618 Insurance Claims Jobs - Page 5

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 develop innovative ideas break through advancements and innovative solutions to problems Should be aware of all the Corporate Tariffs as agreed and ensure an error free billing from our end Should be able to prepare a complete billing kit and transfer the same to the submissions department as per the TAT Liaisoning Responsible to have regular interaction with consultants in regard to the bills and their payments. Responsible to coordinate and maintain good relations with corporate clients, patients, doctors, and public. Feedback to the Management Responsible for providing feedback to the management on customer/ patient requirements/expectations by maintaining constant relation with patients, visiting operational environment; conducting surveys etc.

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. Responsibilities Leading end-to-end operations for UK motor insurance claims with a team of 100+ FTEs. Overseeing Bodily Injury and Motor Claims processes while ensuring SLA and compliance adherence. Managing senior stakeholders and external partners including legal entities and clients. Driving operational performance, capacity planning, and workforce optimization. Leading transformation, automation, and process improvement initiatives. Coaching and mentoring senior team leads and managers for performance excellence. Monitoring KPIs, conducting root-cause analysis, and implementing action plans. Ensuring strict compliance with UK insurance regulations and internal governance frameworks. Requirements Graduate degree in Business Administration, Insurance, or related discipline. 10+ years of experience in operations management within the insurance domain, with at least 3 years in a leadership role managing large teams. Deep expertise in UK motor insurance claims (including bodily injury claims). Strong command over process improvement methodologies, stakeholder management, and digital tools. Excellent interpersonal, analytical, and leadership skills. Proven track record in leading high-performing teams and transformation programs. Whats in it for you? Leadership role with high visibility and decision-making authority. Opportunity to lead strategic projects and drive digital transformation. Exposure to global insurance operations and best practices. Be part of a growth-oriented, innovation-driven environment. Reach us: If this role aligns with your career goals, email your updated resume to vasu.joshi@crescendogroup.in for a confidential discussion. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are committed to enabling job seekers and employers with a professional and equitable recruitment experience. Scam Alert: We never charge fees or request purchases. Please visit our verified jobs at www.crescendo-global.com . Keywords: Group Manager Jobs, UK Insurance Operations, Motor Claims, Bodily Injury Claims, Large Team Management, Claims Transformation, Client Engagement, Process Excellence, Insurance BPM Jobs, SLA & Compliance Management.

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, including discharge, transfer, and admittance forms. Health unit coordinators also often act as a liaison between patients, nurses, doctors, and different departments within the hospital or care facility. Other tasks can include scheduling procedures like tests and x-rays, transcribing doctors' orders, and ordering medical and office supplies. Health unit coordinators are a part of a broader medical team, and are expected to keep pace with the potentially hurried and stressful environments in which they work. Heath care coordinators work closely with patients on a one-on-one basis. They provide guidance, support, and advice to patients dealing with complex medical issues. These professionals can help their clients navigate through a medical care scenario that may involve a variety of different doctors and treatment methods. Duties can include scheduling appointments, assisting with major decisions, helping patients understand complex medical information, evaluating care quality, and working with other health care professionals to ensure that the correct path is being taken. To Properly Intimate the consultants about credit limits. To make sure the Surgery details, Summary follow ups with consultants. To maintain the good rapport with consultants. Follow ups for consultant Payments. Reporting to Head of the department. Job Title: Executive - Credit Recovery Role & responsibilities: Marking Despatch details & updating claim details in KMH Internals Combinedly doing OS reconciliations as required with TPA/Corporates Sending out monthly OS statements / letters to TPA. / Corporates as may be agreed from timeline Marking Despatch details & updating claim details in KMH Internals Delivering Doctor's cheque with in time line Receiving acknowledgements for cheques submission from doctor & closing the entry in KMH DERN Collecting our Hospital other unit bills & submitting at agreed corporates. Follow up with TPA/Corporates for refund of collectible disallowance Regular follow up for renewing for MOU with TPA/Corporates Submitting Hospital Revised Tariff list to TPA / Insurance Reporting to Senior Officer - Credit Recovery Preferred candidate profile: Any Degree Holder (UG/PG Arts & Science) A minimum of 2 to 10 years of experience in Insurance. Working knowledge of Insurance standards Proficient in Microsoft Office. Strong attention to details. Perks and benefits: ESI, EPF Gratuity Contact person: Naveenkumar - HR - omrhr@drkmh.com

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, procedures, and industry trends. You will be expected to proactively identify and escalate any issues that may impact service delivery to your reporting manager. Preferred skills for this role include knowledge of insurance terminology, basic insurance principles, quota share and excess of loss reinsurance, insurance claims, and technical accounting. If you are interested in this opportunity, please share your resume along with the following details to cs.elakiyadhevi@infosys.com: - Name - Email & Mobile Number - Graduation - Date Of Birth - Post-Graduation (If applicable) - Total experience - Relevant experience - Current/Previous Company name - Current CTC - Expected CTC - Notice period Preference will be given to immediate joiners. Infosys BPM is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive environment for all employees. Thank you and Regards, Talent Acquisition Team Infosys BPM Ltd,

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 processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

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 - Gurgaon, Haryana Company Turnover - 300-350 Cr. Founded Since - Year 2020 Sadbhav Futuretech is committed to providing comprehensive and end to end solutions for farmers across India. Sadbhav addresses the major challenges of farmers through its three service verticals while ensuring value creation for all stakeholders. Our endeavor is to establish Sadbhav Futuretech as Indias first choice for solar project execution, co-operative farming, and cold chain management. We project to become the largest aggregator of farmers in India over the next 5 years. VISION: To be the largest Renewable and Agri-Tech based platform in the country impacting the lives of more than 1 million farmers over the next 10 years. OUR SPECIALITIES: Solar Agricultural Pumps, PM KUSUM Scheme, Kusum Component C, Kusum Component B, FaaS - Farming as a Service, Empowering Farmers, Solar Rooftop Solutions, Solar EPC, Solar Ground Mounted, Solar Rooftop, and Solar Solutions JOB RESPONSIBILITY: Manage complete insurance policy lifecycle, including issuance, renewals, and cancellations for company assets and projects Handle insurance claims for assets, equipment, and warehouse-related incidents Coordinate with internal stakeholders and insurance service providers for smooth claims resolution Ensure timely documentation and submission of all claims and follow-ups until settlement Analyze claim trends and risk exposure and recommend strategies for risk mitigation Maintain updated insurance-related records and compliance documentation Assist in risk assessments and inspections at warehouses and project sites Generate periodic reports and MIS on insurance coverage, claims status, and premium schedules Support internal legal compliance initiatives related to insurance law and statutory obligations DESIRED PROFILE: Minimum 3 to 4 years of experience in insurance handling and claim settlements Must hold a Diploma in Insurance or equivalent certification Experience in the solar sector or renewable energy is preferred Willingness to travel across India (30% to 40%) for on-site inspections and audits Proficient in Hindi and English (spoken and written) Strong coordination and analytical skills DESIRED SKILLS: Knowledge of general & property insurance policies (fire, asset, liability, etc.) Excellent written and verbal communication Hands-on experience in claims documentation and settlement Sound understanding of insurance laws, contracts, and coverage terms Proficient in MS Excel, Word, and reporting tools Strong negotiation and relationship management skills WHY JOIN US? • Work with a fast-growing leader in renewable energy • Be part of an organization making a sustainable impact across India • Dynamic and inclusive work culture • Opportunity to lead key insurance and legal operations independently PREFERENCE: Corporate Office; Unicorn Start-Up; Young Energetic Person

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 will be responsible for managing a team of Travel Claims adjusters, this might also involve investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices." What are we looking for " - Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite." Roles and Responsibilities: "In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts" Qualification Any Graduation

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 Oriented;Working in lines with the Organization and Department Processes and complying with the same. Timely preparation of Capex approvals, initiating Purchase Orders in the Tool, Asset Discarding Process completion, Asset Movement Process, Space management, AMCs, claiming insurance etc. to be handled efficiently. Projects ; Working on Branch, ATM, Office interiors Projects (minor modification and also Refurbishments) and timely completion of the Projects within the given Budget. Timely clearing of the Vendor payments w.r.t the Projects and also completing the Project as per the Organization Designs. Co-ordination; Coordination with Team Members, Business Team Members, Team IT for smooth working of the Businesses. Maintaining cordial relationship with Government Authorities, Premises Landlords, Society Office Bearers, etc. Preferable Bike rider & soft spoken having good knowledge & knowing importance of job offered. One or Two year core experience in maintenance field will be required. Male candidate is to go on field with a Graduation or fresher in Engineering degree holder.

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 and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

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 and terms to determine the amount to be paid out by the company Designate and prepare insurance premiums based on informed judgment and competitor pricing Requirements: Experience required minimum 2 3 years Knowledge of insurance industry standards, practices, and products Strong analytical and problem-solving skills Excellent communication and interpersonal skills Ability to work independently and make informed decisions Experience with underwriting software and databases Professional certification in underwriting preferred

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 years of relevant experience with a large and reputable Renewable or large Corporate, IB, PE Funds, Big 4 Domain experience in Power/Transmission / infrastructure industry. Understanding of the technical aspects of solar, wind, and other renewable energy technologies. Strong understanding of Indian Insurance Market and insurance products Key Accountabilities / Responsibilities Manage the renewal process for various insurance policies, including Property All Risks (IAR/Mega Risk), Business Interruption, Marine Cargo, Construction All Risks (CAR), Erection All Risks (EAR), Public Liability, Environmental Liability, Professional Indemnity, and Cyber Insurance. Review and negotiate policy wordings, terms, and conditions with brokers and underwriters to ensure optimal coverage and competitive pricing, ensuring compliance with local and international insurance regulations and company policies. Conduct comprehensive risk assessments for new and existing renewable energy projects, identifying potential exposures (e.g., natural catastrophes, equipment failure, technology risks, supply chain disruptions, political risks). Oversee and manage the end-to-end claims process, from initial reporting to settlement, for all types of insurance claims. Competencies Behavioural - Achievement Orientation Behavioural - Altrocentric Leadership Behavioural - Analytical Decision Making Behavioural - Customer Service Orientation Behavioural - Impact and Influence Behavioural - Information Seeking Behavioural - Initiative Behavioural - Innovative Thinking Functional - Financial Functional - Operational Functional - People Functional - Strategic About Us At Sterlite Electric, we are passionate about transforming urban transportation. We believe in a future where cities are greener, quieter, and more efficient. Our mission is to provide high-quality electric scooters and smart logistics solutions that empower individuals and businesses alike. Founded on principles of innovation, sustainability, and customer satisfaction, Sterlite Electric is your trusted partner in the electric mobility revolution. Join us as we drive towards a cleaner future.

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 processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement.

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 security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance Call or WhatsApp -9311316017 (HR Manish Singh)

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 detailed information about the accounts/policies via Phone Calls or Emails. To ensure success, Underwriter Assistant should have a friendly and professional attitude, excellent communication skills, and the ability to stay calm under pressure. Should have good understanding of Insurance Domain & minimum experience of 2 years in P&C Insurance. Must have a knowledge of Insurance Life Cycle & worked into minimum 2 different processes. Being an integral part of the production (sales) team in USA, should be ready to work in Night Shift India Time. Work experience in Surplus Lines Insurance or with Managing General Agent (MGA) or with Insurance Broker would be an added advantage. Primary Responsibilities Assist Underwriters in day-to-day duties by: 1. Co-ordinating & collecting information from different stakeholders that requires for underwriting & binding accounts/policies, 2. Binding policies in Carrier as well as Agency Management System along with Invoicing & delivering the same to the clients, 3. Follow-up with clients for bind request, pending information, inspection report recommendation implementation, 4. Ensure all documents/information available in file for policy servicing teams, 5. Handling questions & communication with stakeholders via email & inbound/outbound calls, 6. Updating & ensuring compliance to SL affidavits requirements, 7. Triaging endorsements & cancellations, 8. Facilitating & managing miscellaneous activities that do not require Underwriting decision making Excellent verbal & written communication Graduate with 3+ years of experience in an Insurance domain (P&C /BFSI) Flexible & customer focused Strong problem solving and analytical approach Proactive & accountable Skilled in multi-tasking & prioritizing Exposure to complaints & escalations management Prioritization of work received through different channels Call and book your Interview slots 9986267393 / 9380300644

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

Role & responsibilities Excellent communication written/verbal skills. Act as SME and as well as the point of contact for issue resolution on floor for participants. Maintain positive and proactive communications in delivery of assigned benefit plan for employees. Assist with routine and periodic benefit plan audits. Research and recommend plan changes as needed. Resolve queries using Root Cause Analysis / Quick Solver techniques Participates in identifying and implementing process improvement opportunities. Requirement Excellent communication skills and Interpersonal skill. 2+ years of experience required. Those willing to work in US Shift (night shift) may apply. Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Sr. Associate and your name in subject line

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 sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction 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 Identify the outstanding claims with payers through the reports from clients Place calls with payers with regard to outstanding claims Document the details of the calls made to payers in DBPMS and the client software Coordinate with the team leader in following the processes Requirements for this role include: Ability to work regularly scheduled shifts from Monday-Friday 17:30pm to 3:30am IST. University degree or equivalent that required 3+ years of formal studies of the English language. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 6+ months of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English. 6+ months of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions Preferences: - Ability to communicate (oral/written) effectively to exchange information with our client . **The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement. **All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.

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: Ability to work regularly scheduled shifts from Monday-Friday 8:30PM to 5:30AM or 10:30PM to 7:30AM. High school diploma 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 0-6 months of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English. 0-6 months of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions **The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement. **All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.

Job Description: 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