619 Insurance Claims Jobs - Page 15

Minimum 7+ years of experience in P&C Insurance At least 2 years of proven team handling experience Strong process management skills with exposure to MIS reporting, daily operations, and KPI tracking Excellent communication and interpersonal skills

Job Title: Credit Recovery Manager Department: Billing & Revenue Cycle Management Location: Jaipur Reports To: CFO / Accounts Head Industry: Hospital / Healthcare industry Job Summary The Credit Recovery Executive in a hospital setting is responsible for recovering outstanding payments from patients, insurance providers, and third-party payers. This role involves working closely with billing, finance, and patient relations teams to ensure accurate and timely collection of dues, while maintaining a patient-friendly approach and upholding the hospital's service standards. Key Responsibilities Follow up with patients, insurance companies, and third-party payers for overdue medical bills. Analyze patient accounts to identify discrepancies or unpaid balances. Communicate effectively with patients and guarantors to resolve billing issues and negotiate repayment plans. Coordinate with the billing department to verify charges and update payment status. Ensure compliance with healthcare billing regulations and privacy laws (e.g., HIPAA). Escalate delinquent accounts for legal action or collection agency handling, when appropriate. Maintain accurate and up-to-date records of communication, payment status, and recovery efforts. Generate recovery reports and assist in forecasting cash inflow related to outstanding receivables. Educate patients on hospital billing policies and assist in setting up payment plans when needed. Requirements Bachelors degree in Finance, Healthcare Administration, or a related field. 13 years of experience in credit recovery or medical billing collections. Familiarity with healthcare revenue cycle management systems. Strong negotiation, communication, and interpersonal skills. Working knowledge of insurance claims, TPA processes, and hospital billing systems. Proficiency in Microsoft Office and hospital information systems (HIS). Preferred Skills Experience in a hospital or multispecialty healthcare setup. Understanding of ICD codes, CPT, and insurance pre-authorization processes. Bilingual or multilingual abilities for effective communication with diverse patient groups. Employment Type: Full-time Salary: up to 45k

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview EU insurance claims processing for individual, employer, group, and provider. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international claims in accordance with policy terms and conditions. M Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Carry out other adhoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* : Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science. Experience Range* : Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Foundational Skills- Expertise in EU insurance claims processing Work Timings* : 1:00-10:00 PM IST Job Location*: Bengaluru (Bangalore)

for individual, employer, group, and provider. Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Adjudicate international claims in accordance with policy terms and conditions. M. Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Carry out other adhoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science. Experience Range*: Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Expertise in EU insurance claims processing. Join us in driving growth and improving lives. Process Overview. Requirements*. Strong interpersonal skills. Foundational Skills-. . Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview EU insurance claims processing for individual, employer, group, and provider. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international claims in accordance with policy terms and conditions. M Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Carry out other adhoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* : Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science. Experience Range* : Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Foundational Skills- Expertise in EU insurance claims processing Work Timings* : 1:00-10:00 PM IST Job Location*: Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. for individual, employer, group, and provider. Ability to work under own initiative and proactive in recommending and implementing process improvements. Back to search results Previous job Next job JOB DESCRIPTION Driving Growth. Improving Lives.

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: o Minimum 24 years of experience in a healthcare contact center/BPO environment. o 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.

We have two openings. One for our MUMBAI office and other for NAGPUR office. Role & responsibilities This role involves executing the companys insurance strategy and ensuring tasks are completed within stipulated time. Actively manage the insurance portfolio to ensure right mitigation methods are adopted to safeguard companys assets & interest. Actively co-ordinate and be involved to fulfil the requirements during the pre-tendering stage. Ensure implementation of the adequate insurance requirement with the projects involved and follow the insurance procurement process. Coordinate with various departments to implement insurance process and strategy. Follow-up with relevant stake holders to obtain information required to update insurance policies. Follow insurance claims process to have efficient & fair settlement within reasonable time. Collate and provide the requisite documents for claim processing. • Implement the insurance & risk mitigation process to achieve overall objective of the company. Liaison with the insurance intermediaries, insurers, TPAs for day to day task. Prepare and maintain proper records of insurance policies & renewals, publish various trackers & MIS for discussion. Ethical conduct and maintain highest ethical standard. Preferred candidate profile Graduate / Post-graduate with 4 - 10 years of experience in General Insurance, Insurance products, coverage options & insurance trends Good understanding on insurance / claims requirements Ability to assess and quantify Good negotiation skills Strong communication skills - English language fluency Analytical skills Proficient ability in Computers, Microsoft Word, Excel, Powerpoint Presentations and project/supply chain management software, if any

Role: Executive / Sr Executive - Account Management (CRM) Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Candidates must have TPA experience Interested candidates can reach out via email at sarika.pallap@mediassist.in or WhatsApp their CVs to 8951865563

Job Summary Join our dynamic team as a PE-Ins Claims specialist where youll leverage your customer service skills and domain knowledge to enhance our claims processing efficiency. This hybrid role offers a unique opportunity to work in a rotational shift environment providing comprehensive support in the Property & Casualty Insurance sector. Your contributions will directly impact our service quality and customer satisfaction. Responsibilities Assist in processing insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with team members to analyze and verify claim information for accuracy and completeness. Utilize customer service skills to address inquiries and provide clear information to clients regarding their claims. Support the team in maintaining accurate records of claims and related documentation. Contribute to the development of process improvements to enhance claims processing efficiency. Participate in training sessions to stay updated on industry trends and company policies. Work closely with the Property & Casualty Insurance domain to understand specific claim requirements. Engage in rotational shifts to provide consistent support and coverage for claim processing. Communicate effectively with clients and stakeholders to ensure a smooth claims experience. Apply domain knowledge to identify potential issues and escalate them appropriately. Provide feedback to management on customer service improvements and claim processing enhancements. Ensure compliance with company policies and industry regulations in all claim handling activities. Foster a collaborative work environment to achieve team goals and improve service delivery. Qualifications Demonstrate strong customer service skills with a focus on client satisfaction. Possess basic understanding of the Property & Casualty Insurance domain. Exhibit excellent communication and interpersonal skills. Show ability to work effectively in a hybrid work model and rotational shifts. Display attention to detail and accuracy in claim processing. Have a proactive approach to problem-solving and process improvement. Certifications Required Customer Service Certification Property & Casualty Insurance Certification

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!!!

We are looking for Insurance Executive with minimum of 1 year experience in Insurance field. Interested kindly share your profile to 8754439281

Company: Sutherland Global Services Job Title: Senior Claims/Insurance Executive Position Level: L2 Employment Type: Full-Time Work Model: Brick & Mortar (On-site) Process Type: Blended Process Package: 4.0 4.5 LPA (Based on Experience & Skills) Experience Required: Minimum 2 years of relevant experience in Insurance or Claims Processing Preference will be given to candidates with Motor Claims experience Key Responsibilities: Handle end-to-end claims processing and insurance operations within a blended process model Ensure accurate and timely resolution of insurance claims in line with company policies and procedures Liaise with internal teams, clients, and insurers to gather and verify required documentation Maintain a high level of accuracy and attention to detail in claim evaluation and documentation Provide prompt responses and resolutions to queries and escalations Ensure strict compliance with industry regulations and internal standards Mandatory Requirements: Excellent communication skills in English – both written and verbal Strong understanding of insurance terms, processes, and documentation Ability to work independently and collaboratively in a fast-paced environment Proficiency in MS Office tools and digital claim processing systems Interview Process: HR Round Assessment Managerial Round Preferred Candidate Profile: Detail-oriented and organized Strong analytical and problem-solving skills Customer-focused with a professional approach Prior experience in a corporate insurance/claims environment Job Location: Unit No. 202, 2nd Floor, Campus D, Centennial Business Park, Kundalahalli Main Road, EPIP Area, Bangalore, Karnataka, India – 560066 Walkin now to be a part of a dynamic and growing team!

Skill required: Reinsurance - Collections Processing Designation: Order to Cash Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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.Canceling and rewriting insurance policies and endorsementsReinsurance Claims & CollectionsManage OTC collection/disputes such as debt collection, reporting on aged debt, dunning process, bad debt provisioning etc. Perform Cash Reconciliations and follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, ensure compliance to internal controls, standards, and regulations (Restricted countries). What are we looking for P&C Insurance / ReinsuranceAny Certification courses like ARe and/or AINS would be an add on 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

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.

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

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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.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 establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureNA 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 - 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 dataYou 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 Ability to manage multiple stakeholdersAbility to perform under pressureAgility for quick learningPrioritization of workloadProblem-solving skills 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

At Allstate, great things happen when our people work together to protect families and their belongings from life s 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. Job Description 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 . 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 organization s 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 .

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management 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.As a Travel Claims Adjuster, you will be responsible for investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.- Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. What are we looking for Claims ProcessingDetail orientationNegotiation skillsAbility to work well in a teamAdaptable and flexibleAgility for quick learning- Bachelors degree in Business, Insurance, or related field preferred. Proven experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. 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

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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.Claim processing team collects end-end data dataYou 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 Commercial InsuranceProperty and Casualty InsuranceProblem-solving skillsAbility to perform under pressureAbility to establish strong client relationshipAbility to work well in a teamHands-on experience with trouble-shootingInsurance ClaimsProperty and Casualty Claims Certifications: Insurance Industry Generalist Certification - Accenture Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai /Kochi Location) Process : Back office Process /UK Insurance Process Min 1yr to 4yrs exp. International BPO !!!Easy Selection and Spot Offer!!! Salary upto 4.5 Lacs + Incentives. Walk in at Infinites HR Services, Cerebrum IT Park, B3, 1st Floor, Kalyani Nagar Pune 411014. Call : Call : WhatsApp call only Dipika- 9623462146 / 7391077623 / 7391077624 Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Ali : 8888850831 / 8888850831 Regards Dipika 9623462146

*Process* Bagic (Insurance Sales Process) Need - *Fresher or Experience with Good Eng comms* Qualification - *Min HSC* Experience - *Fresher / min 6months experience in motor Insurance* Salary - 16k inhand Week off - *Rotational off* Timing - *10am - 7pm* Job location - *Ghansoli Mahape*

We are Hiring hybrid WFH Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA Mumbai - Vikhroli) Process : Back office Process /UK Insurance Process Min 1yr to 4yrs exp. International BPO !!!Easy Selection and Spot Offer!!! Salary upto 7.5 Lacs + Incentives. Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Praveen / Sukhjit :7391077621 / 7391077622. Regards Dipika 9623462146

Process Overview* International insurance claims processing for Member claims. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* : Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing

Responsibilities: * Lead claims processing from intake to resolution. * Ensure compliance with regulatory requirements. * Optimize processes, reduce TAT & improve SLA. * Manage team performance and development. Annual bonus

Role & responsibilities Job Description: Processing Membership / Claims transactions or a health care project in Chennai CDC5 location. User to be ready for work from office 5 days a week and should be based out of Chennai location. Should not have any arrears in academic semester. Should have WIFI connection in home. User should have good english written, understanding and communication skills. Should be strong in email drafting. Work Timings: 5 PM to 2:30 AM IST WFO/WFH: Work from office Qualification Any Graduation (BCom, BSC, BA, BBA Etc) except Computer science graduates.