1525 Insurance Claims Jobs - Page 37

Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Fleet Administrative Specialist Location: Mumbai, IN Position Description: The Fleet Team Administrative Assistant provides administrative support to the fleet teams under the direction of the Fleet Managers. Job Responsibilities: Coordinates the Fleet team s calendars; sends and accepts electronic invitations and reminders, organizes external meetings and prepares for scheduled events including assisting with catering Prepares the Fleet team s expense reports and reconciles credit card statements Organizes training for employees who have been promoted to masters, chief engineers, and new superint...

Vidal is hiring for claim Processor Designation: Executive-Claims Location: Gurgaon, Key Responsibilities: Review and validate claim documents submitted by hospitals or insured members Scrutinize medical records and bills for completeness and accuracy Apply policy terms, conditions, and exclusions to adjudicate claims Perform ICD and procedure coding as per ailment and treatment Coordinate with medical officers for clinical opinion when required Maintain claim logs and update CRM systems with claim status Ensure adherence to defined SLAs and minimize processing errors Flag suspicious or potentially fraudulent claims for investigation Communicate with stakeholders for clarifications or missin...

To lead and manage the claims operations by ensuring timely, fair, and compliant claim settlements, optimizing processes for efficiency, and supporting strategic goals through data-driven decision-making and cross-functional collaboration Ensure timely and accurate settlement of claims within defined turnaround times (TATs) Maintain adherence to IRDAI regulations and internal claims policies Identify and mitigate fraudulent claims through effective investigation and controls Enhance claimant experience through transparent communication and service excellence Lead, mentor, and upskill the claims team to improve performance and accountability Optimize claim payouts and reduce leakage through d...

HIRING FOR US HEALTHCARE, GRAD CANDS WITH 1 YEAR EXP WITH KNOWLEDGE OF CLAIMS, CASH POSTING, AR FOLLOW UPS, DENIAL MANAGEMENT, INSURANCE CAN APPLY SAL UPTO 46K INHAND VOICE GGN CALL/WHATSAPP SAHIB 8448577782 KOMAL 9811399344 MANKIRAT 9811395705 Required Candidate profile FINE TO WORK IN 24x7 Shifts LOOKING FOR CANDS HAVING GOOD COMMS SKILLS, CABS AND SHIFTS AS PER THE COMPANY REFRENCES ARE HIGHLY VALUABLE, SHARE YOUR PROFILE - hr@head-hunters.in Perks and benefits SHIFTS, CABS, INCENTIVES AS PER THE COMPANY REQ.

Greetingd from Niva Bupa! Key Roles & Responsibilities: Answer incoming customer calls in a professional and timely manner. Assist customers with inquiries including medical claims and rejections. Provide accurate and detailed information about claim procedures, documentation requirements, and coverage. Investigate and resolve customer concerns, ensuring high levels of customer satisfaction. Collaborate with internal departments, such as claims processing to address and resolve complex issues. Maintain thorough and up-to-date knowledge of products, medical billing codes, and claim processes. Document customer interactions and update customer records accurately in the system. Identify and esc...

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...

Hiring for US Healthcare (B2B) Voice / Blended Process Graduate with 1 year customer service exp can apply Salary upto 3.30 LPA (23k in hand) Location- Uppal 5 Days working Both side cab facility Fixed Sat-Sun off Fixed shifts (6:30 pm - 3:30 am) Required Candidate profile Candidate must have good communication Skills. Candidate should have good typing speed. Candidate should be comfortable to work in fixed night shifts. Perks and benefits Incentives Meal facility

Group Manager - UK Operations (Insurance Claims) - Bengaluru Location: Bangalore An exciting opportunity for a seasoned operations leader to head large-scale UK motor insurance claims operations. This role involves managing a 100+ FTE team, driving performance, ensuring regulatory compliance, and leading strategic initiatives in a fast-paced, client-centric environment. Your Future Employer A leading global business process management company known for innovation, analytics, and digital transformation. The organization partners with Fortune 500 clients across sectors including Insurance, Banking, Healthcare, Travel, and more enabling operational excellence and business efficiency. Responsibi...

Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Insurance Co-ordinator Role & responsibilities: List out the total Number Of credit patients (All Insurance). To send the Pre- Authorization form to the concern insurance company. Explain the Admission & Discharge procedure to the patient & attenders also. All data's and activities should be computerized. Watch the approval status and query reply to be update shortly. To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process. The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, includ...

Greetings from Infosys BPM Ltd., We are currently looking to hire a Senior Process Executive / Process Specialist for our Bangalore location. This is a full-time position where you will be responsible for performing simple to medium back-office transactions for insurance clients (Life/P&C). Additionally, you will handle customer queries via email and ensure the accuracy and timeliness of all transactions. You should be able to process complex transactions, interpret insurance policy documents, and audit work done by processors to improve quality. As a part of your role, you will work on MIS regarding operations handled, update SOPs periodically, and maintain knowledge of changing products, p...

Positions, General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processi...

Role & responsibilities International Voice process Excellent English communication is a must (spoken & written) Freshers as well as Experienced candidates can apply. Rotational shifts & 2 days rotational week off Work Location - Pune (Magarpatta, Phursungi, Viman Nagar) Only Graduates can apply Fast-paced, global work environment. Note :- Interested candidates kindly, share your updated cv on rudrika.sawant@wns.com or contact - 8983041815

We are seeking a dynamic and detail-oriented Insurance Professional for the Legal Department to manage end-to-end insurance policy administration, claims processing, and risk management across multiple sites. The ideal candidate will have experience in insurance handling, preferably in the solar sector, and the ability to manage and coordinate across teams and insurance partners. COMPENSATION & BENEFITS: Medical Insurance Performance Incentives Cool Work Environment Travel Reimbursement (as per company policy) Exposure to challenging legal and insurance portfolios Supportive team and professional development ABOUT SADBHAV FUTURETECH LIMITED: Company Size - ~100 employees Headquarters - Gurga...

Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 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 "As a Travel Claims Team Manager, you w...

Job Responsibilities: Handling RnM & Facilities; Handling day-to-day facilities at the Branches, ATMs and Offices and coordinating with various vendors on a daily basis for maintaining the premises facilities. Coordination with Business Team and supporting them. Maintaining MIS, working on Tool based Reports, closing issues within TAT defined by the Tool, are some of the skills required in the Candidate. Vendor coordination; Constant coordination with Service Partners, working closely with them for getting the needful done at the premises, working and negotiating on the cost with vendors, monitoring the billings and clearing all vendor invoices within the stipulated time frame. Process Orien...

Responsible for overseeing and managing the claims process and ensures all claims are handled efficiently. Act as the main point of contact for customer inquiries,work to resolve issues promptly and Prepare regular reports on claims status.

Job description Team Executive - Claims Adjudication Location : Chennai, Navalur Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication . 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 an...

Key Responsibilities: Assess and analyze complex insurance applications to determine risk classification and premium rates Develop and maintain underwriting guidelines and manuals Communicate with stakeholders regarding application status, additional requirements, and final underwriting decisions Escalate and discuss complex cases with management and medical directors Participate in strategic discussions related to underwriting and offer valuable insights and suggestions on projects Ensure compliance with industry regulations, laws, and company policies Collaborate with agents, brokers, and other stakeholders to gather necessary information and negotiate policy terms Review insurance claims ...

Purpose of Role Looking for a dynamic individual skilled in managing and optimizing our insurance programs across all stages of renewable energy project lifecycles - from development and construction to operations and maintenance. Position Title Manager - Insurance Position Summary The individual will be responsible for identifying, assessing, and mitigating risks through comprehensive insurance strategies, ensuring adequate coverage, and driving cost-effective solutions. This role requires a strong understanding of both insurance principles, and the specific risks associated with large-scale renewable energy projects. Position Demands MBA in Finance/Insurance from a premier institute. 5-7 y...

Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient.Addressing the claims to insurance or Self Pay(Patient Attention) based on eligibility identified.Shift:5:30 PM-2:30 AM/6:30 PM to 3:30 AM

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processin...

Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and securi...

HI Warm Greetings from Rivera Manpower Services , WORK LOCATION : Bangalore /Kochi 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 9986267393 /9380300644 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 det...