1525 Insurance Claims Jobs - Page 43

Fresher's willing to work in US Shift (night shift) may apply !!! Role & responsibilities Receives documents from both electronic and hard copy form for processing. Sorts, images, documents, files, and archives by form type. Identifies documents and their purpose, creating a database of information. Classifies documents based on contract requirements. • Captures information based on client requirements. Verifies data from automated data extraction tools. Ensures transmission of processed data to appropriate next level. Requirement Excellent communication skills and Interpersonal skill. Only Fresher's willing to work in US Shift (night shift) may apply. Non Technical Graduate and post graduat...

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- 8951865563 Whatsapp CV mail id -sarika.pallap@mediassist.in

We are seeking a Claims Manager General Insurance to join our growing team at Absolute Insurance Surveyors. The ideal candidate will manage client accounts, oversee the insurance claims survey process, and ensure accurate and timely reporting. Key Responsibilities: Independently manage client accounts, maintaining excellent client relations and satisfaction Oversee end-to-end claims handling from loss notification to final report submission Coordinate with field surveyors and internal teams to ensure timely assessments Respond to client inquiries, provide policy clarification, and manage expectations Review claim documentation and support accurate claim evaluation Ensure compliance with IRDA...

Hiring Alert WNS Pune is hiring for P&C (Property & Casualty) Insurance process. Walk-in Drive: P&C Insurance Process [Back office] Dates: 30th June 2025 to 4th July 2025 Time: 10:00 AM 1:00 PM Venue: WNS Office - C Block, Weikfield Sakore Nagar, Viman Nagar Role: Insurance Process Shift: Rotational / night Location: WNS, Pune, Maharashtra Cab Facility: Available Requirements: Excellent English communication skills. Eligibility: Any graduate with 6months to 1 year Property &Casualty insurance experience can apply Note: Carry a hard copy of your updated resume. POC: Srushti Kadam Don’t miss this opportunity—kickstart your career with us!

Review and validate claims as per hospital MOU terms. Ensure accurate mapping of pricing, packages, inclusions, and exclusions. Coordinate with internal teams for issue resolutions Eligibility: BDS, BHMS, BAMS, BPT graduates. Work Type: Remote

Main Accountabilities Credit Risk Assessment & Monitoring Perform credit assessment and counterparty risk review, prepare score card for credit assessment Liaise with other departments and to seek approvals on counterparty credit risk assessments Conduct due diligence on counterparties Credit assessment and grading for all counterparties Ongoing Review of counterparties in adherence to Credit policy Database Management Updating of summary sheet and saving all the approvals for approved counterparties Annual review of active counterparties Highlight potential high credit risk counterparties Monthly Warehouse Exposure report and highlight limit breach Monthly Credit report Insurance Policy Ren...

Main Accountabilities Credit Risk Assessment & Monitoring Perform credit assessment and counterparty risk review, prepare score card for credit assessment Liaise with other departments and to seek approvals on counterparty credit risk assessments Conduct due diligence on counterparties Credit assessment and grading for all counterparties Ongoing Review of counterparties in adherence to Credit policy Database Management Updating of summary sheet and saving all the approvals for approved counterparties Annual review of active counterparties Highlight potential high credit risk counterparties Monthly Warehouse Exposure report and highlight limit breach Monthly Credit report Insurance Policy Ren...

Greetings !!! We are hiring for top MNC Firms with attractive salary packages in the market. For more clarification about this job role, please feel free to reach out to us on the below mentioned number: Meet Your HR Contact: HR Ananya +91 88844 96986 Rivera Manpower Services *send cv on whatsapp if line is busy* Job Title: Customer Service Representative Banking (Early Morning Shift) Location: [Manyatha Techpark] Salary: 6 Lakhs Per Annum Shift Timing: Early Morning (2am to 5am First login) Employment Type: Full-Time About the Role: We are seeking a proactive and customer-focused Customer Service Representative to join our banking support team. This role is ideal for individuals with excell...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management 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 expe...

Good Knowledge in insurance cashless process in Hospital Exp : 2-4 yrs Qualification : Any Graduate Interested candidate please share your CV on hr1.jh@mmfhospitals.in Mrunalini.S 02041096690 / 8657171616

GOOD KNOWLEDGE IN INSURANCE ,CASHLESS PROCESS INTO HOSPITAL

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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Preferences for this role include: 1.5+ years of experience processing insurance claims in the health, life, or disability disciplines that re...

Greetings from Access Healthcare Minimum 1year of experience required Should have Knowledge in payer or provider experience Candidate should have good communication skills Basic knowledge on Revenue cycle management Salary as per company norms Ready to work in night shift Location : Chennai Interested candidates can drop your resume through WhatsApp - 9944497268/9043315031

Greetings !!! We are hiring for top MNC Firms with attractive salary packages in the market. For more clarification about this job role, please feel free to reach out to us on the below mentioned number: Shiva: +917996772782 Muskaan: 8884496984 Job Title: Customer Service Representative Banking (Early Morning Shift) Location: [Manyatha Techpark] Salary: 6 Lakhs Per Annum Shift Timing: Early Morning Employment Type: Full-Time About the Role: We are seeking a proactive and customer-focused Customer Service Representative to join our banking support team. This role is ideal for individuals with excellent communication skills, a strong service orientation, and a passion for resolving customer qu...

Roles and Responsibilities Manage a team of insurance claims handlers to achieve targets and improve process efficiency. Ensure compliance with regulatory requirements, company policies, and procedures. Develop and implement effective training programs for new joiners and existing staff to enhance their skills. Monitor performance metrics such as quality scores, first-call resolution rates, and customer satisfaction ratings. Identify areas of improvement and implement changes to optimize processes. Desired Candidate Profile 7-10 years of experience in handling insurance claims or related roles. Strong knowledge of UK insurance industry regulations and practices. Excellent communication skill...

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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...

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...

Positions General Duties and Tasks In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Abi...

Scope Of Work* 1.Ensure adherence to established contracts management procedures 2. Review and analyse tender documents from commercial and contractual point of view (Salient 3.conditions, list of clarifications, exceptions and deviations, risk identification and assessment).4.Prepare proposed risk mitigation plan from contractual point of view.5.Analyse reasons for delays and disruptions, identify client related reasons and issue notification and change orders to the client in consultation with the Project Manager. Scope Of Work- Shared Across Functionally o Support Project Manager in all contractual discussions with the client o Develop understanding of internal working of owner/ client s ...

In this Role you will be Responsible For : - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims. Requirements for this role include: - 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to hav...

In this Role you will be Responsible For : - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims. Requirements for this role include: - 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to hav...

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" Positions General Duties and Tasks Required. In this Role you will be Responsible For : - Read and understand the process documents provided by the customer - An...

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...

Interested Candidates may connect with Ms.Zoya Shamsi +91 7251000195 (11am-5pm) About the Role: We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and rejections. Your primary focus will be to provide exceptional customer service while resolving inquiries and concerns effectively, ensuring a positive experience for every Niva Bupa member. Key Responsibilities: Answer incoming customer calls promptly and professionally. Assist customers with navigating medical claims, inclu...

Job Overview: We are looking for a person who has possesses understanding in the insurance industry, including premium, claims, reserves, and treaty types, with strong accounting knowledge. Key Responsibilities Claim Intake and Assessment: Receiving and logging new claims, verifying policy details, and assessing the validity of the claim based on policy conditions. Information Gathering: Collecting necessary information and documentation from claimants, witnesses, and other relevant parties, including photographs, reports, and financial records. Liaison: Maintaining communication with claimants, solicitors, loss adjusters, and other professionals involved in the claim process. Documentation ...