620 Insurance Claims Jobs - Page 21

The Senior Associate is responsible for accurately and efficiently processing billing transactions for outpatient services provided at Manipal Hospital. This role involves generating bills, verifying patient information, applying appropriate charges, handling payments, addressing patient billing inquiries, and ensuring compliance with billing policies and procedures. Key Responsibilities: Bill Generation and Processing: Generate accurate and timely bills for outpatient consultations, procedures, investigations, and medications based on service codes and pricing structures. Verify patient demographics, insurance details, and service information to ensure billing accuracy. Apply appropriate charges, discounts, and waivers as per hospital policies and approvals. Ensure all necessary documentation (e.g., consultation notes, investigation reports) is available for accurate billing. Process cash, card, and online payments from patients. Issue receipts and maintain a record of all transactions. Patient Inquiry Handling: Address patient inquiries related to billing charges, payment procedures, and outstanding balances in a courteous and efficient manner. Investigate and resolve billing discrepancies and errors. Provide clear and concise explanations of billing statements to patients. Escalate complex billing issues to the Billing Supervisor or relevant department. Insurance Processing (If Applicable): Verify patient insurance eligibility and coverage for outpatient services. Process cashless claims and coordinate with insurance companies for pre-authorization and settlement. Follow up on outstanding insurance claims. Understand and adhere to the terms and conditions of various insurance providers. Data Entry and Record Keeping: Accurately enter billing data into the hospitals billing system. Maintain organized records of bills, payments, and related documentation. Generate daily, weekly, and monthly billing reports as required. Compliance and Policy Adherence: Adhere to all hospital billing policies, procedures, and guidelines. Stay updated on relevant healthcare billing regulations and compliance requirements. Ensure compliance with data privacy and confidentiality standards. Coordination and Communication: Coordinate with doctors, nurses, and other outpatient department staff to ensure accurate and complete billing information. Communicate effectively with other departments (e.g., admissions, pharmacy, laboratory) to resolve billing-related issues. Cash Handling and Reconciliation: Handle cash payments accurately and securely. Reconcile daily cash collections with the billing system. Prepare cash deposit slips and ensure timely submission of collected cash.

Project Role : Product Owner Project Role Description : Drives the vision for the product by being the voice of the customer, following a human-centered design approach. Shapes and manages the product roadmap and product backlog and ensures the product team consistently deliver on the clients needs and wants. Validates and tests ideas through recurrent feedback loops to ensure knowledge discovery informs timely direction changes. Must have skills : Insurance Claims Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time educationJob Requirements:Key Responsibilities:A:Strong understanding of P&C Insurance End to End claims lifecycle and Claim Process management Retrieve and review insurance claims for policies, verify policy coverages, loss evaluation, Reporting, Payment processing and claims settlements methods. B:Experience on P&C Claims application/system from creation of FNOL, financial reporting, reserving to completion of claim settlement. C:Thorough understanding of claim Assessment and Evaluation know-how of claim evaluation based on policy terms and conditions, Calculation of claim amount, identify Process Improvement for streamlining existing claims processes and reduce operational inefficiencies by developing and documenting process improvement strategies and workflows within existing systems. D:Drive Business discussions, facilitate business elicitation and walkthrough sessions, propose Business solutions, and manage stakeholders. E. Understand Data, data flow, Report creation/generation and basic understanding of database. Technical Experience :A:Candidate must have strong Claims business knowledge and technical knowledge of process flow in Application B:Work closely with quality assurance team to ensure high quality delivery for web applications, Experience with Guidewire /Duck Creek Claims or any COTS suites is required C:Ability to provide Training and Support to fellow Peers and Automation teams about existing/new processes to provide ongoing support and assistance to claims teams as needed. D:Work closely with multiple stakeholders for System Integration - IT teams to ensure that software and technology solutions align with business requirements, participate in the design and implementation of claims management systems. E Knowledge of basis SQL queries and Databases. Professional Attributes:A:Analysis skills B:Having good communication skill C. Can work in close collaboration with Team. Educational Qualification:minimum 15 years of full-time education Qualification 15 years full time education

Role & responsibilities Sending Monthly Reports to insurance co (new additions, deletions etc) He/she will be a SPOC for all employees with reference to handling queries regarding their medical benefits/hospitalizations To close Service tickets pertaining to medical matters within a specified TAT Managing emergency support to employees Liasing closely with the insurance company for faster processing of claims Monitoring CD balance and replenishing the same in co-ordination with the accounts team

Hiring For Customer service (Email) Experience - Min 1 year of Email drafting in BFSI domain or min. 2 yrs of Email exp in any domain Shift- Day shift 5 working days Immediate joiners preferred Package - 3 LPA - 3.5 LPA HR Sangeeta 7693928266 Required Candidate profile 1 year of experience preferred in Email drafting in BFSI domain 2 yrs of Email exp in any domain Excellent English communication required

Min 2 years of call centre experience in BFSI sector (NBFC, banks, insurance, mutual funds), preferably in outbound/inbound sales or customer service -communication: Versant 8 Mandotory : Must be NISM certified or IRDAI certified -Strong knowledge of investment and insurance products . Role & responsibilities Preferred candidate profile

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Genpact is hiring | Underwriting | Noida | physical drive on 31st May Interview Location: Genpact Headstrong Office, Noida sector 59, D-4, D Block, Sector 59, Noida, Uttar Pradesh 201301, near to sector 59 Metro Station. Date: 31-MAy-25 Time: 11:00 Am to 2:00 PM Skill Sets - US Mortgage, Underwriting, US Brokerage, Insurance, Backend Ops, Insurance, Property and Casualty, P&C Insurance, In this role, you will be responsible for Provide expert advice on commercial insurance products, risk management strategies, and regulatory requirements. Your expertise will be required to ensure that team members receive the best possible advice and solutions tailored to their specific needs. You will be required to interact and work with the client partners for all process/business knowledge related documents are updated periodically and team is made aware of the same in a timely manner. Should be open to work in any shift as per the business requirement Your role will require you to utilize your experience in and knowledge of insurance/reinsurance and underwriting processes to process transactions for the Underwriting Support Teams and communicate with the Onsite Team. Responsibilities * Perform necessary activities to support broking teams in collaborating with account management to initiate a renewal, preparing and submitting marketing proposals to underwriters, processing endorsements and policy checking along with other requests * Identify and retrieve relevant compliance documentation necessary to process new policies and policy renewals, changes, additions, deletions and cancellations. * Calculating adjustments and premiums on policies and other insurance documents. * Ensure repository of record is accurate and current to ensure outputs and client deliverables will be produced according to guidelines and policy detail. * Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. * Monitor and attend to requests via client service platform that require action in a timely manner. * Help colleagues troubleshoot and resolve basic issues and perform other related duties as required. Qualifications we seek in you! Minimum Qualifications * Graduate with an excellent interpersonal, communication and presentation skills, both verbal and written * Relevant and meaningful years of experience of working in US P&C insurance lifecycle - pre-placement, placement, and post-placement activities (such as endorsements processing, policy administration, policy checking, policy issuance, quoting, renewal prep, submissions, surplus lines, licensing, agency admin, inspections and so on. * Demonstrate and cultivate customer focus, collaboration, accountability, initiative, and innovation. * Proficient in English language- both written (Email writing) and verbal * A strong attention to detail; analytical skills and the ability to multi-task are important Preferred Qualification and Experience * Relevant years of insurance experience and domain knowledge, especially P&C insurance * Candidate having Broker (US P&C insurance) experience would be an asset * Proficient with Microsoft Office (Word, PowerPoint, Excel, OneNote) * A strong attention to detail; analytical skills and the ability to multi-task are important * Should be a team player with previous work experience in an office environment required * Client focused with proven relationship building skills * Ability to work collaboratively as a key member of a team and independently with minimum supervision * Highly organized with a proven ability to prioritize competing requirements and deadlines under pressure Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Genpact Mega Walk-In drive for Insurance & Underwriting roles on 31st May 2025 (Saturday)_ Noida location *Walkin Date: 31-May-2025 (Saturday) *Walkin time: 12 PM - 1 PM *Venue details: Genpact Headstrong Office, Noida sector 59, D-4, D Block, Sector 59, Noida, Uttar Pradesh 201301 *Graduation: Any graduate is eligible except law *Work experience: 0 - 4 yrs (previous exp. in insurance is required) *Shift: US Only work from office Skill Sets - US Mortgage, Underwriting, US Brokerage, Insurance, Backend Ops, Insurance, Property and Casualty, P&C Insurance, In this role, you will be responsible for Provide expert advice on commercial insurance products, risk management strategies, and regulatory requirements. Your expertise will be required to ensure that team members receive the best possible advice and solutions tailored to their specific needs. You will be required to interact and work with the client partners for all process/business knowledge related documents are updated periodically and team is made aware of the same in a timely manner. Responsibilities Manage and resolve basic inquiries associated with all aspects of Client Services and service delivery (e.g. output delivery, basic broking inquiries, etc.). Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. Conduct training sessions for employees to enhance their understanding of commercial insurance principles and practices. Act as a liaison between clients and team members to ensure smooth communication related to updates, and inquiry responses received from client SMEs. Maintain accurate records of client interactions and knowledge material Conduct monthly knowledge assessment tests and TNI (training need identification) Ensure all controls are followed, existing exceptions are reviewed, and duplicate policies are reported before processing any transaction. Ability to handle varied volumes of workloads and to reach targets and deadlines on a timely basis. Lead by example by demonstrating and sharing knowledge with all lines of business the importance of best practices and acting as the subject matter expert to all operational and procedural activities for the Broking operations team Qualifications we seek in you! Minimum qualifications Graduate in any stream (except law) Relevant and meaningful years of experience of working in US P&C insurance lifecycle pre-placement, placement, and post-placement activities (such as endorsements processing, policy administration, policy checking, policy issuance, quoting, renewal prep, submissions, surplus lines, licensing, agency admin, inspections and so on. Demonstrate and cultivate customer focus, collaboration, accountability, initiative, and innovation. Proficient in English language- both written (Email writing) and verbal A strong attention to detail; analytical skills and the ability to multi-task are important Preferred Qualification and Experience An Insurance Certification would be an edge Awareness about Property & Casualty insurance regulation and anomalies will be preferred Relevant years of insurance experience and domain knowledge, especially P&C insurance Candidate having Broker (US P&C insurance) experience would be an asset Proficient with Microsoft Office (Word, PowerPoint, Excel, OneNote) A strong attention to detail; analytical skills and the ability to multi-task are important Should be a team player with previous work experience in an office environment required Client focused with proven relationship building skills Ability to work collaboratively as a key member of a team and independently with minimum supervision Highly organized with a proven ability to prioritize competing requirements and deadlines under pressure Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously under tight deadlines. Excellent communication skills for effective interaction with customers (patients), providers (hospitals), and insurers. Perks and benefits As per industry

About The Role : Entity :- Accenture Strategy & Consulting Title :- Level 9 Ind & Func AI Decision Science Consultant Job location :- Bengaluru, Gurugram, Mumbai About S&C - Global Network :- Accenture Global Network - Data & AI practice help our clients grow their business in entirely new ways. Analytics enables our clients to achieve high performance through insights from data - insights that inform better decisions and strengthen customer relationships. From strategy to execution, Accenture works with organizations to develop analytic capabilities - from accessing and reporting on data to predictive modelling - to outperform the competition WHAT'S IN IT FOR YOU? Accenture CFO & EV team under Data & AI team has comprehensive suite of capabilities in Risk, Fraud, Financial crime, and Finance. Within risk realm, our focus revolves around the model development, model validation, and auditing of models. Additionally, our work extends to ongoing performance evaluation, vigilant monitoring, meticulous governance, and thorough documentation of models. Get to work with top financial clients globally Access resources enabling you to utilize cutting-edge technologies, fostering innovation with the world's most recognizable companies. Accenture will continually invest in your learning and growth and will support you in expanding your knowledge. You'll be part of a diverse and vibrant team collaborating with talented individuals from various backgrounds and disciplines continually pushing the boundaries of business capabilities, fostering an environment of innovation. What you would do in this role Engagement Execution Work independently/with minimal supervision in client engagements that may involve model development, validation, governance, strategy, transformation, implementation and end-to-end delivery of fraud analytics/management solutions for Accenture's clients. Advise clients on a wide range of Fraud Management/ Analytics initiatives. Projects may involve Fraud Management advisory work for CXOs, etc. to achieve a variety of business and operational outcomes. Develop and frame Proof of Concept for key clients, where applicable Practice Enablement Guide junior team members. Support development of the Practice by driving innovations, initiatives. Develop thought capital and disseminate information around current and emerging trends in Fraud Analytics and Management Support efforts of sales team to identify and win potential opportunities by assisting with RFPs, RFI. Assist in designing POVs, GTM collateral. Travel:Willingness to travel up to 40% of the time Professional Development Skills:Project Dependent Qualifications Job Qualifications Who we are looking for? 3-5 years of relevant Fraud Analytics experience at one or more Financial Services firms, or Professional Services / Risk Advisory with significant exposure to one or more of the following areas: o Banking Fraud, Payment Fraud, Credit Card Fraud, Retail o Fraud, Anti Money Laundering, Financial Crime, Telecom o Fraud, Energy Fraud, Insurance Claims Fraud etc. Advanced skills in development and validation of fraud analytics models, strategies, visualizations. Understanding of new/ evolving methodologies/tools/technologies in the Fraud management space. Expertise in one or more domain/industry including regulations, frameworks etc. Experience in building models using AI/ML methodologies Modeling:Experience in one or more of analytical tools such as SAS, R, Python, SQL, etc. Knowledge of data processes, ETL and tools/ vendor products such as VISA AA, FICO Falcon, EWS, RSA, IBM Trusteer, SAS AML, Quantexa, Ripjar, Actimize etc. Strong conceptual knowledge and practical experience in the Development, Validation and Deployment of ML/AL models Hands-on programming experience with any of the analytics tools and visualization tools (Python, R, PySpark, SAS, SQL, PowerBI/ Tableau) Knowledge of big data, ML ops and cloud platforms (Azure/GCP/AWS) Strong written and oral communication skills Project management skills and the ability to manage multiple tasks concurrently Strong delivery experience of short and long term analytics projects

Hiring Executive CRM (Corporate and Client Relationship) Company - MD India Health Insurance TPA Job Description Responsible for managing client relationships with key decision makers Subject matter expert for partners and internal staff for the assigned product Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Collaborate with the other functional Group to evaluate the product performance and to recommend Refinements and improvements in service performance Establish and maintain on-going partner relationships and anticipate and resolve potential problems of the client Announcements of new updates and upcoming events/meetings Manage account renewal, customer support escalation Ensure smooth support during renewal of account Excellent Communication Skills Good knowledge of MS Office Open to travel

Role Description Overview: The AR Associate / Associate - RCM (AR) is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Required Qualification: Any Graduates / Non-Graduates (Graduation Not Mandatory) / 10th (SSLC) + 12th (HSC) / 10th (SSLC) + Diploma (3 years) can apply Note: Students with backlogs in UG can also apply. College dropouts can also apply. Desired Profile: Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverable to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports Should be comfortable to work in night shifts Skills Required: Excellent Communication Skills Basic Computer Skills RCM Knowledge (PB/HB) Greetings from CorroHealth !! We have huge openings for Experienced Charge Entry Candidates. (1 - 5 Years). Interview Process : Walk-In Experience : 1 year to 5 years (Should have relevant experience in Charge Entry) Salary: Best In Industry Responsibility Areas : To review emails for any updates Correcting Claims and Charges. Required Qualification : Any Graduates / Non-Graduates (Graduation Not Mandatory) / 10th (SSLC) + 12th (HSC) / 10th (SSLC) + Diploma (3 years) can apply Note: Students with backlogs in UG can also apply. College dropouts can also apply. Desired Profile: Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverable to the client adhere to the quality standards. Must have experience with Charge Entry Role. Skills Required: Good Communication Skills Basic Computer Skills RCM Knowledge *If Interested kindly reach out to us : HR Sama Parveen- Sama.Parveen@corrohealth.com HR Atul Kumar Singh- Atulkumar.Singh@corrohealth.com/ 9150095046

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. * 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) 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. Join us in driving growth and improving lives.

Role & responsibilities • Scrutiny of medical documents and adjudication. • Assess the eligibility of medical claims and determine financial outcomes. • Identification of trigger factors of insurance related frauds and inform the concerned department. • Determine accuracy of medical documents ADDITIONAL SKILLS • Good communication • Familiarity with Computers and interest in learning on the job. Pratiksha Shitole, Sr.Executive Talent Acquisition, MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 3rd floor, Pune Nagar Road, Vadgaonsheri, Pune 411014. Email Address: hr9@mdindia.com Contact No. 7058036074 Visit us @ www.mdindiaonline.com

Job Details: Designation: Senior Process Executive Job Level: JL 2A Job Location: Bangalore (Work from Office) Experience: 1-2 years Shift: US Shifts Notice Period: Immediate to 15 Days Domain: US Insurance (Property and Casualty) Job Description: Basic knowledge of Insurance. Experience in insurance underwriting or finance operations will be an added advantage Should be proactive enough to understand the key responsibilities. Good Analytical Ability Good Communication Desire to Learn Industry knowledge

Job description Team Executive - Payment Integrity Location : Bangalore Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication(Payment Integrity,PrePay audit,Postpay audit) . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co - ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance ( Call or Whatsapp -9650506346) Sufiya

1) Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2) Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3) Appropriately document information on claim file 4) Maritime law and regulations 5) Claims handling procedures 6) Insurance regulations and laws

1) Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2) Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3) Appropriately document information on claim file 4) Maritime law and regulations 5) Claims handling procedures 6) Insurance regulations and laws

Long Term Disability Claim Manager Role Overview: The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc. to gather the information to make the decision on the claim. What You'll Do: Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Have discussions with customers and employers regarding return to work opportunities and communicate with an action-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis Ask focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives What You'll Bring: High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations. Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers. Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai 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

Customer Support Fresher-Any Non Technical Graduate Fresher can apply Exp-Any graduate with min 06-18 moths exp in Int Voice & Insurance Process CTC-3 to 5.5 LPA + Variables WFO-5 days working US Shifts Location-Pune Immediate Joiners

Hiring B2B HRO and International Insurance - Inbound Voice CS Only Graduates Min. 0-5 yrs of International voice experience required Fresher can also apply (Excellent Verbal communication required) Salary upto 3L to 6.5 LPA. Call 9910990566 Required Candidate profile Need only Graduate Freshers or Experienced candidates. Need good communication skills.

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

Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the 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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Adaptable and flexibleAbility to perform under pressureProblem-solving skillsAbility to work well in a teamPrioritization of workloadTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skills and attention to detail.Time management skills. Ability to work independently 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

Role & responsibilities : The end-to-end insurance process, from a customer's perspective, involves multiple steps, including initiating a claim, submitting necessary documents, and eventually receiving payment . For insurers, it involves verifying the claim, assessing the loss, and processing the claim for settlement.