1489 Insurance Claims Jobs - Page 7

Hiring Revenue Booking Specialist | Insurance Domain | Mumbai Work Mode: Hybrid Shift: Day Shift (No transport facility provided) Responsibilities : Manage and enhance revenue booking processes. Validate renewal entries and perform weekly checks. Experience: Minimum 7+ years of experience Insurance domain experience is mandatory Exposure to the Indian Market Prior Insurance Broking experience General Requirements: Strong knowledge of insurance, placement, claims, and reconciliation processes Excellent communication and analytical skills Ability to work effectively in a hybrid setup with day shifts.

Hiring For US Healthcare Voice Any graduate 3+ Yrs exp in CTC: Upto 10 LPA Location: Pune. (hybrid) NP: 0-30 Days 9049866622 | shweta@talentams.com Required Candidate profile 3 + yrs exp in healthcare voice P&C Voice EXCELLENT COMMUNICATIONS ONLY Perks and benefits Both way cabs Hybrid after 6 months Joining.

AR Calling/AR Caller

We are looking for a dedicated and efficient Voice Process Agent to join our Revenue Cycle Management team, specifically focusing on providing support to our US healthcare clients. In this role, you will handle inbound and outbound calls, ensuring that all client inquiries, billing issues, and claims follow-ups are managed professionally and accurately. You will be a critical part of the end-to-end revenue cycle process, helping to streamline healthcare billing and collections operations. Key Responsibilities: Handle inbound and outbound calls from US-based healthcare clients, ensuring a high level of customer satisfaction. Provide detailed information regarding patient billing, insurance cl...

Role & responsibilities Perform audit reviews of adjudicated health / hospital / medical claims to verify correctness, completeness, and adherence to policy guidelines, contractual terms, and regulatory norms. Use sampling and systematic review techniques (random audits, targeted audits, high-value claims audits) to ensure quality coverage across volumes. Check for proper documentation, coding (ICD / CPT / procedure / diagnosis codes), member eligibility, policy coverage, benefit limits, copayments, exclusions, etc. Validate whether preauthorization, referrals, or supporting documentation was appropriately obtained / processed. Identify and flag discrepancies, overpayments, underpayments, du...

Job Description: 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 IRs raised. Ensure that the claims are approved or denied as per the terms and conditions within the TAT. Provide supportive and positive experience to the new joiners and train them. Gather inputs from various sources and keep up-to-date on the new policies or changes in existing policies and intimate the Configuration team and the CRM team Manage a group of claim processors, guide and coach them...

HELLO JOB SEEKERS!! GREETINGS FROM SHININGSTARS!! ONLY GRADUATE FRESHERS AND GRADUATE EXPERIENCED CAN APPLY IMMEDIATE JOINERS ONLY. Are you ready to kickstart an exciting career with a dynamic multinational BPO in BANGALORE ? ShiningStars is on the lookout for enthusiastic individuals to join our team, and it could be YOU! PROFILE- CLAIMS ASSOCIATE PROCESS- BLENDED PROCESS LOCATION- BANGALORE ( KUNDANHALLI ). ROLES AND RESPONSIBILITIES- ELIGIBILITY- *Graduate Freshers / Experienced can only apply. *Minimum 2 years of experience is mandatory in Claims. *Freshers Must be from Commerce background. *Experience in voice or blended process is mandatory. *Communication Skills: Brilliant presentatio...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

As a Process Analyst– Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communica...

Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in ...

Job description: Position: Field Exec. Salary: Up to 20,000 Locations with vacancy: 1. Topsia-1 2. Saltlake-1 3. Dumdum-1 4. Arambagh-1 5. Goghat-1 6. Gurap-1 7. Dhaniakhali-1 8. Chanpadanda-1 9. Pursurah- 1 Requirements: 1. Own bike for travelling

Role & responsibilities Claims Processing & Coordination Facilitate the Green Channel process to ensure zero waiting time for patient admissions and discharges. Support the end-to-end processing of cashless and reimbursement claims efficiently. Liaise with the Head Office to resolve claim-related issues promptly. Address and resolve patient grievances related to claims processing, escalating unresolved issues when necessary Collaborate with hospital staff to ensure seamless admission and discharge procedures for insured patients. Adhere to strict protocols to prevent fraudulent activities in claims processing. Enhance customer satisfaction by reducing waiting time for admissions, claims, and...

Job Purpose To collect, check and compile data pertaining to all Property Insurance policies for all Units for enabling timely renewal, accurate insurance coverage, policy compliances and premium refund. To check and maintain the policy documentation and data (physical and soft) for quick retrieval. To effectively handle all claims below Rs.1 Cr. Maintenance and accounting for Cash deposit accounts with Insurance companies. Job Context & Major Challenges -Follow up with Units and Surveyors for Claims (which are less than Rs. 1 Cr.) related requirements and documentation. Entails dealing with too many people on regular basis. -Regular (in fact daily) Follow up is required with Insurance Compa...

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 regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and m...

Mysore Shift: US Shift / Night Shift-Work from Office CTC: Up to 4 LPA Notice Period: 0–15 Days Min. 1 year in US Healthcare Claims B.Sc. (Science) background preferred Based in or willing to relocate to *Mysore* sravani.asarla@liveconnections.in

Designation -Process Specialist_(Back Office-US Insurance) Location-Pune Experience-1+Years Notice Period-Immediate joiners Education-BCOM/BBA/MBA/MCOM Key Requirements: Experience: 1+ years in US Insurance domain Skills: MS Excel & PowerPoint Good communication (written & verbal) Problem-solving and troubleshooting Work Type: Data-related back office tasks Shift: 247 availability, including US holidays Basic Skills Required: Domain Knowledge: US Insurance (Understanding of insurance processes and terminology) Process Type: Back Office Data Processing Technical Skills: Proficiency in MS Excel and PowerPoint Communication Skills: Strong written and verbal communication Other Skills: Good trou...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Department: Insurance Reports To: HOD Insurance Job Summary: The Insurance Coordinator is responsible for managing all aspects of patient insurance processes, including verification, preauthorization, documentation, claims submission, and follow-up. The role ensures smooth coordination between patients, insurance companies, and hospital departments to facilitate timely and accurate claim settlements. Key Responsibilities: Insurance Verification & Preauthorization: Verify patients insurance coverage, eligibility, and policy details before admission or treatment. Obtain preauthorization from insurance providers for procedures, surgeries, and inpatient admissions. Documentation & Coordination: ...

Responsibilities: Register insurance claims with complete, accurate details Update claims tracker regularly Collect and follow up on required documents Prepare monthly & quarterly MIS reports Coordinate with teams for data accuracy & issue resolution

Responsibilities: Handle inbound and outbound calls for healthcare customers Provide information and support regarding insurance and claims-related queries Maintain call quality standards and ensure a positive customer experience Document call details accurately and follow company compliance guidelines Achieve daily and weekly performance goals Selection process: Operations round Requirements: Hsc or graduate in any stream Minimum six months of experience in a voice-based customer service profile Excellent english communication skills (verbal and written) Flexible to work in rotational shifts Candidates preferred from areas between cst to thane, churchgate to mira road, and cst to vashi Abou...

Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment. Genpact (NYSE: G) is anadvanced technology servi...

PFB Details Level SME Skill – Property and Casualty insurance either in Underwriting/ Policy Servicing/ Endorsements/Renewals Overall Exp – 5+yrs Criteria – Only female diversity candidates are preferred. Minimum of 12+ months of career gap is mandatory due to various reasons like maternity, childcare, to take care of ailing parents/spouses, accompanying the spouse during long term travel etc. Max CTC – 6.5LPA Location – 1st priority – Noida, 2nd priority – Chennai – 3rd priority – Hyderabad Level – TL Skill- Property and Casualty insurance either in Underwriting/ Policy Servicing/ Endorsements/Renewal. Minimum 2+ yrs of team management experience is mandatory. Overall Exp – 9+yrs Criteria –...

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we're having opening in Cashless Department for Medical Officer Profile. Role & Responsibilities: Cashless Claim Management: Review and process pre-authorization requests for cashless hospitalization, ensuring all required documentation is complete and accurate. Medical Scrutiny: Analyze medical records and reports to validate claims ...

Were Hiring for Insurance Claims Associate! Interested candidates can drop your resume to the mentioned contact - 7569452008 Are you detail-oriented and passionate about maintaining a safe and respectful online space? Join our team as a claims associate in Bangalore! WE ARE HIRING FOR: *Immediate joiner required *Excellent Verbal communication skills Position: Insurance Claims Associate Minimum Qualification: Non-Technical education background required (Eg.BA,B.com,BBA) Experience: Minimum in between 1 year experience into claims processing. Shifts: Rotational Shifts. Week Offs: Rotational offs. 2-way transportation will be provided. Candidate must stay in the 20kms from the work location Lo...

TBC We are seeking an experienced AR Caller to join our dynamic team. The ideal candidate will have a background in accounts receivable or medical billing, and possess strong communication skills to effectively engage with patients and insurance providers. Responsibilities Make outbound calls to patients and healthcare providers to follow up on outstanding accounts receivable Verify insurance eligibility and benefits for patients Document all interactions with patients and payers accurately in the system Resolve billing issues and disputes with insurance companies Coordinate with internal teams to ensure timely collection of payments Generate reports on collection activities and provide upda...