1525 Insurance Claims Jobs - Page 44

Candidate should have a min of 1 to 4 years of experience in P&C or Specialty Insurance BPO service provider Must have managed FNOL (First notify of loss), FROI (First report of injury), Document Management & Payments Processing Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

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...

Job Title: US Insurance Process Voice Location: Bangalore Job Type: Full-Time & US Shifts Job Summary: We are looking for dynamic and customer-focused individuals to join our US Insurance Voice Process team. As a voice process associate, you will be responsible for handling inbound/outbound calls related to insurance policies, claims, billing, and customer queries for US-based clients. This role requires excellent communication skills, attention to detail, and a strong understanding of insurance practices. Key Responsibilities: Handle inbound and outbound calls from US customers regarding insurance inquiries. Assist clients with policy information, renewals, claims processing, premium paymen...

Job Title: Customer Support Executive - Insurance (Female Candidates Only) Company: Royal Sundaram General Insurance Department: Customer Support Location: Gurgaon Work Mode: Hybrid Experience Required: Minimum 1 Year (Insurance Industry) CTC Offered: 3.00 to 4.00 LPA Preferences: Female Candidates Only Job Description: Royal Sundaram General Insurance is looking for passionate and customer-centric professionals to join our Customer Support team in Gurgaon. The ideal candidate will have prior experience in the insurance industry and be committed to delivering exceptional service to our customers. Key Responsibilities: Handle inbound and outbound customer queries related to policies, claims, ...

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient s insurance, proration to correct financial class and notation within patient accounts providing steps taken to resolve outstanding insurance balance on account. Work an average of 30-40 patient accounts per workday for assigned payor(s) Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting. Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt Communicate effectively with insurance companies for payment of outstanding insurance balan...

As an Associate for the Insurance Claim Settlement process, you will play a crucial role in efficiently and effectively reviewing claims, ensuring all required documentation is in place, and facilitating the seamless settlement of claims Serving as a key point of contact for associates, you will utilize your expertise to address queries, interpret policies, and communicate benefit coverage details Additionally, you will be responsible for coordinating with the onshore team and clients to expedite the closure of claims KEY RESPONSIBILITIES Review and process insurance claims efficiently, ensuring accuracy and compliance with established policies Interpret policies, and fully explain benefit c...

Answer incoming calls and respond to customer queries Research and resolve customer issues using the tools and applications provided Identify and escalate issues to supervisors wherever necessary Document all calls as per the standard operating procedures Follow up on customer calls wherever necessary Identify and escalate to management any deviations observed in the call trends Maintain expected Quality Targets Must ensure the Average Handling Time, Average Speed of Answer and Answer Rate targets are met Meet internal Production, Utilization and Productivity target Qualifications Graduate from a recognized university Proficient in computer applications Knowledge of customer service practice...

Current Designation: Sr. Executive - Claims Proposed Designation Senior Executive - Claims Department/Group: General Insurance Occupied by Location: Mumbai Kandivali Position Type: Full-Time Reports to: Operation Manager Positions Supervised Runner Internal Relation: CRM, Data Management, BDM. Dispatch Mandatory Skills: 1. Sharp Claims can be of various types 2. Empathy - Demonstrates an understanding of the situation and acts fast and cooperatively 3. Communication Skills - Good communication skills will allow the executive to communicate sensitively. 4. Problem Solving The unfortunate truth about this positions is that most of the time, you re dealing with people who have an issue or probl...

Analyst / Senior Analyst Insurance Domain Job Overview: We are looking for a person who has possesses deep expertise in the insurance industry, including premium, claims, reserves, and treaty types, etc . Experienced in broker operations, especially Lloyd's market processes, softwares and regulatory reporting (UK focus). Key Responsibilities - Vednor Onboarding - Due Diligence - Document Indexing & Management - Sanction Screening - Compliance checks - Premium Bordereaux Processing - Knowledge of insurance systems like Acturis, Applied Epic/Eclipse will be added advantage - Experience in the insurance sector, preferably with brokers or MGAs, will be an added advantage - Familiarity with Lloyd...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric app...

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days i...

Skill required:Insurance - Insurance Claims Designation:Management Level - Senior Analyst Job Location:Bengaluru Qualifications:Any Graduation Years of Experience:5 to 8 years What would you do You will be aligned to our Financial Services, banking, Insurance, and Capital Market vertical which is focused on helping clients with their tax preparations, insurance coverage, and investment portfolios. The Insurance team helps clients and organizations transform their insurance operations into a digital, cost-efficient, agile operating model that helps drive sustainable growth and redefine customer experience. This team provides expertise in the areas of employee benefits, life and annuity, prope...

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate 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...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(International) - Intermediate 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 ...

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolut...

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

Job Summary Join our dynamic team as a Claims Specialist focusing on insurance claims adjudication. Utilize your expertise in MS Excel to analyze and process claims efficiently. Work from our office during night shifts contributing to the accuracy and timeliness of claim resolutions. Your role will directly impact customer satisfaction and operational excellence. Responsibilities Analyze insurance claims using MS Excel to ensure accurate adjudication and processing. Collaborate with team members to review and verify claim information for completeness and accuracy. Provide detailed reports on claim status and discrepancies to management for further action. Communicate effectively with stakeho...

To co-ordinate with cashless patients, Insurance companies and corporate for smooth functioning of cashless treatment provided to the patient. To send the pre-authorization forms to the concerned TPAs and to follow-up till receipt of initial approval

Role & responsibilities Demonstrated ability to learn quickly and willingness to obtain functional knowledge and understanding of business procedure and policies. 0 months to 2.5 year of customer service/ Data Entry experience College graduate Good verbal & written communication skills. Demonstrated ability to work in a team environment to improve the delivery of service to internal and external customers. Strong organizational skills. Demonstrated ability to manage stress Basic computer skill Ability to work various shifts within hours of operation. Flexibility is a must, as your shift can/will change to meet business needs. Should have Problem Solving/Analytical Ability along with Judgment...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Sam 9513900440 I. Position Summary Service Support Analyst play a crucial role in Managing customer support operations Ensuring high-quality service delivery Promoting customer satisfaction They combine technical expertise, leadership skills, and a customer-centric approach to drive excellence in service support within an organization. II. Skills and Competencies Excellent Written and Oral communication skills Interpersonal skills Logical thinking and decision making III. Minimum Qualifications and Experience Undergraduate with 1+ years of experience in customer support voice process.

Candidates should have a minimum of 10 - 12 years of management experience in a P&C or Specialty Insurance BPO service provider Expert in US P&C Insurance Understanding of end to end Claims handling Tools using in P&C Insurance Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

Role & responsibilities:- Excellent communication skills Experience in International BPO (Preferably in Insurance domain) Work Location :Pune Graduates Freshers/Experience UK/US Shifts (Rotational Shifts) Note :- Interested candidates kindly, share your CV on rudrika.sawant@wns.com or contact 8983041815

Hurry up Authentic Healthcare is hiring Medical officers Non clinical job AT Noida, HYD , Bangalore Location Role/Position: Permanent Experience: 1 to 2 yrs in TPA or clinical Education: BPT, MPT,BDS, BAMS, BHMS Shifts: Day shift work from office

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answeri...