1489 Insurance Claims Jobs - Page 5

Role: Back End Operations -US Health Insurance Work Location: 2-15+ years' work experience in back-office US Health Insurance/Retirement pension domain /BFSI can apply Location: Wipro Elcot SEZ, Survey No. 602/03, Elcot Sez, Shollinganallur, Chennai, Tamil Nadu Shift Timing- 5.30pm to 3am Cab Facility- One way drop Work from Office: From Day 2 Onwards (Work from office ) Permanent work profile with Wipro Education - B.com, BA, BBA, Any B.sc (graduates only)/ NO BE/B TECH will be eligible for this hiring Job Summary Strong understanding of client plan provisions/product & processing guidelines and SLA metrics Able to manually perform Benefit processes and complex tasks/calculations that requi...

Excellent communication skills with 8+ years of work exp Should be working as an AM / DM on paper for min 2 years. Team handling exp is mandatory. Strong knowledge of insurance claims (General Liabilities, Auto/Motor, Direct & Property & Casualty) Required Candidate profile Should be flexible with US Shifts Prefer Immediate joiners or max 1 month of notice period

Role & responsibilities Conduct timely follow-up on outstanding payments with customers, corporates, insurance companies, and third-party administrators (TPAs). Manage part-payment and short-payment reconciliations, ensuring accurate tracking and proper accounting entries. Prepare and maintain outstanding reports (daily, weekly, and monthly) for management review. Monitor aging analysis and escalate long-pending dues for resolution. Coordinate with billing, finance, and customer service teams to ensure smooth payment flow and dispute resolution. Maintain accurate documentation and communication records related to payment follow-ups. Assist in month-end closing activities, ensuring proper pos...

Designation: Senior Medical Officer Function: Claims PA/RI Approver Reporting to: Assistant Manager/Manager Location: Andheri East, Mumbai Educational Qualification: BAMS, BHMS, BPT, MBBS, BSc. Nursing Additional Qualification: None Specialization: General Medicine Related courses attended: None Management Level: Junior Management Level Industry Type: Hospital/TPA/Healthcare/Insurance Roles and Responsibilities : Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy. Handle escalations, customer queries and responding to mails accordingly Effectively manage the team so that the targets are met while reducing the no. of ...

NA

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...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon work from Office only Timings: 9:30am to 5:30pm (Monday-Saturday) Contact No-9971006988 through whats app ch...

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

WE ARE CONDUCTING MEGA JOB FAIR FOR TOP 10 COMPANIES WITH IMMEDIATE JOINING, CANDIDATES WITH BELOW SKILL SET CAN APPLY FOR THE ROLE. Mandatory Skill sets & Non-Negotiable (Need to have) Working knowledge of Insurance Domain (P&C or Life) Must possess strong English comprehension skills to effectively engage in client-led training sessions and understand process documentation. A minimum typing speed of 25 words per minute is required to ensure timely and efficient responses during live chat interactions. Clear, confident, and spontaneous communication both written and spoken is essential to manage real-time customer queries and deliver high-quality support. Basic computer literacy is expected...

Key Responsibility: Meet Quality and productivity standards. • Contact insurance companies for further explanation of denials & underpayments • Should have experience working with Multiple Denials. • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. • Should be thorough with all AR Cycles and AR Scenarios. • Should have worked on appeals, AR Follow up, refiling and denial management. Role / Responsibilities: Understand the client requirements and specifications of the project. Ensure that the deliverable to the client adheres to the quality standards. Must be spontaneous and have high energy level. A brief understanding on the ent...

Role & responsibilities Job Overview The Claims Investigator plays a critical role in safeguarding the integrity of life insurance claims by conducting rigorous investigations into potentially fraudulent or high-risk cases. The role demands sharp analytical acumen, compliance awareness, and effective coordination with internal teams and external agencies. It also includes managing vendors and contributing to continuous risk mitigation strategies. Responsibilities Conduct thorough investigations on flagged life insurance claims for fraud, anomalies, or discrepancies. Review and analyze supporting evidence: medical records, PMRs, FIRs, employment history, and police reports. Collaborate with f...

About The Role Skill required: Insurance Services - Insurance Claims Designation: Delivery Operations Team Lead Qualifications: Any Graduation Years of Experience: 7 to 11 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We emb...

Summary As General Insurance Corporate Sales Head, you will be the ultimate face of the business as the point of contact with clients for the General Insurance Department. You will be responsible for acquiring and managing High Net Worth relationships by delivering the best standards of services. Additionally, you have to nurture the sales force of the organisation. Key Responsibilities Responsibilities include, but are not limited to: To lead a team of RMs and nurture them to drive the General Insurance sales. Establish strong ties with clients by designing & implementing their financial plans, and then by ensuring that they receive and execute the right advice for wealth preservation. To b...

Walk-In Interview Alert! Join us at WTW Vikhroli Office for an exciting opportunity with our Global Certification Centre ! Date: Monday, 3 November 2025 Time: 1:30 PM 3:00 PM Location: WTW, Vikhroli Job Title : Advisor / Sr Advisor Job Shift Timing : US Evening shift Experience - 2 - 7 Years Note: Candidate who have worked in Evening shift or Night Shift are eligible for this role Role Role & responsibilities Deliver as per the KPIs defined for the role. To always maintain set SLA Accuracy/quality, TAT standards prescribed by the Business Unit. Manage volumes and delivery expectations as per business requirement Being apt in managing time sensitive work with high level of eye for detail and ...

Responsibilities: * Manage medical billing process from start to finish * Ensure accurate coding and compliance with HIPAA * Identify denials, appeal disputes, and optimize payments Provident fund

Greetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes perfor...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BA Minimum 5 Year(s) Of Experience Is Required Educational Qualification : 15 years full time education Summary: As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather and analyze business requirements, ensuring that the applications meet the needs of the organizati...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare belie...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare belie...

Location: Nagpur Shifts: US shifts Education: Graduate Domain: US Healthcare Roles & Responsibilities: Strong understanding of US Healthcare RCM lifecycle especially Claims Adjudication and Denial Management. Strong analytical, reporting, and problem-solving skills. Hands-on experience with RCM tools / payer portals / claim adjudication systems (e.g., Facets, QNXT, EZ-CAP, or similar). Excellent communication and stakeholder management skills. Proficiency in MS Excel and dashboard preparation. Ability to manage performance in a high-volume, SLA-driven environment. Leadership qualities coaching, motivation, conflict resolution, and team development. Experience in client handling and people ma...

Need 1 to 2 years of experience into US Insurance/Claims. Responsible for Policy administration of Market Insurance Policies. Candidates must possess good communication skills. Open to work in Night Shift.

Responsibilities: * Process claims from intake to payment * Collaborate with stakeholders on claim resolution * Ensure accurate adjudication & payment processing * Meet service level agreements (SLAs) for turnaround time

We are looking for a motivated individual to manage insurance claims, ensuring accurate documentation and timely processing. The ideal candidate will have previous experience in an insurance claims back office and a keen eye for detail. Key Responsibilities: Manage and process insurance claims, ensuring all documentation is accurate and complete. Organize and maintain both electronic and physical files related to claims. Track outstanding claims and follow up with relevant parties to ensure timely resolution. Support the team in managing claim records and data entry. Requirements: Previous experience in an insurance claims back office role. High school diploma or equivalent. Proficient in Mi...

Call Insurance companies on behalf of physicians and carry out a further examination on outstanding Accounts Receivables Prioritize unpaid claims for calling according to the length of time it has been outstanding Call insurance companies directly and convince them to pay the outstanding claims Check the relevance of insurance info offered by the patient Evaluate unpaid insurance claims Call insurance companies and check on the status of claims Transfer the outstanding balance to the patient if he/she doesn't have adequate insurance coverage If the claim has already been paid, ask the insurance company for an Explanation of the Benefits Make corrections to the claim based on inputs from the ...