Jobs
Interviews

619 Insurance Claims Jobs - Page 13

Setup a job Alert
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

3.0 - 8.0 years

5 - 8 Lacs

Pune

Work from Office

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.

Posted 1 month ago

Apply

1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

Work from Office

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

Posted 1 month ago

Apply

1.0 - 5.0 years

4 - 5 Lacs

Bangalore/Bengaluru

Work from Office

Warm Greetings from RIVERA MANPOWER SERVICES!!!! CHETHANA @ 7829336034 rivera.chethana@gmail.com 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.

Posted 1 month ago

Apply

1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

Work from Office

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

Posted 1 month ago

Apply

1.0 - 3.0 years

2 - 3 Lacs

Gurugram, Delhi / NCR

Work from Office

Role & responsibilities Data Entry: Accurately enter and update customer information and application details into the system. Compliance: Ensure all applications comply with company policies, state regulations, and underwriting guidelines. Multi-tasking: Research and process requests while working on multiple screens and applications. Coordination: Coordinate with various departments to facilitate the smooth processing of applications. Documentation: Review, verify, and process documents related to post-issue transactions. Communication: Communicate with clients and agents to obtain necessary information, resolve issues, and provide updates on request status. Issue Resolution: Address and resolve moderately complex policy-related questions and issues following pre-established guidelines. Customer Service: Provide excellent customer service to clients and agents, ensuring satisfaction and striving to meet and exceed service standards. Industry Knowledge: Develop and maintain a solid understanding of the life and annuity insurance industry, products, services, and processes Preferred candidate profile Educational Background: Graduation in any stream, with a preference for Commerce graduates. Experience: Minimum 12+ months of data entry/ Backend operations in Health care domain/ Claims processing/ Insurance backend process experience with a focus on quality, attention to detail, accuracy, and accountability for work product. Experience in a professional/office-related environment requiring regular scheduled shifts. Technical Skills: Proficient in using a computer with Windows PC applications, including the ability to use a keyboard, navigate screens, and learn new software tools. Ability to type 30+ WPM with 95% accuracy.

Posted 1 month ago

Apply

0.0 - 6.0 years

2 - 8 Lacs

Chennai

Work from Office

1. Read and understand the process documents provided by the customer 2. Analyze the insurance claims and process as per standard operating procedures 3.To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations 4.Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims Any degree

Posted 1 month ago

Apply

1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

Work from Office

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, Amulya G Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Posted 1 month ago

Apply

0.0 - 3.0 years

0 - 3 Lacs

Vadodara

Work from Office

Role & responsibilities - 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 Preferred candidate profile Need Fresher or who have experience into claims and settlement Must be fluent with communication

Posted 1 month ago

Apply

1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

Work from Office

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

Posted 1 month ago

Apply

0.0 - 5.0 years

1 - 3 Lacs

Kolkata

Work from Office

International Process Associate - US Healthcare Process Company Name - Sun Knowledge Inc. (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - HR Sara - 6292238499 - (WhatsApp) Interview Date Starts From : 20th June 2025. Dress Code - Formals/ Smart Casuals Carry your hard copy CV and Aadhar Xerox should be attached to it Roles and Responsibilities 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 organized 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 Minimum Age Limit: 18 Years Maximum Age Limit : 35years . FRESHERS AND EXPERIENCE BOTH CAN APPLY. Perks and Benefits * Competitive salary: *15,000 to * 22,000 gross per month (based on experience) * Fixed weekends off on Saturday and Sunday * No sales pressure or targets * PF (Provident Fund) and ESI (Employee State Insurance) benefits * Attendance bonus: 1,000 per month for perfect attendance * Annual bonus: up to 15,000 *Cab Allowance INTERVIEW ADDRESS - Omega Tower, Bengal Intelligent Park, 11th Floor GP Block, Sector V, Bidhannagar, Kolkata, West Bengal 700091 Landmark - Near RDB Cinema ( SDF Bus Stop, Salt Lake ) Walk-Interview Date: 20th June 2025, 11am to 2:00pm Onwards. Reference Code - HR Sara Yasmin on top of their CV- 6292238499

Posted 1 month ago

Apply

1.0 - 6.0 years

2 - 3 Lacs

Noida, Greater Noida

Work from Office

Daily Tracker & Dispatch Updates Delivery Confirmation Stock Report ERP Entries Billing Report Material Monitoring Spares Tracking Logistics Support Local Deliveries Insurance Claims Customer/Courier Reverse Logistics

Posted 1 month ago

Apply

6.0 - 11.0 years

4 - 9 Lacs

Coimbatore

Work from Office

Job Summary: We are looking for a dedicated AR Caller to join our US healthcare RCM (Revenue Cycle Management) team. The primary responsibility is to follow up on outstanding insurance claims with US payers, resolve denials, and secure timely reimbursements. If you're detail-oriented, good with communication, and interested in working in the medical billing domain, this is the right opportunity for you. Role & responsibilities : Make outbound calls to insurance companies (payers) to check claim status. Analyze Explanation of Benefits (EOBs) and denial codes to determine next steps. Investigate claim denials, underpayments, and delays. Take corrective action by resubmitting claims, filing appeals, or providing necessary documentation. Document call activities, outcomes, and relevant notes accurately in the system. Coordinate with the billing and coding teams to resolve discrepancies. Meet daily/weekly productivity and quality benchmarks. Stay informed on changes in payer rules , insurance guidelines, and RCM trends. Preferred candidate profile : Strong verbal and written communication skills in English. Basic understanding of US healthcare and insurance claim processes. Good analytical and problem-solving skills. Attention to detail and ability to work in a fast-paced environment. Familiarity with denial management , EOBs , and RCM workflow is an added advantage. Experience with software like Athena, NextGen, Kareo, eClinicalWorks , or other RCM tools is a plus.

Posted 1 month ago

Apply

5.0 - 10.0 years

0 Lacs

Goregaon

Work from Office

Role: Manager/Senior Manager - Accident & Travel Claims Job location: Goregaon East Position Overview: A Claims Manager in the Accident & Travel department oversees the processing and settlement of claims related to travel accidents and incidents. They ensure timely, accurate claims assessment, manage a team of adjusters, and maintain compliance with legal and policy guidelines while delivering excellent customer service. Additionally, they are responsible for mitigating risk and resolving complex claims efficiently. Role & responsibilities: Involvement in daily claim processing Regular Updating of Claims System data Calling customers for intimation details & reminders E-mail & letter communication to customers Follow up with other departs like OPS / CC / IT for claims related matter Interaction with particular client or broker Weekly / fortnightly / monthly MIS Activity Education requirement: Bachelors Degree in business Administration, Insurance, Risk Management or related field 2-5 years of relevant Experience Required Preferred Skills Strong Analytical and problem-solving abilities

Posted 1 month ago

Apply

2.0 - 5.0 years

2 - 6 Lacs

Pune

Work from Office

Job Description Designation: Expert-Insurance Operations Experience: 4 to 8 years Location: Pune Shift Time: Night Shift Notice Period: Immediate Joiners or 30 days Skills Required: Workers Compensation, Underwriting, Insurance claims, Policy Administration Relevant work experience in Insurance domain Review and process Workers Compensation policies, including new business, renewals, and endorsements, Review policy applications and submissions for accuracy, completeness, and compliance Analyze underwriter critiques (Crits) and provide timely responses or corrections as needed, Process and issue endorsements and policy changes as per client and underwriter instructions, Validate payroll and classification data to ensure proper rating and premium calculations, Communicate with brokers/agents to gather or clarify required information, Monitor claims-related updates and adjust coverage information accordingly, Ensure adherence to regulatory and internal standards during endorsement processing, Practical knowledge on usage of MS Office tool, Must hold a graduation in any streams, 74248 | Underwriting | Professional | PG07 | Allianz Technology | Full-Time | Permanent Allianz Group is one of the most trusted insurance and asset management companies in the world Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us, We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in, We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation, Join us Let's care for tomorrow,

Posted 1 month ago

Apply

2.0 - 4.0 years

3 - 4 Lacs

Bengaluru

Work from Office

Role & responsibilities To process transactions in line with the defined process on simple/medium/high complex tasks and achieve operational goals and standards as defined by the organisation. Complete the action required on the demand within the required TAT ensuring the required level of accuracy & compliance requirements

Posted 1 month ago

Apply

1.0 - 6.0 years

4 - 9 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

We are Conducting Mega Job fair for Top 10 Companies for AR calling. Chennai, Noida, Bangalore & Hyderbad. Job Title: AR Caller (Accounts Receivable Caller) Department: Revenue Cycle Management / Medical Billing Location: Bangalore / Hyderabad / Chennai / Noida Job Type: Full-Time. Experience: 0 to 10 years Job Summary: We are seeking an AR Caller to follow up on outstanding insurance claims and ensure timely reimbursement. The ideal candidate will be responsible for calling insurance companies (payers) to verify claim status, resolve denials, and secure payment for services rendered. Key Responsibilities: Call insurance companies and follow up on pending claims. Understand and interpret Explanation of Benefits (EOB) and denial codes. Identify reasons for claim denials or delays and take appropriate actions. Resubmit claims or file appeals when necessary. Document all call-related information accurately and clearly. Work with billing teams to resolve billing issues. Meet daily productivity and quality targets. Stay updated on payer policies and healthcare regulations. Required Skills: Excellent communication skills (verbal and written) in English. Basic knowledge of the US healthcare system and insurance claim process. Attention to detail and analytical thinking. Familiarity with denial management and RCM workflow is a plus. Experience using billing software like Athena, NextGen, eClinicalWorks, or similar is a bonus. Qualifications: Bachelors degree preferred, but not mandatory. Prior experience in AR calling/medical billing is an advantage. Willingness to work night shifts (for US clients). contact Hiring Manager : Mallik - 9900024951 / 7259027282 / 7259027295 / 7760984460.

Posted 1 month ago

Apply

1.0 - 6.0 years

2 - 6 Lacs

Hyderabad

Work from Office

Job Summary We are seeking a skilled professional with 1 to 6 years of experience in Claim Management to join our team in Insurance Claims. The ideal candidate will have strong expertise in MS Excel and excellent English language skills. This role requires working from the office during night shifts. Responsibilities Analyze and process annuity claims efficiently to ensure timely settlements. Utilize MS Excel to manage and organize claim data effectively. Collaborate with team members to resolve complex claim issues. Communicate clearly with stakeholders to provide updates on claim status. Ensure compliance with company policies and industry regulations. Identify opportunities for process improvements in claim management. Maintain accurate records of all claim transactions and communications. Provide exceptional customer service to claimants and beneficiaries. Conduct thorough investigations to validate claim authenticity. Prepare detailed reports on claim activities and outcomes. Support the team in achieving departmental goals and objectives. Stay updated with industry trends and best practices in claim management. Contribute to the company's mission by ensuring fair and accurate claim processing. Note Candidates with experience in insurance claims are preferred. Candidates with a notice period of 0 to 30 days are preferred. Candidates should be willing to work in night shift and work from office. This drive is only for experienced candidates and not for freshers.

Posted 1 month ago

Apply

0.0 - 1.0 years

0 - 3 Lacs

Bengaluru

Work from Office

Key Responsibilities: Process and analyze medical claims from US healthcare providers and insurance companies. Understand various insurance policies, terminologies, and healthcare workflows (training provided). Handle denials, rejections, and resubmissions as per payer requirements. Ensure accuracy in data entry and maintain quality standards. Communicate effectively with team leads and follow-up on claim status or escalations. Maintain confidentiality and HIPAA compliance standards. Meet daily/weekly targets and productivity goals. Requirements: Bachelors Degree (Only – BCom, BBA, BA, BCA, are eligible to apply) Excellent written and verbal communication skills in English. Basic knowledge of MS Office and computer systems. Willingness to work in night shifts (US business hours). Strong attention to detail and problem-solving ability. Ability to work independently and as part of a team.

Posted 1 month ago

Apply

3.0 - 8.0 years

3 - 5 Lacs

Kolkata, Hyderabad, Pune

Work from Office

Process cashless and reimbursment claims (Should have knowledge of processing retail policies of National/United/New India/Oriental insurance companies.

Posted 1 month ago

Apply

4.0 - 9.0 years

5 - 6 Lacs

Bengaluru

Work from Office

Role & responsibilities Ensure team members are visiting the customers place as per the schedule Monitor the team members activity in terms of volumes (documents collected) Review the queries received from the customer and the responses from the team members Help team members in resolving escalationsfrom customers Review the reports sent by the team members and take necessary actions (issues with respect to claim registrations) based on the report. Coordinate with front end team and help in getting the claims registered Conduct weekly/monthly one on one review with the team membersto understand their concerns and help simplify the process Review the claims dump along with front end team and take necessary action for IR raised, reopening the claims, dummy claims as appropriate Review the feedback received from the customers. Rework on the low ratings and identify the areas of improvement and implement process improvements Team management Review on the low C-SAT/D-SAT to improve the communication quality or process gap if any as per the clients understanding/requirement. Coordinate with internal/external stakeholders and other regions on the support needed for the client requirements, like helpdesk , wellness-related activity and more. Preferred candidate profile 3-5 years of experience in people management and customer service & 7-8 years of overall experience in service industry

Posted 1 month ago

Apply

1.0 - 3.0 years

1 - 3 Lacs

Thane, Nashik

Work from Office

Job Title: Insurance Desk Executive TPA Coordination / Claims Specialist Location Options: KIMS Hospital, Nashik Survey No. 571/1A/1, Plot No. 63, Mumbai Agra Highway, Nashik, Maharashtra – 422001 KIMS Hospital, Thane West – Queens St, near Brentford Cooperative Society, Hiranandani Estate, Thane West, Maharashtra – 400615 Organization: Ayu Health Hospitals Experience Required: 0–2 years (Freshers are welcome to apply) Preferred Gender: Male Candidates Preferred Location: Candidates residing near hospital locations will be given preference About Ayu Health: Ayu Health is one of India’s fastest-growing healthcare networks, dedicated to making high-quality healthcare accessible and affordable for all. With a focus on technology-driven solutions, Ayu Health partners with reputed hospitals and clinics across the country to deliver standardized care, transparent pricing, and a seamless patient experience. We are on a mission to build India’s most trusted healthcare brand. Key Responsibilities: Handle insurance/TPA desk operations at the hospital premises Coordinate with TPA and insurance representatives for claim submission and follow-up Manage and organize patient insurance documentation accurately Track approvals, follow up on pending claims, and address rejections effectively Communicate professionally with patients, hospital staff, and insurance partners Support hospital administrative needs and maintain documentation records Multi-task and work collaboratively within the hospital environment Candidate Requirements: 0–2 years of experience in TPA coordination, insurance desk, or claims processing in hospitals (Freshers with good communication skills can apply) Strong interpersonal and communication skills Basic understanding of hospital processes is a plus Ability to manage documents and work efficiently under pressure Must be reliable, punctual, and a team player Preference will be given to candidates living nearby the hospital location Male Candidates only Immediate Joiners will be preferred

Posted 1 month ago

Apply

0.0 - 5.0 years

2 - 3 Lacs

Bengaluru

Work from Office

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

Posted 1 month ago

Apply

0.0 - 5.0 years

4 - 5 Lacs

Noida

Work from Office

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals

Posted 1 month ago

Apply

10.0 - 20.0 years

10 - 20 Lacs

Gurugram

Work from Office

So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because its time to imagine what its like being a Senior Operations Manager. TaskUs is the fastest growing tech-enabled business services company in the world. We exist to provide ridiculously innovative customer support, AI operations, and content security to the world’s most disruptive companies We believe our Frontline employees come first, always. At TaskUs, leaders eat last––in other words, we expect you to put your line of direct reports before yourself. We think in terms of #FrontlineFirst because we know good ideas can come from anyone at anytime. That’s probably why we’re ranked 40th on Glassdoor’s 2019 “100 Best Places to Work” list. A special place requires special people. Qualified candidates have a sense of humility, an adventurous spirit, and a relentless work ethic. If you are looking for more than the standard 9 to 5, you’ve found it. We exist to make the world’s best companies better. We aim to have fun while doing it. So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because it’s time to imagine what it’s like being a Senior Operations Manager. Imagine yourself going to work with one thing on your mind: in a company like TaskUs, it’s more than just the KPIs if you want to solve business problems through innovation. As you tackle your new tasks for the day, you know that it will all lead to one thing that your department believes in: to provide the best possible customer experience to your clients. As a Senior Operations Manager, you will oversee and direct the activities of a number of campaigns along with all Operations Managers, Team Leaders and Staff assigned to his campaigns. You will also be responsible for a wide spectrum of responsibilities and must be able to multitask with ease and proficiency. Along with this, you are also responsible for the regular and often daily interactions with all the company departments/ campaign team leaders and the whole management team. Maintain an open line of communication between staff and senior management. You will manage and staff the operations assigned. You will also be responsible for all aspects of operations which include but not limited to monitoring operations staffing, provide temporary coverage and training; provision of excellent clientele service, problem resolution and the like. What else? Well, you will also develop individual & team goals and implement a plan to carry out objectives. You will guide Operations Managers in a meeting of all team & individual goals. Along with this, you must ensure compliance with all established policies and procedures. You also need to also Assist the Operations Director in crafting operations procedures. So, do you have what it takes to become a Senior Operations Manager? Requirements: So, what is it we’re looking for? Well, since this is a Senior Operations Manager post, we need someone who already has the skills to even call themselves a Senior Operations Manager! In other words, someone who has at least 3 years of related working experience, preferably someone who has experience in being a Senior Manager/Director specializing in BPO Operations and Management or equivalent. We need someone who has handled at least 600 FTEs. Someone with strong computer skills, especially in using MS Office applications and Google applications. We need someone who’s responsible and has a good track record of meeting and delivering targets. Someone who can articulate him/herself well enough with others, like teammates and clients. So definitely someone with excellent verbal and written communication and customer service skills. We need someone who can multitask and work in a fast-paced high-stress environment. Someone who can lead and is great in analyzing situations and data. Someone who has the ability to build productive business relationships with clients. Someone who has strong organizational, analytical and managerial skills. Lastly, we need someone who possesses a professional, courteous, and resilient attitude. TaskUs is the fastest growing tech-enabled business services company in the world, delivering the customer support, AI operations and content security services that power the world’s most innovative companies. Listed as one of Glassdoor‘s “100 Best Places to Work”, USA Today’s “Best Company Cultures” and “Best Companies for Women” by Comparably, TaskUs is a Frontline-First company that puts its people at the heart of everything they do. TaskUs has been recognized as one of the Inc. “500 Fastest Growing Private Companies in America” for the past seven years consecutively. Founded in 2008 by Bryce Maddock and Jaspar Weir, the company raised over $250mm in 2018 from the world’s largest private equity firm, Blackstone. TaskUs currently has over 15,000 employees and offices across the U.S., Philippines, India, Taiwan, and Mexico. TaskUs, Inc. is an equal opportunity employer.

Posted 1 month ago

Apply

2.0 - 3.0 years

3 - 4 Lacs

Bengaluru

Work from Office

SUTHERLAND IS HIRING- CLAIMS SPECIALIST Interested candidates can share your resume to lilly.prisicilla@sutherlandglobal.com POC: Lilly WANT A GOOD WORK LIFE BALANCE Fixed shifts and fixed weekend off Collection Voice Process Sutherland is seeking highly proficient * Claims associate in Bangalore. If you have the right experience and expertise, this could be an excellent career opportunity for you. Position Details : " Location: Kundan halli Bangalore Work Schedule: *FIXED SHIFTS AND FIXED Saturday & Sunday off* Compensation: Competitive salary with a significant hike on your last drawn salary, plus attractive incentives and transport allowance Work Mode: On-site Eligibility Criteria: Bachelors 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. Good writing, communication and presentation skills. Interested candidates can share your resume to lilly.prisicilla@sutherlandglobal.com POC : Lilly

Posted 1 month ago

Apply
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies