7 Insurance Companies Jobs

Job Description : The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections. . Minimum 1-4 years of Experience in AR callercollections or Patient calling. The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third-Party Administrators. The role is completely target oriented on the number of calls made on a daily basis. . Should have good communication with neutral accent preferred. Follow every aspect of SOP without fail . Complete received Audits with Quality . To achieve Quality and production target. . Follow project related protocols and instructions. . Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. . Check with Manager /TL in case of clarifications . All emails from Manager should be answered promptly without fail . Ensure compliance of entire team for HIPAA, OIG. . Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and regulatory policies, procedures and programs.

The role involves managing the full-cycle credentialing and re-credentialing process for healthcare providers. This includes verifying and maintaining provider documentation, licenses, certifications, and affiliations. Coordination with insurance companies, hospitals, and healthcare organizations for provider enrollment is crucial. Compliance with NCQA, CMS, and other regulatory requirements must be ensured. It is essential to maintain accurate and up-to-date records in credentialing databases. Effective communication with providers regarding application status, missing information, or required updates is necessary. Additionally, supporting audits, reporting, and quality improvement initiatives is part of the responsibilities. The ideal candidate should have a minimum of 1 year of hands-on experience in healthcare credentialing or provider management. Familiarity with credentialing software/systems such as CAQH, NPPES, PECOS, etc., is required. Excellent organizational and documentation skills are essential for this role.,

As a Junior Executive in the Insurance department, you will be responsible for assisting in the processing and coordination of patient insurance claims. Your duties will include verifying insurance coverage, ensuring accurate documentation, and maintaining effective communication with insurance companies, patients, and internal departments. You should have an Any UG Degree qualification and 0-2 years of relevant experience in the field. Freshers are also welcome to apply for this position. This is a full-time and permanent job opportunity with a day shift schedule. If you are interested in this position, please share your CV to careers@karpagam.ac.in or contact us at 9952611173.,

The Credentialing Specialist role involves managing the credentialing and recredentialing process for healthcare providers. You will be responsible for ensuring timely submission of documentation, compliance with regulatory requirements, verification of qualifications, and coordination with insurance companies. Collaboration with the billing team is crucial to resolve issues, track credentials, and support providers in the credentialing process. Continuous improvement of procedures and staying updated on industry trends are key aspects of this role. This position requires familiarity with credentialing software and/or healthcare management systems. A strong understanding of HIPAA compliance and privacy regulations is essential. Excellent written and verbal communication skills, exceptional attention to detail, and proficiency in Microsoft Office Suite (Excel, Word) and credentialing management systems are also important qualifications. The job is located in Noida and is a full-time position. The candidate should have a minimum of 6 months of relevant work experience. The job timing is fixed night shift from 5:30 PM to 2:30 AM IST. For more information or to apply for this position, please contact the employer at 9315906588.,

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact on the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. As a BA Subledger and Accounting, you are expected to possess a degree in Finance, preferably as a Chartered Accountant or a Certified Public Accountant. A strong understanding of business and accounting knowledge of Insurance companies and governing accounting standards, preferably IFRS17, is required. Experience with subledger accounting engine tools like Financial Accounting Hub is essential. You should have a conceptual understanding of event-based accounting treatment, such as understanding lifecycle events and resulting accounting. Working experience on Finance transformation, Sub-ledger/ledger redesign, ERP Implementation projects is preferred. Hands-on experience in system configuration and testing is necessary. Good communication skills are required to collaborate with cross-functional teams and senior stakeholders. Overview: The candidate will be responsible for analyzing business processes, identifying areas for improvement, and implementing IT solutions that enhance efficiency and productivity. The role will involve working closely with stakeholders to understand their needs, documenting requirements, and translating them into technical specifications. You will also be responsible for conducting feasibility studies, cost-benefit analyses, and risk assessments to ensure that proposed solutions are viable and aligned with business objectives. Key Responsibilities: - Analyze financial data and prepare reports. - Review accounting inputs required to support the commentary of IFRS 17 results. - Implement changes in SAS accounting application based on stakeholder requirements. - Conduct variance analysis and identify trends. - Collaborate with departments to ensure financial accuracy. - Assist in budgeting and forecasting processes. - Present financial information to stakeholders. - Use financial software to streamline processes. - Support strategic decision-making with financial insights. - Ensure compliance with accounting standards. - Analyze business processes and identify areas for improvement. - Document business requirements and translate them into technical specifications. - Conduct feasibility studies and cost-benefit analyses. - Perform risk assessments for proposed IT solutions. - Coordinate with stakeholders to gather and validate requirements. - Oversee the implementation of IT projects from inception to completion. - Collaborate with developers, testers, and other IT professionals. - Ensure projects are delivered on time and within budget. - Train end-users on new systems and provide ongoing support. - Monitor and evaluate the effectiveness of implemented solutions. - Prepare and present reports to management. - Stay updated with the latest industry trends and technologies. - Facilitate communication between business and IT teams. - Develop and maintain project documentation. - Assist in the development of business cases for new IT projects. - Ensure compliance with regulatory requirements. - Identify and mitigate project risks. - Provide technical support and troubleshooting as needed. - Participate in continuous improvement initiatives. Qualifications: - Bachelor's degree in accounting or finance (CA - Candidates). - Proven experience as a business analyst or similar role. - Strong understanding of accounting principles. - Knowledge of IFRS 17 reporting, its requirements, and its application to life insurance business. - Proficiency in financial software and tools. - Expertise in Excel skills and ETL knowledge. Preferred Qualifications: - Experience working in financial/insurance industries. - Excellent analytical and problem-solving skills. - Strong communication and presentation skills. - Attention to detail and accuracy. - Ability to work collaboratively in a team environment. Work Location: Whitefield Bangalore Working Mode: Hybrid (3 Days WFO),

Lead and manage the corporate billing department. Billing & Revenue Cycle Management: Client Management: Compliance & Audits:

INSTITUTIONAL EQUITY SALES - LEAD Job description: - Interacting with Institutional clients i.e MFs, Insurance Cos, Banks, FII for regular business. - Increasing revenue, votes, and ranking from Institutional clients. - Spearheading the servicing activities of MFs/ Insurance Cos/ Banks/ FII. Should have existing relationships with Fund house / Insurance companies/ Banks / FII. - Analyzing the market and suggesting trading strategies accordingly. - Coordinating with research team and advising the clients regarding the same. - Proven skills in pushing various stocks in the market and devising strategies for the same. - Maintaining cordial relationship with Dealers, HODs, and Fund managers and coordinating with research -team for trading & fundamental calls. - Arranging conferences and meetings with corporate and sector experts for client. - Meeting the clients on regular basis to understand their requirements. - Analyzing daily market moves with the help of Volumes, gross deliverables, Charts, etc. - Maintaining client portfolio. - Making fresh empanelment, PRFER RESEARCH BACKGROUND • Skills Strong leadership, Effective communication, Deal strategy, Time management, Training and coaching. Gender – Male/ Female Both Can Apply Location – Mumbai Experience – 5 and above Salary – As per Industry Standard and as per relationships with Fund Houses and FII’s.