1525 Insurance Claims Jobs - Page 39

Responsible for managing hospital insurance operations, including claim processing, TPA coordination, documentation, compliance, and team supervision to ensure timely reimbursements and reduce claim denials.

At Alight, we believe a company s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to Be Alight. Our Values: Champion People - be empathetic and help create a place where everyone belongs. Grow with purpose - Be inspired by our higher calling of improving lives. Be Alight - act with integrity, be real and empower others. It s why we re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. With a comp...

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check th...

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA, Inc. currently seeks a BPO HC & Insurance Operations Senior Representative to join our team in "Chennai or Coimbatore " Positions General Duties and Tasks Required. In this Role you will be Responsible For : - Read and understand the process documents provided by th...

Manage the team by determining the tasks for day to day activity within the operational context and working with the Manager and team members to ensure delegated operational goals and targets are achieved.- Monitor team performance including staff metrics (e.g. leave, attrition etc.)- Display a clear level of understanding of all performance reporting- Lead and develop a diverse workforce, drive an inclusive culture, foster a team environment where people are accountable for safety and wellbeing- Build a resilient, highly engaged/agile team, with a culture of simplicity, innovation and continuous improvement- Adhere to Suncorp Group policies including but not limited to, - Manage the team by...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services a...

Job Title: Customer Service Representative - Global Individual Health Operations Location: CHSI Bengaluru Office (100% Office-Based) Job Type : Full-time About Us: We are seeking a dedicated and empathetic Customer Service Representative to join our Global Individual Health operations team at Cigna. As a leading provider of private medical insurance worldwide, we are committed to delivering exceptional customer experiences to our expatriate clientele. Responsibilities: As a key member of our Customer Service Team, you will be the first point of contact for our global customers, providing unparalleled support via telephone, live chat, or email. Your responsibilities include: Ensuring first co...

Join JPMorgan Chase & Co. and be part of a team that values your contributions and supports your professional growth. We offer competitive salaries, comprehensive benefits, and opportunities for advancement within a supportive culture. Experience a high-energy work environment with dedicated colleagues. Job Summary As a Transaction Supervisor within Chase, you will lead a team dedicated to managing auto customer accounts while ensuring adherence to the Service members Civil Relief Act (SCRA) and firm policies. You will offer guidance on processes involving vehicle repossession, voluntary surrender, and total loss insurance claims. This role demands a strong commitment to achieving business r...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

I am hiring for this position for one of our Life Insurance clients. Role & responsibilities Prudent claim Assessment and management of end-to-end claim settlement /repudiations, including Life, Group claims Coordinate with Reinsurers /sales/customers for closure of claims within the regulatory framework and timelines Direct and oversee the maintenance of complete and accurate claim management records. Managing the claim teams on day-to-day claims transactions, guidance on claims philosophy, regulatory, and audit procedures Ensuring daily claim deliverables are met and claims decisions within prescribed SLA with quality Ensure customer centric approach while delivering sensitive area of deat...

Job description: We are hiring Claims Adjudication Experienced HR Recruiter (Reference): Sam Jeshurin Job Location: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103. Landmark: Near Vivira Mall. Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit: We provide cab Up to 30 km (One way drop cab | Doorstep only) Minimum Eligibility: 1. Minimum 1 year experience in Claims Adjudication Process. Note: This is not for Freshers and Direct walk-in interview (No Virtual) Walk-In Details: Walk-In Days: Monday To Friday Walk-In Time: 10:30 AM - 2:00 PM Documents to carry: 1. Updated resume 2. Aadhar card 3. P...

The candidate must have completed BHMS, BAMS, or BUMS from a reputed university." Experience : 0 to 2 years Locations : Bangalore, Chennai and Mumbai / Pune Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and control...

Overview Our client is in a chemical trading, manufacturing, and logistics, with operations across India, UAE, and other global markets is looking for a detail-oriented and organized Logistics and Documentation Executive , based in Andheri East, Mumbai , to manage and oversee all aspects of shipping and logistics documentation. The ideal candidate will ensure accuracy, compliance, and timely processing of documents while proactively resolving discrepancies and addressing issues with efficiency. Key Responsibilities Applying for Chamber of all Sea Shipments. Preparing all SEA Documents for all Areas after loading. Submission of Bank Documents for SEA shipments to Finance Department. Applying ...

Company Description Vee Healthtek delivers cutting-edge solutions that transform healthcare organizations. With a focus on customized strategies, we provide tailored services to address unique challenges and drive growth. Our technology-driven solutions empower organizations to thrive in the healthcare landscape, improving workflows and efficiency. As a trusted partner, we are committed to delivering tangible outcomes and driving sustainable growth for our clients. Role Description This is a full-time on-site role for a Medical Billing Customer Support position at Vee Healthtek in Mohali district. The role involves providing support during night shifts and handling tasks related to medical b...

Must be prepared to work night-shift Must have good knowledge of written and spoken English. Ability to use computer and latest OS systems and Application software. Outstanding communications and interpersonal skills. Required Candidate profile Strong knowledge of all types of Insurance plans, Eligibility verification Appeal for denied claims in order to receive payment. basic knowledge of RCM. • AR calling experience

Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility, the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating...

Basic Function Handle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems. Promptly review new FMLA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision. Perform leave administration tasks as required, including recertification of health condition, intermittent claim track...

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...

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred L...

Looking for an Accounting Receivable Specialist with 1+ year of U.S. medical billing experience, knowledge of EOBs, denials, CPT codes, and U.S. insurance. Must work U.S. shifts from Pune. Healthcare experience required. Provident fund

Job Roles & Responsibilities Handle property claims from receipt to settlement, ensuring timely resolution and customer satisfaction. Conduct thorough investigations into claim incidents, gathering evidence and interviewing witnesses as needed. Analyze policy coverage, assess damage extent, and determine appropriate settlement amounts. Collaborate with adjusters, agents, and other stakeholders to resolve complex cases efficiently. Maintain accurate records of all interactions with customers and internal communications. Process Info Shift Timing: US shifts Qualification: Graduate (Mandatory) Week Off: 2 Rotational Minimum 6months experience of Insurance processing, backend/operations BPO All ...

Role & responsibilities Shift timings (01:30 PM - 10 PM ) Hybrid Mode- Work from office. Looking for Immediate joiner. What will you do? Review complex claims and estimates for completeness and follow processes for incomplete information on claims Assess and adjudicate complex claims and estimates Assessing includes studying dental information and plan provisions, researching, documenting results and communicating verbally and or in writing with the client (member/sponsor) to obtain additional details in order to make an informed decision Meet production and quality standards set for individuals, teams and department (timeliness, quality and service) Handle external and internal inquiries vi...

Analyst Claims- Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-Frty vendors to gather necessary information and documentation for claims processing. Collation of data and information of claims for reporting purposes Investigate and evaluate claims to ensure accuracy and completeness. Prepare and present reports and recommendations to management regarding claims status, trends, and outcomes. Involvement in subrogation requests and required follow-ups. Communicate with clients and stakeholders regarding claims status and resolution. Provide support to other...

About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, and India. Our rightshore delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 compan...

Process: BackOffice Shift Timing: US shifts Qualification: Graduate (Mandatory) Week Off: 2 Rotational Salary: Annual- 3.75LPA (Based on Last drawn) Inhand- 27k Minimum 6months experience of Insurance processing, backend/operations BPO All documents required. Rounds of Interview: 1. HR Round 2. Ops Round Work Location: Loma IT Park DOJ: 14th July 2025