments Respond to client inquiries, provide policy clarification, and manage expectations Review claim documentation and support accurate claim evaluation Ensure compliance with IRDAI regulations and internal reporting standards Work closely with insurance company representatives to finalize claims Identify and mitigate fraudulent claims during the assessment process Desired Candidate Profile: 14 years of experience in general insurance claim handling or insurance survey Strong knowledge of insurance policy terms, general claims process, and documentation Excellent communication and presentation skills Ability to manage multiple clients/accounts and meet deadlines Candidates with IRDAI certification or insurance training will be preferred Should be proactive, detail-oriented, and well-organized

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1.0 - 2.0 years

2 - 4 Lacs

Pune

Work from Office

Hiring Alert WNS Pune is hiring for P&C (Property & Casualty) Insurance process. Walk-in Drive: P&C Insurance Process [Back office] Dates: 30th June 2025 to 4th July 2025 Time: 10:00 AM 1:00 PM Venue: WNS Office - C Block, Weikfield Sakore Nagar, Viman Nagar Role: Insurance Process Shift: Rotational / night Location: WNS, Pune, Maharashtra Cab Facility: Available Requirements: Excellent English communication skills. Eligibility: Any graduate with 6months to 1 year Property &Casualty insurance experience can apply Note: Carry a hard copy of your updated resume. POC: Srushti Kadam Don’t miss this opportunity—kickstart your career with us!

Posted 1 month ago

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