1511 Insurance Claims Jobs - Page 26

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role: Records Retriever Location: Ahmedabad Salary: Freshers 23K CTC (29K in hand) Experienced in RECORDS RETRIEVER UPTO 35K CTC Shift: US FIXED NIGHT SHIFT Retention Bonus after 1 year is 25K Attendance BONUS 1500 Increment after 3-4 months

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Ass...

Over 4 to 5 years of experience managing process training for a customer service contact center. New Hire Trainings and Training Initiatives for the existing employees. Knowledge of banking and financial industry would be added advantage. Be ready to learn the process, get trained and certified yourself and lead the trainers for the account. To be able to work on the ground, with ground level staffs and the existing trainers, managing basic stuffs in the training rooms and OJTs, drive call simulations, knowledge assessments and retentions activities. Driving BAU practices, conducting regular assessments, drive process updates completions, drive process accuracy by liaison with operations and...

Responsible to ensure quality of service given is equivalent to the set standards. Responsible to maintain payable status at its minimum; close follow up on critical issues. Random checking of bills in terms of their accuracy and make sure the corporate bills are prepared as per the agreements and prompt dispatch of the same with the help of credit cell. Responsible to record department MIS reports and submission of the same to higher authority Responsible to monitor the surgical package limits in terms of material consumption and professional charges. Systems & Procedures: Responsible to design, implement and refine systems to manage processes and to optimize performance. Responsible to dev...

We will count on you to: Developing digital / web based data analytics products for multinational clients groups. Also, generate efficiency & productivity by automating the internal processes for the business . Strong skills in concept building and creating Art of Possible for Analytics using data, latest market trends and technology to drive business outcomes. Strong Data Management skills by gathering data from multiple source systems, clean, consolidate and transform into key insights. Exploratory Data Analysis, Reporting key metrics and analyze disparate data sets togetherfor patterns and insights. Performing Quality Assurance (QA) on datasets such as data accuracy, data logics and data ...

We are seeking a talented individual to join our Forensic Accounting and Claims Serivces team at Marsh. This role will be based in Mumbai. This is a hybrid role that has a requirement of working at least three days a week in the office. Senior Manager- Risk Consulting We will count on you for: Stakeholder Management Build strong trust and accountability among all the stakeholders through flawless delivery, proactive communication and deeply integrating IKS solutions in FACS propositions. Identify synergies across geographies to drive and deliver efficiency benefits. Delivery Management Develop financial models and claim dashboards. Candidate should be well versed with MS Excel and familiar w...

AXA XL is looking for talented individuals to support our business across all product lines and geographies. This is an exciting opportunity to be part of a dynamic, global business. Analysts - Policy Management work with Underwriters operating in our international hubs such as New York, Singapore and London and support processing tasks such as Bound, Endorsements, and Policy Issuance etc. What youll be DOING Interpreting handover documents such as slips, endorsements, declarations, reports and updating policy management systems with the information. Preparing pricing models if and when applicable. Where relevant, preparing insurance documents/reports to be shared with internal/external clie...

Fortis Hospital Mohali is hiring Head TPA on urgent basis, interested candidates can share resume at baljinder.singh@fortishealthcare.com immediate joiner will be given preferance

You are an experienced TPA Executive who will be responsible for managing the end-to-end Third-Party Administrator (TPA) process at our hospital. Your main duties will include overseeing the entire TPA process, ensuring seamless coordination, accurately raising insurance claims with all necessary documentation, and effectively communicating with insurance companies, agents, and the claim team via email. You will need to have a thorough understanding of insurance claim procedures, hospital forms, and required documentation to handle queries and resolve issues related to insurance claims promptly and efficiently. Key Responsibilities: - Manage the complete TPA process at the hospital, ensuring...

As an experienced Pharmacy Manager with over 3 years of experience in pharmacy management, you have the opportunity to join Cotexl Laxmi Health Care Pvt Ltd at DMIHER located in Wardha, Maharashtra, India. By becoming a part of our dedicated healthcare organization, you will play a crucial role in ensuring patient care and excellence. Your key responsibilities will include overseeing pharmacy operations to ensure regulatory compliance, effectively managing inventory, procurement, and supplier coordination, supervising and training pharmacy staff for efficient workflow, ensuring accurate dispensing and patient safety, as well as handling billing, insurance claims, and cost control. At Cotexl ...

Need 0 to 2 years of experience into US Insurance/Claims. Responsible for Policy administration of Market Insurance Policies. Candidates must possess good communication skills. Open to work in Night Shift.

Seeking experienced & detail-oriented Accounts Receivable Associate(AR Caller) to join our dynamic team. The successful candidate will be responsible for handling & resolving claims, managing account receivables Required Candidate profile Candidate ensuring prompt collections in line with US healthcare policies & regulations etc Claims Management Denial Management Communication Account Follow-up Documentation Compliance Reporting

WANT A GOOD WORK LIFE BALANCE Fixed shifts and fixed weekend off Collection Voice Process Sutherland is seeking highly proficient * Claims associate in Bangalore. If you have the right experience and expertise, this could be an excellent career opportunity for you. Position Details: Minimum 2 yeras of experience in claims. " Location: Kundan halli Bangalore Work Schedule: *FIXED SHIFTS AND FIXED Saturday & Sunday off* Compensation: Competitive salary with a significant hike on your last drawn salary, plus attractive incentives and transport allowance Work Mode: On-site Eligibility Criteria: Bachelors degree or college Diploma. Experience in P&C, Healthcare Claims dealing with damage, liabili...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Job Responsibilities and Expectations - Assist in onboarding new individual and corporate clients by collecting and verifying documentation. - Support the BD team in preparing customized health insurance proposals and quotations. - Maintain accurate records of client interactions and proposal submissions. - Coordinate with underwriting and policy servicing teams to ensure timely processing of new applications. - Respond to basic client queries related to product features, benefits, and application status. - Ensure compliance with Hong Kong Insurance Authority (IA) guidelines during client interactions. - Assist in scheduling meetings and presentations for BD executives. - Generate reports on...

precise sap input normal import export operations like documentation ,customer clearance. normal domestic business like w/h operations,insurance claim,inventory taking.

Manage, inspire, and mentor a group of Process Support Associates (PSA).Hold regular team meetings, evaluate performance, and offer helpful criticism. Manage escalations and challenging situations while advising and supporting PSAs. Make sure that all PSA tasks are completed smoothly and effectively. Keep up with periodic updates and make sure the team follows them. Conduct briefings & process updates to the team to improve their abilities. Handle clients requests and escalations, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. Should make themselves approachable for PSAs. Report any issues or challenges to the reporting manager immediat...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Should know internal systems Goo...

Review documentation such as repair bills, medical records, and police reports. Analyze patterns and data to identify staged accidents or inflated claims. Prepare detailed investigation reports and present findings to claims and legal teams. Support litigation processes by providing evidence and testifying when necessary. Collaborate with internal departments like underwriting, legal, and compliance. Job Description Investigate suspicious motor insurance claims to detect fraud, misrepresentation, or exaggeration. Visit accident scenes, inspect vehicles, and gather forensic evidence. Interview claimants, witnesses, police, and medical professionals to verify facts.

Key Responsibilities: Completetask tracking ownership :Maintain and update a shared Google Sheet daily for tasks, ensuring nothing ismissed. Noforgetting of tasks assigned : Even if assigned via WhatsApp, verbalinstructions, or task sheets follow-ups and closures are your responsibility. Protectthe MDtime : o Meetingsmust be ready to start on time (participants, presentations,screen connections). o Anticipatelogistical needs and prep the meeting rooms, teams, materials in advance. ManageCalendar : Dailyscheduling, travel planning (domestic and international), time blocking toensure MDday is smooth. Coordinateand monitor all dealership team tasks : Ensure continuous execution and follow-upacr...