619 Insurance Claims Jobs - Page 12

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient s insurance, proration to correct financial class and notation within patient accounts providing steps taken to resolve outstanding insurance balance on account. Work an average of 30-40 patient accounts per workday for assigned payor(s) Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting. Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt Communicate effectively with insurance companies for payment of outstanding insurance balances, understanding of next steps needed to reach resolution of outstanding insurance balance Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows Responsible for resolving patient accounts with outstanding insurance claims to a zero balance or advancing them to the patient responsibility financial class. Performs account follow-up on unpaid or partially paid insurance claims for hospital services. Contacts insurance payors through various methods, including telephone calls, Insurance payor web portals, E-faxing, email Investigates the cause of non-payment towards outstanding hospital claims and takes appropriate actions such as: Requesting insurance companies to process claims, requesting cash posting review for corrections, initiating coding reviews for account resolution, contacting patient for insurance information Completes adjustment requests for Team Lead approval if an adjustment to the outstanding balance Submits requests for claim rebilling when additional information is required, using either a shared spreadsheet or the EHR system. Utilizes MEDTEAM s ticketing system to submit claim inquiry requests if additional information or review from the hospital is required. Minimum Qualifications: High School or equivalency diploma required 2 years experience in account follow-up role performing follow-up on hospitals inpatient and outpatient insurance claims Bilingual (written, verbal and listening) Minimum high-speed internet, 300 MBS download speed Soft Skills: Excellent communication, good judgment, tact, initiative, and resourcefulness Must be detail oriented, organized, and ability to multi-task Possess ability to concentrate for long periods of time Ability to work individually and/or as part of a team Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives Must be flexible with a can do attitude and the ability to remain professional under high pressure situations Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe Must be able to follow directions and to perform work according to department standards independently Must be emotionally mature and able to function effectively under high pressure situations The job role operates in a professional office or remote home office environment. The role utilizes standard office equipment such as computer, monitors and telephone. The role utilizes software to complete daily tasks, the following are a few examples of software utilized: the hospitals EHR, billing clearinghouses, MicroSoft products (Excel, Outlook email, Teams, Word), insurance payor portals, e-faxing solutions. It is essential that the employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris Security and Compliance Policies as this job role will encounter private and protected information.

As an Associate for the Insurance Claim Settlement process, you will play a crucial role in efficiently and effectively reviewing claims, ensuring all required documentation is in place, and facilitating the seamless settlement of claims Serving as a key point of contact for associates, you will utilize your expertise to address queries, interpret policies, and communicate benefit coverage details Additionally, you will be responsible for coordinating with the onshore team and clients to expedite the closure of claims KEY RESPONSIBILITIES Review and process insurance claims efficiently, ensuring accuracy and compliance with established policies Interpret policies, and fully explain benefit coverage to customers regarding policies, benefits, and claim status Request missing documents or information from the customer using email Achieve daily targets of claim productivity, settlement, and Quality Perform necessarily follow up with policy holder and other stakeholders QUALIFICATIONS AND EDUCATION REQUIREMENTS Excellent communication required Ability to pay close attention to detail and multi-task Superb verbal communication skills, specifically the ability to communicate professionally and articulately via phone/email with clients and colleagues Good knowledge of Insurance Claim domain

Answer incoming calls and respond to customer queries Research and resolve customer issues using the tools and applications provided Identify and escalate issues to supervisors wherever necessary Document all calls as per the standard operating procedures Follow up on customer calls wherever necessary Identify and escalate to management any deviations observed in the call trends Maintain expected Quality Targets Must ensure the Average Handling Time, Average Speed of Answer and Answer Rate targets are met Meet internal Production, Utilization and Productivity target Qualifications Graduate from a recognized university Proficient in computer applications Knowledge of customer service practices Excellent listening, verbal and written communication skil

Current Designation: Sr. Executive - Claims Proposed Designation Senior Executive - Claims Department/Group: General Insurance Occupied by Location: Mumbai Kandivali Position Type: Full-Time Reports to: Operation Manager Positions Supervised Runner Internal Relation: CRM, Data Management, BDM. Dispatch Mandatory Skills: 1. Sharp Claims can be of various types 2. Empathy - Demonstrates an understanding of the situation and acts fast and cooperatively 3. Communication Skills - Good communication skills will allow the executive to communicate sensitively. 4. Problem Solving The unfortunate truth about this positions is that most of the time, you re dealing with people who have an issue or problem of some sort. 1. Knowledge Knows the various types of dispute resolution process that exist, understanding of what is meant by claims leakage and the different ways in which it 2. Process Oriented - Knows organisation s claims service management principles and procedures & complaints handling process and complaints referral procedure 3. Relationship Management: Able to get work done effectively with the surveyors and other external officers who may be involved in the claims management process. 4. Alert - Able to define fraud and to list the main indicators including any particular to the classes of business being handled. Job Description Role and Responsibilities: 1. Is responsible to examine, investigate & review clients claim in order to determine whether or not they are covered under a policy and to evaluate the extent of a settlement that the insurance company must pay. 2. Knows the organizational processes and procedures for discouraging, detecting and handling actual or potentially fraudulent claims 3. Knows organizational procedures for the appointment of experts/surveyors etc. 4. Reviewing insurance claims after they are submitted to make sure that proper filing procedures 5. Assist insurance adjusters with complicated or unusual claims. 6. Ensure that the costs of a particular treatment are reasonable depending on the diagnosis a patient received. 7. Depending on the findings, claims specialists guide the client if the claim may get denied, or it may go for further investigations. 8. The primary duty is to examine complex or unusual claims to determine whether they may be 9. Coordinate with Insurance company officials like disaster recovery firms, solicitors, loss adjusters, and surveyors.

Analyst / Senior Analyst Insurance Domain Job Overview: We are looking for a person who has possesses deep expertise in the insurance industry, including premium, claims, reserves, and treaty types, etc . Experienced in broker operations, especially Lloyd's market processes, softwares and regulatory reporting (UK focus). Key Responsibilities - Vednor Onboarding - Due Diligence - Document Indexing & Management - Sanction Screening - Compliance checks - Premium Bordereaux Processing - Knowledge of insurance systems like Acturis, Applied Epic/Eclipse will be added advantage - Experience in the insurance sector, preferably with brokers or MGAs, will be an added advantage - Familiarity with Lloyds systems integration (XIS, XCS, ICOS/IPOS) is a plus - Updating the process documents - Providing supporting documents during various internal/external audits - Advance excel knowledge Must haves: 2+ Years of experience with Insurance Domain. Experience with Insurance client is a must preferably UK or US. Strong communication skills (both written and verbal). Familiarity with MS Outlook and MS Office. Excellent MS Excel skills. Recent insurance experience is must. Knowledge of Lloyds concepts, and report is must from Manager and above position. Knowledge of broker business specifically IBA is added advantage till Deputy Manager position and must from Manager and above position. Qualifications: Graduate What We Offer Joining QX Global Group means becoming part of a creative team where you can personally grow and contribute to our collective goals. We offer competitive salaries, comprehensive benefits, and a supportive environment that values work-life balance. Work Model Location: Vadodara Model: WFO Shift Timings: Indian Shift (9.5 hours)

About Client Hiring for One of the Most Prestigious Multinational Corporations! 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, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days in office

Skill required:Insurance - Insurance Claims Designation:Management Level - Senior Analyst Job Location:Bengaluru Qualifications:Any Graduation Years of Experience:5 to 8 years What would you do You will be aligned to our Financial Services, banking, Insurance, and Capital Market vertical which is focused on helping clients with their tax preparations, insurance coverage, and investment portfolios. The Insurance team helps clients and organizations transform their insurance operations into a digital, cost-efficient, agile operating model that helps drive sustainable growth and redefine customer experience. This team provides expertise in the areas of employee benefits, life and annuity, property and casualty and retirement services. You will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Accenture Life Insurance&Annuity Platform (ALIP) Analytics Ability to perform under pressure Adaptable and flexible Problem-solving skills Business Operation Management Roles and Responsibilities In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Bengaluru

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate 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.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to perform under pressureAbility to work well in a teamAdaptable and flexibleCommitment to qualityAccount Management Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(International) - Intermediate 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.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Property and Casualty InsuranceAbility to establish strong client relationshipAbility to meet deadlinesAbility to perform under pressureAbility to work well in a teamPrioritization of workloadClaims Processing 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

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolution

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

Job Summary Join our dynamic team as a Claims Specialist focusing on insurance claims adjudication. Utilize your expertise in MS Excel to analyze and process claims efficiently. Work from our office during night shifts contributing to the accuracy and timeliness of claim resolutions. Your role will directly impact customer satisfaction and operational excellence. Responsibilities Analyze insurance claims using MS Excel to ensure accurate adjudication and processing. Collaborate with team members to review and verify claim information for completeness and accuracy. Provide detailed reports on claim status and discrepancies to management for further action. Communicate effectively with stakeholders to resolve claim issues and ensure customer satisfaction. Maintain up-to-date knowledge of adjudication processes and insurance regulations to ensure compliance. Utilize Excel functions to streamline claim processing and enhance data management efficiency. Monitor claim trends and identify areas for process improvement to optimize operations. Support the team in achieving departmental goals by contributing to high-quality claim adjudication. Ensure timely resolution of claims to meet service level agreements and enhance customer experience. Participate in training sessions to enhance skills and stay updated with industry best practices. Assist in developing strategies to improve claim processing accuracy and reduce errors. Engage in continuous learning to adapt to evolving insurance industry standards and technologies. Foster a collaborative work environment to achieve team objectives and drive company success. Qualifications Demonstrate proficiency in MS Excel for data analysis and reporting. Possess strong knowledge of insurance claims adjudication processes. Exhibit excellent communication skills in English for effective stakeholder interaction. Show attention to detail and problem-solving skills to ensure accurate claim processing. Have a minimum of 2 years of experience in insurance claims adjudication. Display ability to work night shifts in an office setting.

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

Role & responsibilities Demonstrated ability to learn quickly and willingness to obtain functional knowledge and understanding of business procedure and policies. 0 months to 2.5 year of customer service/ Data Entry experience College graduate Good verbal & written communication skills. Demonstrated ability to work in a team environment to improve the delivery of service to internal and external customers. Strong organizational skills. Demonstrated ability to manage stress Basic computer skill Ability to work various shifts within hours of operation. Flexibility is a must, as your shift can/will change to meet business needs. Should have Problem Solving/Analytical Ability along with Judgment and Decision Making skills \ Preferred candidate profile Should be comfortable working in evening shift (5:30 pm to 2:30 am) Well-versed with MS Excel Must be aware of US culture Knowledge of Insurance

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Sam 9513900440 I. Position Summary Service Support Analyst play a crucial role in Managing customer support operations Ensuring high-quality service delivery Promoting customer satisfaction They combine technical expertise, leadership skills, and a customer-centric approach to drive excellence in service support within an organization. II. Skills and Competencies Excellent Written and Oral communication skills Interpersonal skills Logical thinking and decision making III. Minimum Qualifications and Experience Undergraduate with 1+ years of experience in customer support voice process.

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:- Excellent communication skills Experience in International BPO (Preferably in Insurance domain) Work Location :Pune Graduates Freshers/Experience UK/US Shifts (Rotational Shifts) Note :- Interested candidates kindly, share your CV on rudrika.sawant@wns.com or contact 8983041815

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

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 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!!!

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Maria - 9986584828 (Please send us a message on WhatsApp in case the numbers are busy). I. Position Summary Service Support Analyst play a crucial role in Managing customer support operations Ensuring high-quality service delivery Promoting customer satisfaction They combine technical expertise, leadership skills, and a customer-centric approach to drive excellence in service support within an organization. II. Skills and Competencies Excellent Written and Oral communication skills Interpersonal skills Logical thinking and decision making III. Minimum Qualifications and Experience Undergraduate with 1+ years of experience in customer support voice process.

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**********************************