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1 - 4 years

2 - 5 Lacs

Palakkad, Coimbatore

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Call Insurance companies on behalf of physicians and carry out a further examination on outstanding Accounts Receivables Prioritize unpaid claims for calling according to the length of time it has been outstanding Call insurance companies directly and convince them to pay the outstanding claims Check the relevance of insurance info offered by the patient Evaluate unpaid insurance claims Call insurance companies and check on the status of claims Transfer the outstanding balance to the patient if he/she doesn't have adequate insurance coverage If the claim has already been paid, ask the insurance company for an Explanation of the Benefits Make corrections to the claim based on inputs from the insurance company. Voice Process Only. Required Candidate profile: A brief understanding on the entire Medical Billing Cycle. Must possess good communication skill with neutral accent. Must be flexible and should have a positive attitude towards work. Must be willing to work in Night Shifts. End to End process Fluent verbal communication abilities/call center expertise Night shift Only. Immediate joining preferred. Basic excel knowledge. Male Candidate Only. Thank you! Shifana HR Shifana.u@247mbs.com Call / Share resume - 7708722553 Note: Looking for Immediate Joiners

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1 - 3 years

0 - 3 Lacs

Coimbatore

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Roles and Responsibilities Role : Medical billing executive Shift : 6pm to 3am Location : Tidel park, cbe Responsibilities: * At least one year of medical billing experience is required. * Experience with AR follow up is required. * Candidates must have proven track record and hands-on working experience with CPT and ICD-10 codes, as well as modifiers. * Ability to constructively communicate and problem solve with Medicare and commercial insurance companies. * This includes the use of the respective insurance portals, as well as verbal and written communication. Medical billing certification is a plus. * Biller will have full responsibility for all billing aspects (posting charges, posting payments, insurance billing, appeals, insurance follow up, patient and practice communication, etc.) of several practices and specialties. * Candidates must demonstrate the ability to multitask and independently work well within a group environment. * Competitive Salary * Only Male candidates Preferred

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2 - 5 years

3 - 6 Lacs

Gurugram

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Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) 25 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

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3 - 8 years

5 - 10 Lacs

Mumbai, Navi Mumbai, Mumbai (All Areas)

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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

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7 - 12 years

3 - 7 Lacs

Mumbai

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Role: Closed file review & audit 1-Handling closed / open file review for third party administrator & inhouse claims 2-Recoveries from third party administrator for claims processed with errors 3-Highlight areas of improvement 4-Monthly reports to be published Candidate must have: 1-In-depth knowledge of medical cases with exposure to ailment treatments, policy coverages for OPD/hospitalization/personal accident/ travel claims 2-Good interpersonal skills 3-Must be proactive & effective learner 4- Must have previous experience of Audit 5- Good Analytical, Communication and Negotiation skills 6- Familiar with Basic Microsoft Excel and regulatory changes 7- Minimum 7 years of experience in general insurance Accident & Health claims Qualifications Degree in medicine (BHMS/BAMS/MBBS) At Liberty General Insurance , we create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued, and their growth championed. We have an employee strength of 1200+ spread over a network of 116+ offices in 95+ cities, across 29 states. Our partner network consists of about 5000+ hospitals and more than 4000+ auto service centers. We believe and live by our values every day - Act Responsibly, Be Open, Keep it Simple, Make things better and Put People First. For learning about our key USPs, you can go visit our website. Working with Liberty also provides you an opportunity to experience One Liberty Experience . We create the One Liberty experience through Providing Global exposure to employees by including them in cross country projects that gives them opportunities to work with diverse teams within & outside India. Fosters Diversity, Equity & Inclusion (DEI) to create equitable career opportunities Flexi Working arrangements. If you aspire to grow & build your capabilities to work in a global environment, Liberty is the place for you!

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3 - 5 years

2 - 6 Lacs

Bengaluru

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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(International) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty Insurance Ability to establish strong client relationship Ability to meet deadlines Ability to perform under pressure Ability to work well in a team Prioritization of workload Claims Processing Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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5 - 8 years

4 - 8 Lacs

Bengaluru

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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(International) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty Insurance Ability to establish strong client relationship Ability to manage multiple stakeholders Ability to perform under pressure Process-orientation Written and verbal communication Payment Processing Operations Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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- 1 years

1 - 5 Lacs

Bengaluru

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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty Insurance Ability to establish strong client relationship Ability to meet deadlines Ability to perform under pressure Ability to work well in a team Prioritization of workload Claims Processing 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

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2 - 7 years

8 - 11 Lacs

Bengaluru

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About Navi Navi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is dedicated to building delightful customer experiences. Founders: Sachin Bansal & Ankit Agarwal Know what makes you a Navi_ite : 1. Perseverance, Passion and Commitment Passionate about Navis mission and vision Demonstrates dedication, perseverance, and high ownership Goes above and beyond by taking on additional responsibilities 2. Obsession with high-quality results Consistently creates value for the customers and stakeholders through high-quality outcomes Ensuring excellence in all aspects of work Efficiently manages time, prioritizes tasks, and achieves higher standards 3. Resilience and Adaptability Adapts quickly to new roles, responsibilities, and changing circumstances, showing resilience and agility Key Responsibilities: Review submitted health claims for accuracy, completeness, and compliance with insurance policies and applicable regulations Reviewing and evaluating medical claims to determine their eligibility for payment Investigating medical claims to identify fraud Making decisions about medical claims, such as whether to approve or deny a claim Negotiate with the treating doctor/ hospital in reducing the un-justified hospitalization cost Automate system and bring in improvements on claims processes Monitoring systems and processes to ensure sustained levels of performance Liaison with internal stakeholder to ensure the deadline of TAT’s and SLA’s & Work towards Designated Tasks Tracking of customer communication for effective grievance resolution within TAT & SLA’s Compliance- Through knowledge of products, regulations, guidelines is must to ensure process compliance all the time. Claim Analytics- Periodical claim analysis to identify frauds, monitor claim performance metrics. Informing the customer about the rejection of their claim through call Involves identifying discrepancies, fraud, or errors in claims to ensure compliance with health insurance policies and regulatory requirements What are some of the good to have skills for this role? Medical Graduate in any stream (MBBS/BHMS/BAMS/BUMS/BDS) Experience in handling audit Background in claims processing with clinical experience in a hospital setting Data analytics experience would be an added advantage Ability to handle independent assignments & having the acumen to take logical conclusions Should have a broad understanding of Claims Practice Sharp business acumen to understand health insurance claim servicing needs Excellent communication skills, including writing reports and presentations Ability to anticipate potential problems and take appropriate corrective action Knowledge of health regulations, IRDA circulars is a must. Knowledge of different languages would be an added advantage. Proficiency in Hindi and English is mandatory.

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1 - 2 years

2 - 2 Lacs

Navi Mumbai

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Role & responsibilities Back office Executive Preferred candidate profile Graduate candidate Experienced in Insurance Claim and Policy. Only Male Candidate preferred Stays nearby Turbhe Willing to work in Late shift up to 11pm. Working 6 days in a week.

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- 2 years

0 - 2 Lacs

Kolkata

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Job Description: Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 6 months to 1 year of experience in medical billing, insurance claims, or a related field and possess strong English proficiency . As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Key Responsibilities: Outbound Calling: Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details. Conduct all calls in full compliance with company's guidelines and applicable healthcare regulations. Maintain professionalism and ensure clear communication during each call. Data Categorization and Labeling: Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client. Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis. Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency. Call Transcript Analysis: Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns. Compile findings into periodic reports, providing valuable information to client to support process improvements and optimize workflows. Qualifications: Minimum of 6 months to 1 year of experience in medical billing, insurance claims, or a related field. Strong English proficiency , both verbal and written. Familiarity with healthcare regulations and industry guidelines. Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records. Ability to work independently while adhering to internal guidelines and procedures. Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus. Additional Information: This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.

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3 - 6 years

4 - 9 Lacs

Bengaluru

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Hiring for Insurance process ( Min 3.5 yrs of Exp. into property & Casualty ) ( Hybrid Work from Home) Virtual Interview Demonstrate initiative and think creatively, with excellent presentation, written, and communication skills Understand the Client Manager requirements when completing the renewal activities documentation inclusive of Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policy etc. Previous experience working for a US Health insurance, carriers such has Aetna, SunLife, Symetra, Voya, Optum, Blue Cross Blue Shield, Delta Dental, MetLife is an added benefit Self-reliance and willingness to \"own\" complications and creatively find solutions Perks and benefits : upto 10.50 Lacs Whatsapp @ 9623462146 / 8888850831 Call shafakat : 7391077623 /24 Regards Dipika 9623462146 Dipika@infiniteshr.com

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3 - 8 years

3 - 8 Lacs

Pune, Bengaluru, Mumbai (All Areas)

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We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 8.50 LPA 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- 88888850831 / 7391077623 / 7391077624 Regards Dipika 9623462146

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1 - 6 years

3 - 5 Lacs

Pune

Work from Office

Walk-in Drive Today, 100+ Openings for Fresher/ Exp. - Chat Process Salary upto 6.60LPA /UK DayShift Chat / US Chat Support / UK Insurance Claims/ Australian Insurance Claims Process /US Travel / Technical Support / B2B / B2C/ UK Voice/ Inbound and Outbound Process Salary upto 5.50LPA 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

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1 - 5 years

3 - 5 Lacs

Pune

Work from Office

We are Looking for Candidate with BPO / KPO Background with a Minimum 1 Years Experience can Apply Perks and benefits : upto 6.50 Lacs Pranaya Call @ 7391077624 / Shafakat: 7391077623 . whatsapp 9623462146 / 8888850831 Regards Dipika 9623462146

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- 1 years

2 - 3 Lacs

Bengaluru

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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English - Intermediate 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 stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to qualityAbility to manage multiple stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to quality 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 Qualifications Any Graduation

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3 - 6 years

3 - 5 Lacs

Mumbai

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Role: Team Leader - Account Management (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

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4 - 9 years

4 - 6 Lacs

Bengaluru

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Role: Team Leader - Account Management (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

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- 1 years

1 - 5 Lacs

Mumbai

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Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 establish strong client relationship Ability to handle disputes Ability to manage multiple stakeholders Ability to meet deadlines Ability to perform under pressure 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 Qualifications Any Graduation

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- 5 years

1 - 5 Lacs

Pune

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Urgent requirement for BHMS/BAMS/BDS/MBBS-Pune (Vadgaonsheri) Freshers/candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and 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. Required Candidate profile: BAMS / BHMS / BDS/ MBBS graduate. Good Medical & basic computer knowledge Should have completed internship (Provisional /Permanent Registration number is mandatory) Freshers can also apply. Work from office . Interview Timings-11am To 5pm(Monday To Saturday) Venue Details: MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune 411014

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4 - 8 years

12 - 15 Lacs

Pune

Hybrid

Role: Knowledge Lead Claims Location: Pune Shift : 6PM to 3AM Note: It is an Individual Contributor Role *************************************************** IMMEDIATE JOINERS REQUIRED Send your updated CV directly to: 9152808909 **************************************************** Job Description: Strong understanding of Banking and services. Incorporates product knowledge into internal and external customer communications Demonstrates knowledge of insurance and claims industry Understands who to go to for additional information Communicates in a timely and effective manner (verbally and written) Understands priorities and objectives to ensure all deadlines are met Claims Management Risk Management Insurance Programs Reconciliation

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1 - 3 years

2 - 2 Lacs

Siliguri

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TPA Liaison: Serve as the primary point of contact between the hospital and TPAs, ensuring smooth claims processing and reimbursement. Collaborate with TPAs to verify patient eligibility, approve pre-authorizations, and facilitate smooth discharge procedures. Ensure timely submission of claims, follow up on outstanding claims, and resolve any discrepancies or issues related to TPA reimbursements. Corporate Client Coordination: Act as a liaison for corporate clients, addressing their queries and ensuring employees medical needs are met efficiently. Coordinate with corporate clients to manage employee health programs, including corporate insurance policies, wellness programs, and preventive health check-ups. Assist in the onboarding of corporate clients and ensure smooth setup for hospital services under corporate agreements. Claims Management: Monitor, track, and process claims submitted by patients under TPA and corporate agreements. Ensure all claims meet the required documentation and regulatory standards. Resolve claim issues and disputes in a timely manner, coordinating with both internal departments and external stakeholders. Documentation and Reporting: Maintain accurate records of all communications, claims, approvals, and payments from TPAs and corporate clients. Prepare regular reports on claims processing status, pending approvals, and financial reconciliations for internal and external stakeholders. Ensure all documentation is organized, up-to-date, and compliant with hospital policies and industry regulations. Customer Service: Provide exceptional customer service to patients, TPAs, and corporate clients by addressing inquiries and concerns promptly. Ensure patients and their families understand the process of claiming insurance and managing payments through TPAs or corporate policies. Cross-Functional Collaboration: Work closely with the billing, finance, and medical teams to ensure that patient care is seamless, and claims are processed efficiently. Collaborate with other hospital departments (admissions, discharge, accounts) to resolve any patient-related issues concerning TPA and corporate coverages. Compliance and Regulations: Stay updated with the latest regulations, policies, and procedures related to TPAs, corporate healthcare programs, and insurance claims. Ensure all processes align with the hospitals standards, legal requirements, and industry best practices. Key Skills and Qualifications: Education: Bachelors degree in healthcare management, business administration, or related fields. Experience: 1-2 years of experience in TPA management, corporate healthcare coordination, or insurance claims processing is preferred. Skills: Strong communication and interpersonal skills to interact with TPAs, corporate clients, and internal teams. Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and hospital management systems. Ability to handle sensitive and confidential patient information. Attention to detail and strong organizational skills to manage multiple tasks simultaneously. Problem-solving skills to resolve claims and coordination issues. Working Environment: The role typically operates in an office setting within the hospital or remotely, with periodic visits to patient care areas or meetings with external stakeholders. The job may involve working with insurance companies, corporate representatives, and patient families, requiring professional demeanor and strong customer service skills.

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3 - 8 years

5 - 10 Lacs

Bengaluru

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Warm Greetings from Rivera Manpower Services , WORK LOCATION : Bangalore Note : Candidates who are willing to Relocate to Bangalore Can apply. Minimum 3 YEARS Experience in Property and Casualty Insurance /Motor Insurance for US market Can apply Call and book your Interview slots Ananya 8884496986 ananya.rivera24@gmail.com (send cv on whatsApp if the line is busy) JD for Senior Process Analyst In this role, Underwriter Assistant assists the Branch Underwriter & plays a vital role in maintaining customer relationship through timely & accurate services. A person will act as a liaison between multiple parties including Branch Underwriter, Policy Servicing Team, Insurance Carriers, and Insurance Brokers, etc. by answering questions & providing detailed information about the accounts/policies via Phone Calls or Emails. To ensure success, Underwriter Assistant should have a friendly and professional attitude, excellent communication skills, and the ability to stay calm under pressure. Should have good understanding of Insurance Domain & minimum experience of 2 years in P&C Insurance. Must have a knowledge of Insurance Life Cycle & worked into minimum 2 different processes. Being an integral part of the production (sales) team in USA, should be ready to work in Night Shift India Time. Work experience in Surplus Lines Insurance or with Managing General Agent (MGA) or with Insurance Broker would be an added advantage. Primary Responsibilities Assist Underwriters in day-to-day duties by: 1. Co-ordinating & collecting information from different stakeholders that requires for underwriting & binding accounts/policies, 2. Binding policies in Carrier as well as Agency Management System along with Invoicing & delivering the same to the clients, 3. Follow-up with clients for bind request, pending information, inspection report recommendation implementation, 4. Ensure all documents/information available in file for policy servicing teams, 5. Handling questions & communication with stakeholders via email & inbound/outbound calls, 6. Updating & ensuring compliance to SL affidavits requirements, 7. Triaging endorsements & cancellations, 8. Facilitating & managing miscellaneous activities that do not require Underwriting decision making Excellent verbal & written communication Graduate with 3+ years of experience in an Insurance domain (P&C /BFSI) Flexible & customer focused Strong problem solving and analytical approach Proactive & accountable Skilled in multi-tasking & prioritizing Exposure to complaints & escalations management Prioritization of work received through different channels Contact: Ananya 8884496986 ananya.rivera24@gmail.com Rivera Manpower Services

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10 - 15 years

12 - 15 Lacs

Vadodara

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Understand the insurance terms and condition Understand the Underwriting of policy Understand the different insurance risk and policy ,Assets insurance , Liability policy Employee related policy and other product of insurance Handling insurance claim Required Candidate profile Good in communication with Different Insurance company and different Insurance brokers . Preferable work in Manufacturing company or EPC company Engg Back ground and Insurance degree MBA or equivalent

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3 - 8 years

6 - 11 Lacs

Bengaluru

Work from Office

Warm Greetings from Rivera Manpower Services , WORK LOCATION : Bangalore Note : Candidates who are willing to Relocate to Bangalore Can apply. Minimum 3 YEARS Experience in Property and Casualty Insurance /Motor Insurance for US/UK market Can apply Call and book your Interview slots 9986267393 / 7829336034 /7829336202 JD for Senior Process Analyst In this role, Underwriter Assistant assists the Branch Underwriter & plays a vital role in maintaining customer relationship through timely & accurate services. A person will act as a liaison between multiple parties including Branch Underwriter, Policy Servicing Team, Insurance Carriers, and Insurance Brokers, etc. by answering questions & providing detailed information about the accounts/policies via Phone Calls or Emails. To ensure success, Underwriter Assistant should have a friendly and professional attitude, excellent communication skills, and the ability to stay calm under pressure. Should have good understanding of Insurance Domain & minimum experience of 2 years in P&C Insurance. Must have a knowledge of Insurance Life Cycle & worked into minimum 2 different processes. Being an integral part of the production (sales) team in USA, should be ready to work in Night Shift India Time. Work experience in Surplus Lines Insurance or with Managing General Agent (MGA) or with Insurance Broker would be an added advantage. Primary Responsibilities Assist Underwriters in day-to-day duties by: 1. Co-ordinating & collecting information from different stakeholders that requires for underwriting & binding accounts/policies, 2. Binding policies in Carrier as well as Agency Management System along with Invoicing & delivering the same to the clients, 3. Follow-up with clients for bind request, pending information, inspection report recommendation implementation, 4. Ensure all documents/information available in file for policy servicing teams, 5. Handling questions & communication with stakeholders via email & inbound/outbound calls, 6. Updating & ensuring compliance to SL affidavits requirements, 7. Triaging endorsements & cancellations, 8. Facilitating & managing miscellaneous activities that do not require Underwriting decision making Excellent verbal & written communication Graduate with 3+ years of experience in an Insurance domain (P&C /BFSI) Flexible & customer focused Strong problem solving and analytical approach Proactive & accountable Skilled in multi-tasking & prioritizing Exposure to complaints & escalations management Prioritization of work received through different channels Call and book your Interview slots 9986267393 / 7829336034 /7829336202

Posted 2 months ago

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