1525 Insurance Claims Jobs - Page 40

Greetings, We are looking for Assistant Managers for a leading Insurance Company in Bengaluru . Designation- Assistant Manager This is a operations management role with with a team Management of 50-100 resources and 2-3 TL's. This is a Us insurance Profile where candidate would be handeling end to end responsibility of the whole process. Profile Requirements 7+ years of experience in General Commercial Insurance Minimum 2 years of team Handling. Excellent Communication Skills. Experience in Process management. MIS Reports, and daily team operations, KPI's & similar metrics. Background in BPO\KPO Industry preferred. Comfortable working in US Shifts. Location Bangalore To know more on the role...

Greetings, We are looking for Assistant Managers for a leading Insurance Company in Bengaluru . Designation- Assistant Manager This is a operations management role with with a team Management of 50-100 resources and 2-3 TL's. This is a Us insurance Profile where candidate would be handeling end to end responsibility of the whole process. Profile Requirements 7+ years of experience in Property & Casualty Insurance. Minimum 2 years of team Handling. Excellent Communication Skills. Experience in Process management. MIS Reports, and daily team operations, KPI's & similar metrics. Background in BPO\KPO Industry preferred. Comfortable working in US Shifts. Location Bangalore To know more on the ro...

Join Alpha Torana Shape the Future of Insurance Consulting Alpha Torana is a boutique consulting start-up specializing in innovative solutions primarily for the Insurance industry. We're on the lookout for dynamic professionals to join our growing team as Business Analysts / Senior Business Analysts . Location: Hyderabad / Kolkata (Currently remote; may transition to hybrid/ full-time on-site ) Experience: 4–8 years in Business Analysis Salary: Negotiable based on skills and experience Flexibility: Open to relocation and travel as needed What You’ll Do: Analyze and design solutions across key P&C insurance functions — including Claims , Policy Administration , Multi-national Insurance Progra...

Role & responsibilities Handling backend work of claims MS Excel and word knowledge Maintaining the database and managing files Additional knowledge about claims will be preferable. Preferred candidate profile Perks and benefits

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

POSITION: MEDICAL OFFICER 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 the medical a...

POSITION: MEDICAL OFFICER 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 Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift 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 the medical admissibility of a claim by confirming the diagnosis and treatment d...

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 Chennai Educational Qualification Shift BHMS, , BAMS , BDS, B.Sc Nursing. Rotational Shift (for female employee shift ends at 7:30 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 the medical admissibility ...

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously unde...

About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. About the role The primary job purpose of an Executive Reimburseme...

Project Role : Product Owner Project Role Description : Drives the vision for the product by being the voice of the customer, following a human-centered design approach. Shapes and manages the product roadmap and product backlog and ensures the product team consistently deliver on the clients needs and wants. Validates and tests ideas through recurrent feedback loops to ensure knowledge discovery informs timely direction changes. Must have skills : Insurance Claims Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : minimum 15 years of fulltime educationJob :Key Responsibilities:A:Strong understanding of P&C Insurance End to End claims lifecycle an...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Primary Responsibilities: • Responsible for Quotes generation, Policy Issuance, Policy Cancellation / Endorsement issuance / Refunds etc. for all channels / products of respective branch within defined TATs. • Providing support for faster claim settlement in coordination with the respective stakeholders. • Ensuring 100% Policy Issuance through Policy Issuance Portal for respective branch as per defined TAT. • Supporting customers / PoSPs of respective branch in terms of timely resolution of their issues / concerns in coordination with respective stakeholders. • Following up with ICs / IT / HO Operations Team for timely resolution of raised tickets / issues of respective branch. • Establishin...

Job Description: Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 6 months of experience in medical billing, insurance claims, or a related field and possess strong English proficiency . As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis. Key Responsibilities: Outbound Calling: Make outbound calls to insurance companies and payors to collect essen...

Datamatics Global Services LTD, Nashik is hiring for the Fraud Analyst / Risk Analyst position for GURGAON SECTOR-44 Kindly share you resume: durga.gaikwad@datamatics.com Kindly refer to the below JD. Note : Feel free to contact us in case of any reference - 02536102006 Requirement: Graduate : BCOM / MCOM/ MBA FINANCE Experience of Insurance sector Preference to Insurance sector. Fraud Analyst, Risk Control / Claims Department Good command on English Verbal & Written Good knowledge of MS Excel & Word Email writing Ready to work in flexible working hours. Kindly share you resume: durga.gaikwad@datamatics.com Also share the details below with us. Total Experience: Current CTC: Expected CTC: No...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Wipro hiring for Insurance Back-office profile in Kolkata location. We are hiring Any Graduate fresher OR Experienced. Candidate must be comfortable with WORK FROM OFFICE. *Must BE* Gradutaion is Must The candidate must have good verbal communication skills. The candidate must be staying or ready to relocate to Kolkata. As it is WORK FROM OFFICE. Roles and Responsibilities Candidate will take care of Insurance claims of International customers. Desired Candidate Profile Any Grad fresher- 3.3 Lakhs Experienced- 3.3 Lakh + Inc.+ Cabs Other Benefits Fixed Shift time- US shifts Complete Inbound Voice Profile Cabs in odd hours only If you are meeting the above requirements. Then please please cal...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

NTT Data Services is Hiring! Positions Overview 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. Clients business problem to solve? For more than 30 years, our Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients that bring about real transformation for customers of all siz...

. Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Performs Claims duties under direct instruction and close supervision. Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regardin...

Introduction Gear Inc. is seeking a Team Lead (TL) for a BPO (Business Process Outsourcing) company. Ideal candidates are able to adapt and are well-known for fast-moving and last-moment change. Responsibility 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, pro...