1511 Insurance Claims Jobs - Page 32

To manage the insurance portfolio of all types of insurance policies & ensure adequate risk coverage at optimum costs and claims management. To procure various insurance policies with adequate coverage at optimum cost, ensure timely renewal of the insurance policies, and to ensure internal customer expectations for deliverables in terms of time, cost and service quality are met in line with business objectives. Proficient in managing insurance claims, especially PDBI claims Good technical knowledge about insurance products, coverage features, and claims process Coordination with cross-functional teams within the Company, Subsidiaries, insurers, surveyors etc. Implement best practices as per ...

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...

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care - Medical Billing 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 Healthcare Insurance 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 ser...

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

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...

The ideal candidate should have experience in TPA billing and counseling. This includes submitting insurance claims accurately and on time, verifying the completeness of claim documents, and maintaining relationships with TPAs and insurance companies. As part of the role, you will be required to negotiate service agreements, monitor performance, and address any issues related to claim settlements or delays. It will also be important to confirm patient insurance coverage, obtain pre-authorizations for treatments and procedures, and coordinate with medical staff and insurers for approval. A key aspect of the position will involve tracking reimbursement trends, optimizing revenue, reducing clai...

As a Marketing Insurance Sales Representative, your primary responsibility will be to design and implement effective marketing strategies to sell new insurance contracts or adjust existing ones. You will contact potential clients through various means such as networking, cold calling, and referrals to establish rapport and expand your clientele. Understanding the wishes and demands of both business and individual customers will be crucial in selling suitable protection plans. You will need to collect information from clients regarding their risk profiles to provide them with the most appropriate insurance solutions. Additionally, preparing detailed reports on the success of your business end...

Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning && Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedb...

As a Claims Management Analyst at Accenture, you will be responsible for analyzing and solving lower-complexity problems related to Property & Casualty- Claims Processing - Insurance Claims. Your primary focus will be on establishing strong client relationships, handling disputes, managing multiple stakeholders, meeting deadlines, and performing effectively under pressure. In this role, you will interact with peers within Accenture to update supervisors on your analysis and findings. While you may have limited exposure to clients and/or Accenture management, you will receive moderate-level instructions for your daily tasks and detailed guidance for new assignments. The decisions you make wil...

Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning && Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedb...

As an Assistant Manager in the Property & Casualty Insurance sector, you should have 8 to 12 years of experience working in an MNC. Your primary responsibilities will revolve around submissions, underwriting, policy administration, and claims handling. Managing a team of 15 to 30 members will be a crucial aspect of your role, requiring expertise in performance management, attrition management, and grievance resolution. Your skill set should include proficiency in Property & Casualty Insurance, policy administration, underwriting, team management, and insurance claims. Additionally, excellent communication and stakeholder management skills are essential for effective coordination. To qualify ...

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. The company's mission is to be an innovative and trusted technology partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts offers a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, catering to the entire behavioral health, rehabilitative, and human services market. With a loyal customer base of over 2,500 customers and more than 6 million patients served, Qualifacts has been recognized for having the top-ranked Behavioral Health EHR solutions in the 2022...

Manage a complex portfolio of work to ensure business and customer needs are met Manage and report on team performance including staff metrics (e.g., leave, attrition etc), and conduct regular performance reviews and feedback to develop personal performance of direct reports. Hold team members accountable for performance against key metrics, including achievement of financial and efficiency outcomes, and manage underperformance, in line with the current productivity management framework and ways of working. Actively motivate, develop, coach and engage team members to drive results and create a high performing team while showing genuine care in managing an environment of safety and wellbeing....

Manage a complex portfolio of work to ensure business and customer needs are met Manage and report on team performance including staff metrics (e.g., leave, attrition etc), and conduct regular performance reviews and feedback to develop personal performance of direct reports. Hold team members accountable for performance against key metrics, including achievement of financial and efficiency outcomes, and manage underperformance, in line with the current productivity management framework and ways of working. Actively motivate, develop, coach and engage team members to drive results and create a high performing team while showing genuine care in managing an environment of safety and wellbeing....

Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning && Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedb...

Job Title: Manager - Legal Claims Role Overview: As a Manager - Legal Claims, you will be responsible for managing the life cycle of MACT (Motor Accident Claims Tribunal) and WC (Workmen's Compensation) claims from start to finish. You will ensure effective coordination with advocates, timely referrals of awards, and take all necessary actions to ensure prompt claim settlements and legal defenses. Key Responsibilities: Handle MACT and WC claims life cycle end to end, including claim review, timely referral of awards, compromise referrals, payment release, and coordination with advocates for settlements and defenses. Issue a clear line of action for claims and ensure all steps are taken to ac...

You are a detail-oriented and experienced Accountant with a background in the automobile industry. Your responsibilities will include maintaining financial records, preparing reports, and ensuring compliance with accounting standards and industry-specific requirements. Your key responsibilities will involve preparing daily, monthly, and quarterly financial reports, handling billing, invoicing, and collections, coordinating with dealership, service, and spare parts teams for expense and income tracking, monitoring stock movement of vehicles and spare parts for proper valuation, processing GST, TDS, and other statutory returns, assisting with annual audits, performing cost analysis and budget ...

Insurance Surveyor (IRDA Licensed) Experience: Minimum 5 years in Insurance company, Insurance Surveyor firm or Insurance Broker and having valid surveyor license from IRDA Requirements: Excellent communication skills in English & regional languages. Proficiency in MS Office, Internet and mobile apps. Good analytical skills. Flexible in learning and working in a pressure full environment. Core Responsibilities: Handling daily branch operations to ensure timely and proper survey reports. Manage and mentor back office staff. Ensure compliance with IRDA regulations and ethical standards. Coordinate with insurance companies and clients to maintain strong relationships and resolve disputes or esc...

Branch Manager Insurance Surveyor (IRDA Licensed) Experience: 5+ years in insurance company, surveyor firm, or broker with valid IRDA license. Skills: Insurance Survey, Claims Handling, IRDA Compliance, MS Office, Strong Communication (English + Regional), Leadership, Analytical Ability Key Responsibilities: Lead branch operations & timely survey reports Liaise with insurers & clients, resolve disputes Review & approve survey reports Mentor & manage back-office team Ensure compliance & quality control Drive business growth & monitor budgets Why Join Sponsored professional courses (Licentiate/Associate/Fellow) Performance-based rewards & promotions Step up your career with a reputed insurance...

Freshers with any BSC, BCA Degree( Strictly No PG and Engineering Graduates no backlogs) Good English communication Skill Good typing skills with minimum 30 words per minute!!Mandatory!! To enter the US insurance claims in the system and having those paid on time. To have the insurance claims reviewed and entered in to the system provided by client. Should be accountable for the quality of work done. Fresh graduates with good typing skills.

Qualification: Any Graduation Years of Experience: Fresher Education: BA & B.com are priority but we can look for BBA, BMS, BBI, BMM as well Work Location: MDC-7 (Candidates should be located near the location and be comfortable with face-to-face interviews.) Job Summary: You will be a part of the Healthcare Claims team, which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation. In Payer Claims Processing, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging knowledge of the processes...

You will be responsible for organizing training programs on Planning & Installation for all new dealers. Your role will involve maintaining profitability as per the costing provided by the sales team. Additionally, you will handle all major projects and ensure their completion within the agreed timeline. It will be part of your duties to visit all dealer jobs periodically, ensuring the quality of installation aligns with the set standards. You are also expected to train and develop the dealer team on all new products introduced. Maintaining good PR with all key customers during the installation stage and collecting satisfaction letters will be crucial. You will need to provide necessary cost...

The job involves monitoring and managing accounts receivable from Third-Party Administrators (TPAs), Insurance companies, and corporate clients. You will be responsible for following up on outstanding invoices to ensure timely collection and resolving any discrepancies or disputes with clients or internal departments. You will also need to liaise with insurance/TPA coordinators and the billing team to ensure proper documentation and approval processes. Additionally, preparing and submitting periodic reports on receivables, collection trends, and risk accounts to management is a vital aspect of this role. In case of unresolved or disputed claims, coordination with the legal team will be requi...

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. With a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, Qualifacts serves the entire behavioral health, rehabilitative, and human services market. They have a loyal customer base of more than 2,500 customers and were recognized in the 2022 and 2023 Best in KLAS: Software and Services report for having the top ranked Behavioral Health EHR solutions. If you are looking to work in an environment where innovation is purposeful and your ambition supports customers and those they serve, this op...

Genpact is a global professional services and solutions firm that aims to shape the future by delivering outcomes through the collective efforts of its 125,000+ employees across 30+ countries. Motivated by curiosity, entrepreneurial agility, and the desire to create lasting value for clients, we are committed to the relentless pursuit of a world that works better for people. Our services cater to leading enterprises, including the Fortune Global 500, through our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. We are currently seeking applications for the position of Manager, Insurance Claims. As a Manager, you will play a crucial ...