935 Insurance Operations Jobs - Page 4

About The Role Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations 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 model tha...

About The Role Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 model that ca...

About The Role Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations 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 model tha...

Dear Aspirant, ReSource Pro Operational Solutions Private Limited, Bangalore About ReSource Pro: About Us: ReSource Pro brings to the insurance industry tools, technology and strategic services that enable profitable growth through operations excellence. Headquartered in New York, ReSource Pros global service centers address client operational needs around the clock. Recognized as an industry thought leader and listed as one of Inc. 500/5000 Fastest Growing Private Companies annually since 2009. Over 12,500+ ReSource Pro employees provide dedicated support to more than 600+ insurance organizations, consistently achieving a 96% client retention rate for over a decade. We help you execute your...

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelin...

1. Handle Provider Chat queries and meet client SLA 2. 5-10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & 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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

"1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words"

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing 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 Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Role Overview: You are being sought after to fill the position of AVP Broker Support, a leadership role in P&C Insurance Operations. Your responsibilities will entail overseeing broker support operations for a group of US-based P&C Insurance clients, managing insurance support products, co-owning client relationships, leading product lifecycle management, responding to RFPs, driving operational excellence, and monitoring industry trends. Key Responsibilities: - Oversee broker support operations for a portfolio of US-based P&C Insurance clients, managing 200-300 FTEs. - Manage and enhance insurance support products and solutions, including underwriting and post-placement activities. - Co-own ...

Role & responsibilities Preferred candidate profile

SUMMARY Team Lead - Insurance Operations Greetings From 2COMS Group! Location: Chennai Experience: 8+ years Job Expectations: Proficient in English communication for interacting with customers from North American, Canadian & UK. Accurately analyze and process transactions within specified timelines. Document all completed transactions daily. Contribute significantly to collecting metrics on processes. Foster positive and cooperative working relationships with all team members. Collaborate with the team to achieve common goals. Swiftly resolve issues, questions, and concerns of internal and external customers. Continuously upgrade skills and be open to taking on new/additional responsibilitie...

Job Title: Term Insurance Operations Specialist Experience: 1 - 3 Years in insurance operations Education: Any Graduate Location: Gurugram About the Role: As a Term Insurance Operations Specialist, you will be responsible for ensuring a smooth post-payment customer journey by managing documentation, medical scheduling, and verification processes. You will coordinate with insurers, underwriters, TPAs, and internal stakeholders to drive timely case issuance while meeting monthly issuance targets with minimal TAT and high FTR rate. This role demands strong communication, stakeholder management, and process improvement skills, along with a basic understanding of insurance underwriting and profic...

What will your essential responsibilities include? Learning Catastrophe (CAT) Modeling guidelines and ensuring adherence to them while processing accounts. Getting detailed know-how on the specific lines of business written at AXA XL in order to understand the tasks you perform. Undertaking the processing of various pre and post bind risk modeling tasks via usage of the appropriate application with adherence to the set accuracy, timeliness and productivity goals. The choice of application will vary depending on the product. Analysing the bound package terms/conditions and translating them into the modeling application. Gathering and preparing exposure data to input into the model. Would be r...

Dear Talent, Greetings from ReSource Pro!!! Thank you for exploring a career at ReSource Pro. We would like to inform you we are Hiring for Analyst, SDU at ReSource Pro . If youre interested in learning more, please refer to the Job description below in this mail. ReSource Pro Operational Solutions Private Limited, Bangalore About ReSource Pro: About Us: ReSource Pro brings to the insurance industry tools, technology and strategic services that enable profitable growth through operations excellence. Headquartered in New York, ReSource Pros global service centers address client operational needs around the clock. Recognized as an industry thought leader and listed as one of Inc. 500/5000 Fast...

Role & responsibilities We are seeking a detail-oriented and experienced Quality Executive to join our team. The ideal candidate will be responsible for ensuring the highest standards of quality in our insurance process transactions and voice-based customer interactions. This role requires a keen eye for detail, excellent Audit skills, and a commitment to continuous improvement Preferred candidate profile Quality Audits: Conduct quality audits and provide feedback to teams to improve performance and adherence to protocols. Reporting: Prepare detailed reports on quality metrics, audit findings, and improvement plans. Process Improvement: Identify areas for process improvement Customer Satisfa...

Greetings from ReSource Pro! Job Title: Analyst, Service Delivey Working Experience: 2 - 5 years Department: US Property and Casualty (P&C) Insurance Minimum Qualifications: Any Graduation Purpose of the Position: Join our dynamic team at ReSource Pro India and elevate your career in the US Property and Casualty (P&C) Insurance sector. We are seeking passionate professionals to contribute to our innovative and forward-thinking environment. Key Responsibilities: Insurance Expertise: Mastery in Rating/Online Rating, Quoting, Submissions, Policy Checking and Endorsement tasks. Industry Knowledge: In-depth understanding of Lines of Business (LOBs) such as Workers Compensation, Business Owners Po...

Greetings from ReSource Pro!!! . Job Description Job Title: Manager, Service Delivery, India Working Experience: Minimum 12 years experience, 1 + years of experience as an Manager (on paper). Department: Service Delivery Unit Minimum Qualifications: Graduation Purpose of the Position: In this pivotal role, critical leadership will be expected during this exciting and transformative time for the company a unique opportunity for the right candidate. In this role, you will lead and manage the internal delivery teams to review incidents, problems, and any other operations issues impacting the client. Drive the teams to remediate problems and provide root cause analysis as needed. In this role, y...

Greetings from ReSource Pro!!! . Job Description: Assistant Manager/ Back Office Operation's Job Title: Assistant Manager, Service Delivery, India Working Experience: Minimum 8 years experience, 1+ years of experience as an Assistant Manager. Department: Service Delivery Unit / SDU Location: Bangalore, India / Nagawara Purpose of the Position: In this pivotal role, critical leadership will be expected during this exciting and transformative time for the company a unique opportunity for the right candidate. In this role, you will lead and manage the internal delivery teams to review incidents, problems, and any other operations issues impacting the client. Drive the teams to remediate problem...

You are seeking an experienced professional from the insurance industry to join the team as a Quality Assurance and Training Specialist. Your ideal candidate will have a strong background in insurance operations, a passion for knowledge sharing, and expertise in ensuring quality standards across processes. - Conduct training sessions for new hires and existing employees on insurance products, processes, and compliance. - Monitor and assess the quality of calls, processes, and customer interactions to ensure adherence to company and industry standards. - Provide constructive feedback and coaching to team members to improve performance. - Collaborate with management to identify training needs ...

As an Insurance professional at Kuehne+Nagel, your role is crucial in helping individuals and companies manage and mitigate risks associated with their supply chain. Your expertise empowers teams to master the transportation and storage of fine wines, enabling couples and friends to enjoy memorable dates and celebrations. Your work plays a significant role in creating impactful experiences for people globally. **Key Responsibilities:** - Oversee Nacora Operations to ensure process enhancement and quality service delivery, maintaining high standards of service excellence. - Lead and inspire a team, fostering a positive work environment, building motivation, and strengthening a sense of belong...

Role & responsibilities Insurance industry experienced professional with sound domain knowledge. Keeping abreast with the current insurance industry trends. Pursuing insurance certifications such as CPCU, CII etc. Excellent presentation and communication skills. Having good interpersonal skills including conflict resolution. Self-motivated to work efficiently with little guidance. Proficient with MS Office. Strong analytical skills to analyze given data using prescribed tools and techniques. Underwriting team helps in reviewing, analyzing and compiling loss and exposure data required by the actuaries and underwriters for pricing accounts. The Individual roles will require leading and supervi...

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 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 model that can meet the uniq...

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 Language - Ability: English - Intermediate 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 envi...

Key Responsibilities: claim verification through video calls, review documents, confirm authenticity, assess policy coverage, prepare accurate reports, maintain proper records, ensure compliance, and update claimants with clear communication. Flexi working