20 Insurance Process Jobs

Spes Manning Solutions is actively seeking dedicated and detail-oriented individuals to join our team as a Healthcare Claims Associate for our US Healthcare Insurance Process . This is a great opportunity to work in a critical and highly-regulated industry, helping customers navigate the complexities of their health insurance. You will be responsible for a variety of tasks, from processing claims to providing direct support to members and providers. Key Responsibilities Process health insurance claims and ensure full compliance with federal and state regulations, such as HIPAA and the ACA . Provide support to members regarding policy coverage, billing issues, and provider networks. Coordinate with healthcare providers , internal departments, and third-party administrators to resolve issues. Perform eligibility verification and enrollment updates accurately. Assist with prior authorizations, appeals, and denials when applicable. Maintain accurate and timely documentation in internal systems. Eligibility Criteria Qualification: 10+2 / Any Graduate (any stream). Excellent verbal and written communication skills in English are mandatory. Knowledge of additional regional languages is a plus. Basic computer knowledge and the ability to navigate various software applications. Ability to work in rotational shifts , including night shifts . A positive attitude and a strong willingness to learn and grow. Benefits Competitive salary and performance-based incentives . Paid training will be provided to all new hires to ensure you're fully equipped for the role. A friendly and supportive work environment. Excellent career growth opportunities within the healthcare domain. How to Apply To apply for this position, please send your updated resume directly to: HR ISHA Phone: 7447719444 Email: [HIDDEN TEXT]

Spes Manning Solutions is seeking an experienced and dynamic Senior Manager to lead a team in the US Property & Casualty (P&C) - Underwriting domain. This is a crucial leadership position for a professional with a strong background in P&C underwriting and a proven track record of managing and mentoring teams. You will be responsible for overseeing a team of Assistant Managers, ensuring high performance and operational excellence. Key Responsibilities Lead and manage a team of up to 10 Assistant Managers. Oversee and ensure the quality of P&C underwriting processes for US clients. Mentor and guide team members to achieve performance targets and professional growth. Collaborate with stakeholders to drive operational efficiency and client satisfaction. Provide subject matter expertise in US P&C underwriting to resolve complex issues and challenges. Qualifications & Requirements The candidate must be an existing Manager with proven experience in a similar role. Must have strong skills in US P&C - Underwriting . A track record of successfully managing and developing a team. Salary & Compensation The salary for this role is fixed at ?15-16 LPA . How to Apply To apply for this opportunity, please send your resume or contact: Kuraisa Shaikh Email: [HIDDEN TEXT] Phone: 9762135147

Airline ticketing / Railway inquiry / Hotel Booking (Voice Process) -Excellent English communication -HSC/Graduate -Fresher/Experienced -CTC up to 40000 PM -Shift 24/7 any 9 hrs ( one way transport) weekly 2 off Contact : recruiter1@rankskills.in

-Lead generation stock market /banking customer(Voice) -Social media marketing(Blended) -English communication -HSC / Graduate -Fresher / Experienced -CTC up to 32000 PM -Shift : 7am - 12 am any 9 hrs ( Drop facility for night shift) weekly 1 off

You are invited to apply for the position of Team Leader LBO (Insurance Process) at our company located in Noida, Sector 2. In this role, you will be responsible for leading a team involved in handling complex insurance or BPO processes. We are specifically seeking individuals with a minimum of 2 years of experience as a Team Leader, with prior experience in Property and Casualty (P&C) insurance or other complex international BPO/KPO processes. Your primary responsibilities will include leading and managing your team, driving performance through coaching and structured reviews, ensuring process compliance, quality, and client satisfaction, as well as supporting escalations, reporting, and continuous process improvements. To be successful in this role, you must possess strong people management and leadership skills, excellent communication and stakeholder management abilities, and a proven track record in process improvement and performance management. Preferred candidates will have a background in the Property and Casualty Insurance industry or BPO/KPO (Voice or Non-Voice) within an international setting. If you meet the key requirements and have a passion for leading teams in a dynamic environment, we encourage you to send your updated resume to hirewave@outlook.com or contact us at 8271273330 to apply for this exciting opportunity. We look forward to welcoming experienced and dedicated Team Leaders to join our team and contribute to our continued success.,

Job Summary: We are looking for a dedicated and experienced Lead Specialist - Quality to oversee and drive quality assurance activities for the CAMSRep non-voice process in the insurance domain. Key Responsibilities: Lead the quality assurance function for the CAMSRep non-voice process, ensuring adherence to defined quality standards and SLAs. Conduct regular quality audits, evaluations, and provide constructive feedback to improve process efficiency and accuracy. Analyze quality data, identify trends, and recommend corrective actions to reduce errors and improve customer experience. Collaborate with operations, training, and process teams to drive continuous process improvements. Prepare and present quality reports and dashboards to management. Mentor and coach team members to enhance their quality monitoring skills and overall performance. Ensure compliance with regulatory and company policies related to quality standards. Support in the development and implementation of quality frameworks, SOPs, and best practices. Handle escalations related to quality issues and work with cross-functional teams for resolution. Required Skills and Qualifications: Minimum 4 years of experience in quality assurance or quality control within the insurance / BFSI domain. Strong understanding of non-voice processes, preferably in insurance-related processes. Excellent knowledge of quality tools, metrics, and methodologies (e.g., QA scorecards, root cause analysis). Proven skills with experience in mentoring a quality team. Analytical mindset with the ability to interpret data and generate actionable insights.

Job description Handling &Vetting of Non Motor & Motor Claim Files of all LOB including Examining, Inquiring, Investigating, Verifying Checking upon the Preparation of claim MIS discussion with Surveyor and Insurer for settlement of claim within fixed TAT. Education UG: B.Tech/B.E. in Any Specialization

We are actively seeking a highly skilled and meticulous DM/Manager - Policy Issuance to join our client's team through Acme Services . This pivotal role is responsible for overseeing the end-to-end policy issuance operations, ensuring seamless system functionality, and managing the implementation of new products and regulatory changes. The ideal candidate will possess strong capabilities in Business Requirement Writing (BRD) , UAT management, and have an excellent understanding of insurance terminology and regulations, all while demonstrating strong communication and multi-tasking skills. Key Responsibilities Operations Management : Oversee and manage the workflow system/policy login system and releases for new business , ensuring efficient and accurate processing of policy issuances. Product & Regulatory Implementation : Take ownership of the set up of new products & riders, regulatory changes, and new channel set up within the policy issuance systems. Business Requirement Documentation : Lead the creation and refinement of Business Requirement Documents (BRDs) , translating business needs into clear technical specifications. System Release & Quality Assurance : Ensure error-free system releases without any production outages , maintaining system stability and reliability. Stakeholder Coordination : Work collaboratively with internal stakeholders , including IT and Field Operations, to ensure smooth alignment for releases . UAT Management : Responsible for writing BRDs and comprehensively managing their UAT (User Acceptance Testing) execution to validate new functionalities and changes. Key Competencies/Skills Strong proficiency in Business Requirement Writing (BRD) . Expertise in creating test cases/scenarios for given requirements . Proven ability in managing UAT execution . Excellent Verbal & Written Communication Skills with the ability to handle business partners effectively. Strong multi-tasking capabilities with an eye for detail . Well-versed with Insurance terminology and regulations . Qualifications Proven experience in operations management within the insurance sector, specifically in policy issuance. Demonstrable experience in managing system releases, new product setups, and regulatory changes. Strong analytical skills and attention to detail.

Hiring for International Voice Process (Insurance) Grad/Undergrad with 1 yr intl. voice exp Mon-Fri | Sat-Sun fixed off Both-side cab provided Salary up to 5.5 LPA Apply now for a stable role with great perks Join a dynamic team and grow your career

Job Summary: Manage day-to-day call center operations to meet client targets, ensure high process quality, prevent revenue leakage, and maintain team attendance and productivity. Key Responsibilities: Achieve 100% client target fulfilment and meet all service TATs. Share reports and call records daily; ensure timely data purging. Maintain process quality at 95%+ Ensure 100% accurate updating of call dispositions. Monitor and meet connectivity targets. Prevent revenue leakage and raise monthly invoices within TAT. Manage attrition and minimize unplanned leaves. Qualifications: Bachelors degree or equivalent. 5+ years in call center or customer service operations preferably from insurance domain. Fluency in English and Hindi mandatory Strong communication, analytical, and problem-solving skills. Familiarity with call center tools and KPIs.

Job Responsibilities Scrutinizing dental claim documents & settlements Process claims as per the set healthcare guidelines Follow HIPAA guidelines Accurate processing of Dental claims and meeting productivity targets Good understanding of Claims adjudication fundamentals Good understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process Handle escalations Need to ensure quality and productivity targets are met Ensure compliance with internal policies and procedures, external regulations and information Technical Skills/other skills Computer navigation skills Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy) Working knowledge of MS Excel and MS Word. Process Specific Skills Knowledge of Insurance principles in relation to the US Insurance industry Knowledge about US Culture Knowledge of Dental claims terminologies and processes will be an added advantage Strong organizational skills Good communication skills Demonstrate ability to work independently and in a team environment Self-disciplined and results oriented Ability to multi task Strong understanding and comprehension of the English language Good PC skills Attention to detail Team player Positive attitude

Requirements: Minimum 1 year of BPO experience (international voice mandatory) Strong command over English (both verbal and written) Comfortable with rotational shifts Immediate joiners highly preferred Job Responsibilities: Handle inbound and outbound calls related to UK-based insurance queries Assist customers with policy details, renewals, claims, payments, and endorsements Verify customer information and update policy records accurately Educate customers about insurance terms, benefits, and processes Provide first-call resolution and reduce repeat call volumes Document customer interactions, transactions, and feedback properly in CRM tools Maintain confidentiality of customer data and adhere to GDPR guidelines Escalate complex issues to the appropriate department or supervisor Meet or exceed defined KPIs like AHT, CSAT, Quality Score, and Attendance Collaborate with team members to meet daily/monthly performance targets Participate in team huddles, training sessions, and quality improvement plans Stay up-to-date on UK insurance products, policy changes, and regulations

Candidates who want to apply for the role can share their CV's to Email: saumyasirothiya@aesl.in Share your Cv's through whatsapp: 9625972018 Job Title: Quality Analyst Desired Work Experience: - 6-7 Years as a Quality Analyst Educational Qualification: Graduate and Above. Woking Days: 6 Days; Rotational Day Shifts and Rotational Off Work Location: Mayapuri, Delhi Role & responsibilities Implement and ensure Call Quality Audit. Implement relevant measures to achieve desired level of Customer Satisfaction. Monitor Call Quality & Analyze training gaps required for Customer Satisfaction. To ensure that our call center agents are interacting with customers in accordance with company's set guidelines and are serving in best interest of business. Monitor calls to measure performance and facilitate business strategic objectives to improve overall Business performance. Work on a continuous process of evaluating and identifying key behavior that drives sale and improve customer experiences.

Key Responsibilities Handle insurance portfolios with prior outbound calling experience Communicate effectively with strong spoken and written English Manage and support multiple lines of business (LoBs) Handle New Hire (NH) batches with effective onboarding and engagement

Join Our International Medical Insurance Location - Electronic City, Bangalore Schedule: Mon-Fri, Sat-Sun OFF Perks:Free Two-Way Cab Salary: Up to 28,000/month NOTE - Only experience Contact HR Nancy:** 9606971196

-BFSI Processes -HSC or graduate Exp :Freshers - up to 1 yr with excellent English communication 24*7 rotational shifts , 5 days working any two week offs CTC up to 45k PM Location - Malad Boundaries Interview rounds - HR - AMCAT before ops - Ops

Position description: 1 Enhancing the quality of IT products and services. 2 Analyzing the design of technical systems and business modelsilize IT data for business insights. 3 Source and implement new business technology. 4 draft nonfunctional requirements which include the systems quality attributes, such as usability, security, reliability, performance, availability, and scalability. 5 Compare the overall scope with the promised business value. Primary Responsibilities: 1 Ennhancing the quality of IT products and services. 2 Analyzing the design of technical systems and business modelsilize IT data for business insights. 3 Source and implement new business technology Educational qualifications preferred Category: Graduate Diploma Field specialization: Degree: Bachelor of Engineering - BE, Bachelor of Technology - BTech Academic score: Institution tier: Required Skills: Insuarnce Knowledge Insurance Process Requirement Gathering SQL Required abilities Physical: Other: 1: Communication skills - ability to listen, understand and pass on the understanding to the team2: Exceptional problem solving skills3: Leadership and Management skills 4: Should be flexible and supportive when situations demands 5: Team management 6:Analytical skills

Roles and Responsibilities Design and deliver training programs for banking processes, soft skills, sales, and insurance processes. Conduct on-the-job training (OJT) sessions to enhance employee performance. Collaborate with subject matter experts to create engaging learning experiences. Develop and maintain training materials, including presentations, manuals, and online modules. Monitor trainee progress and provide feedback to improve overall performance. Desired Candidate Profile 2-7 years of experience in BFSI industry or similar field. Strong understanding of banking process, finance process, sales process, and insurance process. Excellent communication skills with ability to train diverse groups effectively. Proficiency in creating interactive e-learning modules using tools like TNI or OJT.

Job Description Insurance Process Position : Insurance Process Location : Kharadi, Pune Shift : Rotational Shift (Day shift for females until 9 PM; Rotational for males) Job Type : Permanent Notice Period : Immediate Joiner Language Skills : Excellent communication skills in English and Telugu, Malyalam and Kannada . Education : Graduate in any field. Writing Skills : Strong English writing skills. Experience : 1-5 Years Preferred : Insurance experience and sales acumen

Candidates who want to apply for the role can share their CV's to saumyasirothiya@aesl.in Contact No. 9625972018 Job Title: Quality Analyst Desired Work Experience: - 3- 6 Years in quality Educational Qualification: Graduate and Above. Woking Days: 6 Days; Rotational Day Shifts and Rotational Off Role & responsibilities Implement and ensure Call Quality Audit. Implement relevant measures to achieve desired level of Customer Satisfaction. Monitor Call Quality & Analyze training gaps required for Customer Satisfaction. To ensure that our call center agents are interacting with customers in accordance with company's set guidelines and are serving in best interest of business. Monitor calls to measure performance and facilitate business strategic objectives to improve overall Business performance. Work on a continuous process of evaluating and identifying key behavior that drives sale and improve customer experiences.