620 Insurance Claims Jobs - Page 22

Urgent Hiring For Customer service (Email) Experience - Minimum 1 year of Email drafting in BFSI domain Shift- Day shift 5 working days Immediate joiners preferred Package - 3 LPA - 3.5 LPA HR Kanchan 9691001643 Required Candidate profile 1 year of experience preferred in Email drafting in BFSI domain Excellent English communication required

Walk-in Drive , We are Hiring for Multiple Insurance Process Walkin Drive Today ( 28th May 2025) at 11:00am to 3:30pm. 1) Australian Dayshift P&C Insurance Process 2) Australian Dayshift Motor Insurance Process 3) UK Life & Pension ( Salary 4LPA to 5LPA) (End to End) Claims Process of any type 1)Medical summarization Process 2) Marine Insurance 3) Lability Insurance Any Other Insurance Experience Salary Range : 5:00 Lacs to 8:50 Lacs Non Insurance Openings Hirings are for Blended and Chat Process for many Domains. US HealthCare Travel Process Utility Process Telecom Process Easy Selection and Spot Offer , Only 2 Rounds of Interview and offer *Immediate Joiner or Serving Notice Period are Eligible to Apply * mention your Current CTC/Expected CTC / Notice Period And Current Location. All Rounds @ Infinites HR Services, Cerebrum IT Park ,B3 ,Cybage Tower Rd,1st Floor, Off no 15,Above Dmart, Kalyani Nagar Pune -411014 ....Landmark : Kalyani nagar Metro station. Note : - We don't Charge Any fees at any stage of the recruitment process. Call Pranaya: 7391077624 Call Shafakat 7391077623. Call Prit: 9623462176 Regards Dipika Whatsapp Call Only 9623462146 8888850831

We are Looking for Candidate with a Minimum 1 Years Experience can Apply One round of Interview and offer Immediate Joiner Only Can Apply Any Graduate with Any 1yr of Exp. Walkin @infinites HR Services Kalyani Nagar Pune 1) Australian Dayshift P&C Insurance Process 2) Australian Dayshift Motor Insurance Process 3) UK Dayshift Life & Pension ( Salary 4LPA to 5LPA) (End to End) Claims Process of any type 1)Medical summarization Process 2) Marine Insurance 3) Lability Insurance Any Other Insurance Experience Salary Range : 5:00 Lacs to 8:50 Lacs Perks and benefits : upto 5.00 Lacs Pranaya Call @ 7391077624 / Shafakat: 7391077623 . whatsapp 9623462146 / 8888850831 Rounds @ Infinites HR Services, Cerebrum IT Park ,B3 ,Cybage Tower Rd,1st Floor, Off no 15,Above Dmart, Kalyani Nagar Pune -411014 ....Landmark : Kalyani nagar Metro station. Shafakat 7391077623 / 7391077624 Regards Dipika 9623462146

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 to 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster Roles and Responsibilities : 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 Maintain effective and ongoing communication with various internal and external contact. 4. Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5. Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6. Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune, Mumbai CTC Range : Upto 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 / Whatsapp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Handle incoming calls &emails related to insurance claims with professionalism, empathy Provide accurate information and support to policyholders regarding claim status, documentation, procedures Proficient in CRM software and Microsoft Office tools Required Candidate profile Assist in claim intake, verification, and documentation in accordance with company and regulatory standards. Collaborate with internal claims Excellent verbal and written communication skills. Perks and benefits Perks and Benefits

Key Responsibilities: 1. Negotiation with Insurance Agency for finalizing Terms and Conditions of the Policies and Premium. 2. Responsible for finalizing the Insurance Agency during onboarding and renewal/upgradation of Insurance Agency. 3. Ensuring approval of all credit limits from the Insurance Agency before the clients are onboarded in the system. 4. Ensuring sharing of relevant MIS files with Insurance Agency. 5. Timely filing of NNP and claims and ensuring submission of all required documents for receipt of claims. 6. Setting up SOPs, Policies in place for end-to-end Insurance process and maintenance of MIS pertaining to NNP/Claim etc.

Shift - UK Shift immediate to 60 Days NP (nego) Handle non-voice back office operations related to US insurance and healthcare benefits. Process transactions and updates for 401(k), defined benefit, and defined contribution retirement plans. Required Candidate profile Experience Required: 1 to 8 Years of exp in any US/UK process/ int bpo will be considered (Freshers are also welcome) only international process can be considered Notice Period: 0 to 45 Days Preferred

Job description Team Executive - Payment Integrity Location : Chennai & 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

Urgent requirement for BHMS,BDS,BAMS -Hyderabad Fresher/Expereince candidate should have atleast 1 year of TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: 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. Required Candidate profile: BHMS,BDS,BAMS graduate Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Only Male Doctor required for Field Investigation

DesignationMedical Billing Role Full Time Opportunity LocationMultiple : - Maximize insurance reimbursement for Healthcare practice owners - Analyze and discover root causes for medical insurance claim denial, underpayment, or delay - Monitor and reconcile all over age accounts - Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment - Analyze data to discover denial patterns, plan and execute medical insurance claim denial appeal process - Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims Skills/Experience : - Minimum of 1 Year experience in US-based AR follow-up and charge entry - Familiar with US medical insurance industry and insurance claims processing cycle - Excellent Listening, Communication, and Problem-solving skills - Self-motivated and able to work autonomously - Comprehensive knowledge of the A/R process This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

DesignationMedical Billing Role Full Time Opportunity LocationMultiple : - Maximize insurance reimbursement for Healthcare practice owners - Analyze and discover root causes for medical insurance claim denial, underpayment, or delay - Monitor and reconcile all over age accounts - Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment - Analyze data to discover denial patterns, plan and execute medical insurance claim denial appeal process - Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims Skills/Experience : - Minimum of 1 Year experience in US-based AR follow-up and charge entry - Familiar with US medical insurance industry and insurance claims processing cycle - Excellent Listening, Communication, and Problem-solving skills - Self-motivated and able to work autonomously - Comprehensive knowledge of the A/R process This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.com/

Key Responsibilities: Prepare, verify, and dispatch final bills, discharge summaries, authorization forms, and other necessary documents to TPA/panel representatives or concerned authorities. Ensure accurate and timely submission of documents required for pre-authorization, enhancement, and final approval of insurance claims. Coordinate with the billing department, nursing team, treating doctors, and TPA coordinators for document readiness. Track and record all dispatches in the hospital management system and maintain physical/log registers if required. Follow up with TPAs and corporate panels regarding acknowledgments and approvals post-dispatch. Ensure documents are dispatched as per the checklist and within the defined TAT (Turnaround Time). Maintain confidentiality and security of patient and financial information. Escalate pending or disputed cases to the Panel Billing Head or TPA Manager as needed. Assist in audits and reporting related to panel billing and dispatches. Respond to panel queries related to dispatched documents promptly. Qualifications: Minimum Graduate. Prior experience in hospital dispatch is desirable. Basic computer knowledge (MS Office, hospital management software). Good communication and coordination skills.

Hiring for an International Voice Process. Where in you have to give Customer Service Vie the Calls to the Customers. Job Details- Position: CSE - Qualification: Graduate- Experience: 6 Months Min is Mus, 30K In - hand, Upto 15K INC - Fresher - UG/Graduate with salary of 23K, INC - Location : Work from Office, Noida Sector 6 - Both Side Cab Facilities- Working Days: 5 days, Rotational Week offs Night Shift - Rounds: HR, VNA & OPS- Rounds on Virtually NOTE- We need EXCELLENT COMMUNICATION REQUIRED: FLUENCY IN ENGLISH NOTE- We don't charge anything for interview, we are paid from client side https://web.whatsapp.com/9310529164 - Aastha https://web.whatsapp.com/9557020534 - Deepika https://web.whatsapp.com/9310058098 - Sieera

We are seeking a detail-oriented and skilled Insurance Executive to join our team. The ideal candidate should have a strong understanding of hospital insurance procedures. This role involves managing insurance claims and coordinating with both internal departments and insurance companies to ensure smooth processing. Key Responsibilities: Manage insurance claims and billing processes, ensuring accuracy and compliance with insurance policies. Coordinate with internal departments to ensure smooth transactions during the collection, processing, and settlement of insurance claim documents. Collaborate with internal departments and insurance companies to resolve any insurance-related issues. Stay up to date with insurance policies, regulations, and Ortho-One procedures. Maintain thorough knowledge of insurance companies and their policies. Qualifications & Requirements: Qualification: Any degree or equivalent in healthcare, insurance Experience: Minimum 2 years of experience in hospital Insurance. Skills: Strong knowledge of hospital insurance, admissions, counseling, and billing procedures. Proven experience in handling insurance claims. Excellent communication and interpersonal skills. Ability to work efficiently in a fast-paced, dynamic environment. Prior experience in a similar role within a healthcare setting is preferred. The candidate is able to speak Malayalam, English, and Tamil fluently.

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 2 to 4 years of experience in handling a team in a P&C or Specialty Insurance BPO service provider Must have managed the FNOL & FROI Processes Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 2 to 4 years of experience in handling a team in a P&C or Specialty Insurance BPO service provider Must have managed the FNOL & FROI Processes Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad

Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM Responsibilities: Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and Identifying the fraudulent claims. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hospital and medical procedures Understanding of Treatment Protocol Understanding of Diagnostic Protocol Ready to work from Office, No Work from Home, open on rotational shifts/ rotational week offs Office Address: Tata AIG GIC Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad, Telangana (State)

Role: Senior Executive/Team Lead CRM Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can reach out via email at varsha.kumari@mediassist.in

Generate and manage accurate invoices for IP services. Resolve discrepancies in billing and manage client inquiries. Coordinate with the IP department to ensure accurate tracking of billable activities. Reconcile client accounts and ensure timely payments. Prepare detailed billing reports for internal and client review. Maintain up-to-date billing records in the system. Collaborate with the finance team to improve billing processes. Handle confidential client information securely.

Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster Roles and Responsibilities : 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 Maintain effective and ongoing communication with various internal and external contact. 4.Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5.Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6.Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune CTC Range : 4.5 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid Thanks & Regards, Amulya G Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Technical Skills Computer navigation skills Keyboarding and data entry speed (minimum 20 wpm with 90% accuracy) Working knowledge of MS Excel and MS Word. Understands basic principles of accounting. (Preferred) Process Specific Skills Effective communicator / Speaks clearly & succinctly. Strong understanding and comprehension of the English language Knowledge of Insurance principles in relation to the US Insurance industry Knowledge about US Culture Soft skills (Minimum) Communication skills should be able to read, interpret business documents. Good oral/written communication Analytical and interpersonal skills Escalate issues if required Data gathering ability/ Eye for detail Team work/ Managing Self / Adaptability Ability to work successfully in production driven environment Adaptability to change Ability to work on routine/standardized transactions Soft Skills (Desired) Self disciplined and result oriented Ability to multi task Ability to work effectively as part of a team