1511 Insurance Claims Jobs - Page 30

The Insurance Claims Manager oversees the entire claims process, ensuring efficient, fair, and timely resolution of insurance claims in accordance with company policy and regulatory requirements. This role involves managing a team of claims adjusters/officers, streamlining claims procedures, mitigating risk, and maintaining excellent customer service. Lead and manage the day-to-day operations of the claims department. Develop, implement, and refine claims handling policies and procedures. Ensure all claims are investigated, evaluated, and settled in a timely and efficient manner. Review complex or high-value claims and Perform accordingly. Collaborate with underwriters, legal teams, investig...

Insurance Manager - Hartek Group | Making Your Future Powerful About Hartek Group- Hartek Group is a leading Engineering, Procurement, and Construction (EPC) company at the forefront of Indias energy transition. We are proud to be a six-time Great Place to Work certified organization, committed to building a sustainable and powerful future. Our impact spans the entire power sector, from connecting over 10 GW of solar power to the national grid and executing more than 350 high-voltage substation projects, to manufacturing the advanced power distribution solutions essential for a smart and reliable grid. Join our team of professionals and help us in our mission of "Making the Future Powerful."...

Role & responsibilities Process customer requests in a timely and accurate manner Ability to accurately read and interpret handwritten text Communicates with customers through written correspondence if required Provides follow up on requests that cannot be immediately resolved Identify process improvements to increase efficiencies and streamline processes Meeting and exceeding defined service level metrics on timeliness, productivity, accuracy, etc. Preferred candidate profile B.com/BBA/BA Graduates Fluent communication in English Comfortable with night shifts Benefits Hybrid work module Transportation and meal facilities Weekends off Wifi & Night shift allowances Full-time employment opport...

Urgent Hiring For Health Insurance EXP:-Min 6 Months to 1 Year in Health Insurance Sales/Agency sales CTC:-Upto 5 LPA+Incentives Contact Person:HR Snehal:8788255050

Role & responsibilities Verify the accuracy and completeness of claim documents, including medical records and billing information Handle customer inquiries related to claims status and provide resolution. Maintain and update claim records in the system. Identify discrepancies, fraudulent claims, and escalate cases as necessary.

We are Hiring hybrid wfh Semi Voice Process / UK Process Excellent English Process : SEmi voice process Process /UK Insurance Process Min 3yr to 10 yrs exp. International BPO / kpo Salary upto 10.00 Lacs + Incentives. Call : WhatsApp call only Dipika- 9623462146 / 8888850831

Hello All, Greetings for the day! We have an job opportunity with our client Neovance (Earlier Called as Fortrea). Work Experience: 2-4 Years of Experience (1+ Years exp in US health experience or Recent experience in US Health care) Work Location: Bangalore (Preferred). Education: bachelors degree or a master’s Degree with all Documents from a regular College/University. Project: 6 months (Extension based on Performance) Shift: 6:00 PM - 03:00 AM (2 Ways Cab facility) Work model: Work From Home for initial Few Months, then Work From Office as per company’s requirement. Interview Round: 3 Rounds (Mettle Assessment - Online Screening Round - In Person Interview at Allegis Group) Experience: T...

Role & responsibilities : Policy Evaluation: Review and assess insurance policy applications to ensure accuracy and compliance. Risk Assessment: Use data and software tools to evaluate risks and determine appropriate coverage and premiums. Claims Investigation: Conduct investigations into insurance claims, which may include site visits, evidence collection, and coordination with law enforcement. Data Analysis: Analyze customer data to identify trends, improve underwriting processes, and support decision-making. Customer Interaction: Communicate with clients, insurers, and other stakeholders to clarify policy details and resolve issues. Regulatory Compliance: Ensure adherence to state and fed...

Job Description: Hands-on experience in P&C claims processing (Auto / PD / PI / Liability) Strong documentation & SOP handling Coordination with global stakeholders Proficiency in claims tools (FileHandler/Guidewire or similar) Excellent communication skills

Skill required: Reinsurance - Collections Processing Designation: Order to Cash Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while a...

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 WHATS IN IT FOR YOU Accenture CFO & EV team under Data & AI team ...

Role & responsibilities Collection, compilation and managing of underwriting data for property, employee benefit (EB) and other insurance policies renewals. Premium Calculation verification for EB policy endorsements. EB policies monthly endorsement processing. Preparation of monthly accounting entries of premium & claims. Vendor & Expense account reconciliation. Premium payment processing. Maintaining and updating Policy MIS. Follow-up for Employee Benefit Insurance Claims with various stakeholders, Insurers, Brokers, TPA etc. and resolving employees queries. Assistance in various audits. Assistance in new initiatives within department.

Warm Greetings from Rivera Manpower Services! We are hiring for the role of Senior Analyst (Service Support Associate) in the US Healthcare Insurance process. Location: [Bangalore] Shift: US Shifts Experience: Minimum 4+ years in International Voice with specific experience in Insurance / Healthcare (mandatory) Qualification: Graduate (15 years of education 10+2+3) Requirements: Minimum 4 years of international voice experience in Insurance / Healthcare domain Strong client servicing and stakeholder management background Excellent verbal & written communication skills In-depth knowledge of US Healthcare Insurance regulations Proactive and self-driven with strong problem-solving skills Advanc...

Role: Claims Adjudicators/Sr. Claims Adjudicators Location: Noida Key Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills. Experience: 3 + years in Claims Adjudication or in relevant field Job Description: We are seeking a detail-oriented and analytical Claims Adjudicator to review, evaluate, and process insurance claims in accordance with policy guidelines and regulatory standards. The ideal candidate will have a strong understanding of claims procedures, excellent decision-making skills, and a commitment to accuracy and compliance. Prior experience in claims processing or adjudication preferred. Familiari...

Manage and process commercial line claims (credit, marine, transport, warehouse, liability Register claims and coordinate with internal teams,surveyor Ensure claims are processed with regulatory guideline Follow SOP to avoid claim leakage and fraud

Urgent requirement for BHMS,BAMS,BDS -Badodara(Gujrat )candidate with 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. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is manda...

Urgent requirement for BHMS,BAMS,BDS -Badodara(Gujrat )candidate with 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. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is manda...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! CHETHANA @ 7829336034 rivera.chethana@gmail.com Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operati...

Urgent requirement for BHMS/BAMS -Jharkhand(Ranchi) Freshers/candidate with clinical or 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: BAMS / BHMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Wo...

Processing transactions into the system as per the communication received from customers Reviewing documents to determine type of request(s) & process them Process Payment Processing and Manual Calc transactions for Retirement insurance Required Candidate profile Graduate with 2 yrs Experience in US Healthcare Retirement Retirement Payment Processing Defined Benefits Manual Calculations Comfortable with US shift Noida Location WFO info.aspiringmantra@gmail.com

HIRINIGS FOR International Voice PROCESS LOCATION PUNE GRAB THE OPPORTUNITY Excellent COMMUNICATION SKILLS ARE MANDATORY SALARY PACKAGE:- Upto 9LPA FOR MORE DETAILS CONTACT HR ISHA 7447719444 Eligibility - Graduates with 3yr of International BPO experience In Insurance Can apply. (Experience candidates can get 30% hike As per market standard on their last in drawn.) ROLES AND RESPONSIBILITIES Hiring for Customer Care Executive role . Handling customer queries through calls . We are looking for candidate highly energetic and enthusiastic for calling. Handling inbound and outbound calls. SHIFTS:- Rotational Shift Rotational Offs. 5 Days Working 2 Days Week offs. Perks And Benefits: Both way Ca...

Required Experience: 3+ years in Guidewire Claim Center Integration( mandatory) Job Summary: We are seeking an experienced Business Analyst to join our team, specializing in the integration of Guidewire ClaimCenter. The ideal candidate will have a strong understanding of insurance claims processes and experience with Guidewire products. You will be responsible for gathering requirements, facilitating communication between stakeholders, and ensuring successful integration of ClaimCenter with existing systems. Key Responsibilities: Requirements Gathering: Collaborate with stakeholders to understand business needs and document functional and non-functional requirements for ClaimCenter integrati...

We are looking for a Claims Associate with at least 1 year of claims experience to join our team and be the voice of trust during some of lifes most critical moments. If you're detail-oriented, empathetic, and thrive in a fast-paced environment, we want to hear from you. Company location : Firstsource Solutions Limited Unit-202, 2nd Floor, Block A, Brigade tech gardens Brigade Properties Private Limited, Brookefields, Kundalahalli Whitefield, Marathahalli, Bengaluru, Bengaluru Urban Karnataka - 560037 What You'll Do: Accurately process and manage insurance claims from start to finish Communicate with policyholders, providers, and internal teams to gather required details Confirm policy cover...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843