730 Claims Processing Jobs - Page 14

Positions General Duties and Tasks Process Insurance Claims timely and qualitatively Meet & 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 for this role include Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skillsmust have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend"™s basis business requirement. for this role include "¢ Candidate should be flexible & support team during crisis period "¢ Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers

In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims. for this role include- 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.

Urgent Hiring for SME - Property & Casualty Insurance(Only Immediate Joiners) with a leading International Outsourcing Company @ Noida Location. Job Location - Noida Sector-135 Position - SME Skill - P&C Insurance Domain Shifts - US Night Shifts Work Type - Work From Office Only CTC - Max Upto 6.5 LPA Exp: Graduate with minimum 3.5 to 5 years of work experience ESSENTIAL SKILLS: Graduate with minimum 3.5 years of overall BPO experience Flexible to work in night shift timings Good Domain Knowledge Property and Casualty Insurance, Specially in Small Commercials, Personal line, Property, Homes, Auto, valuables etc. Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams If Interested , Apply at neeta.yadav@adecco.com or can reach out to 6364920546 .

Job Title: Associate - Claims Operations Care.fi is a new age Health fintech startup in Gurgaon, offering smart financing and claim management solutions to hospitals. With a focus on driving efficiencies through technology, Care.fi provides seamless financing and revenue cycle management solution for healthcare providers. The company has strong institutional investor backing and founders with over 20 years of experience in the industry. About the Role Department: Claims Processing / Operations Reports to: Team Lead / Operations Manager Location: Gurugram, Haryana Work Schedule: 6 Days Working We are seeking a diligent File Dispatch Associate with strong medical billing know-how and hospital experience. This role is crucial for our claims processing workflow, involving close collaboration with our AI-powered document review system. The primary responsibility is to assess claims and dockets filed daily, meticulously identifying missing documents and discrepancies to ensure each file is 100% complete and accurate before final dispatch. This position requires a keen eye for detail and specific knowledge of Indian government health schemes. What You'll Do The associate will be responsible for the final human audit of medical files processed by our AI system, focusing on completeness and correctness. Responsibility Area 1. Daily File Assessment Assess claims dockets daily to identify and flag any missing documents or discrepancies across the provided paperwork. Verify the AI's initial classification of Billing Type, Admission Nature, and Anesthesia Type. 2. Document Completeness Audit Core Documents: Ensure the presence and correctness of the Discharge Summary, Patient Feedback Forms, complete Indoor Case Papers (ICP), and both Final and Detailed Bills. Conditional Documents: Based on the case type, validate the presence of mandatory reports and notes, such as Investigation Reports, OT Notes, and Anesthesia Records. 3. Financial & Evidence Verification Billing Audit: Cross-reference the itemized bill with investigation reports to ensure all billed tests have supporting documents High-Value Items: For applicable cases, verify that required evidence for implants (invoices, stickers) and high-cost/chemotherapy medicines (invoices, wrappers) is present in the file. 4. Process Compliance Ensure every file strictly adheres to the medical review checklist before being dispatched Provide clear feedback on any errors or omissions found, contributing to system and process improvement. Maintain accurate logs of file status and reviews. What We're Looking For Required Qualifications Experience Hospital Experience: Prior experience working in a hospital setting (e.g., billing department, TPA desk, medical records) is mandatory Claims Processing: Experience in assessing medical or insurance claims is highly preferred. Knowledge Medical Billing Know-How: Strong, practical understanding of hospital billing processes, including package vs. itemized billing Insurance Knowledge: Must have working knowledge of major government health schemes, specifically Ayushman Bharat, CGHS, and ECHS . Skills Attention to Detail: Exceptional ability to spot errors, omissions, and discrepancies in dense medical documents. Computer Knowledge: Proficient in using computers, including Microsoft Office and other software for viewing and managing digital files. Communication Skills: Decent verbal and written communication skills for reporting and team collaboration. Personal Attributes Methodical & Organized: Ability to follow a checklist-driven process with high accuracy and consistency. Reliable & Accountable: A strong sense of responsibility for the quality and completeness of each file reviewed. Why Carefi Work on real problems that matter healthcare, payments, and patient journeys Small team = high ownership and fast learning Be part of a mission-driven, product-first culture Competitive compensation and flexible work setup (hybrid from Gurgaon)

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. Genpacts 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 and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Mega Walkin Drive for the role of Process Developer/Domain Trainee- Broker Technical Support Specialist|| Property & Casualty & Underwriting || Madurai Location || 14thJune2025 Drive Date - 14th June 2025 Venue - Genpact Madurai, 3, 120 Feet Rd, Swami Vivekananda Nagar, K.Pudur, Madurai, Tamil Nadu 625007 Time - 10 AM to 11:30 AM Shift - US shift Your role will require you to utilize your experience in and knowledge of insurance/reinsurance and underwriting processes to process transactions for the Underwriting Support Teams and communicate with the Onsite Team. Responsibilities • Perform necessary activities to support broking teams in collaborating with account management to initiate a renewal, preparing and submitting marketing proposals to underwriters, processing endorsements and policy checking along with other requests • Identify and retrieve relevant compliance documentation necessary to process new policies and policy renewals, changes, additions, deletions and cancellations. • Calculating adjustments and premiums on policies and other insurance documents. • Ensure repository of record is accurate and current to ensure outputs and client deliverables will be produced according to guidelines and policy detail. • Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. • Monitor and attend to requests via client service platform that require action in a timely manner. • Help colleagues troubleshoot and resolve basic issues and perform other related duties as required. Qualifications we seek in you! Minimum Qualifications • Graduate with an excellent interpersonal, communication and presentation skills, both verbal and written • Relevant and meaningful years of experience of working in US P&C insurance lifecycle pre-placement, placement, and post-placement activities (such as endorsements processing, policy administration, policy checking, policy issuance, quoting, renewal prep, submissions, surplus lines, licensing, agency admin, inspections and so on. • Demonstrate and cultivate customer focus, collaboration, accountability, initiative, and innovation. • Proficient in English language- both written (Email writing) and verbal • A strong attention to detail; analytical skills and the ability to multi-task are important Preferred Qualification and Experience • Relevant years of insurance experience and domain knowledge, especially P&C insurance • Candidate having Broker (US P&C insurance) experience would be an asset • Proficient with Microsoft Office (Word, PowerPoint, Excel, OneNote) • A strong attention to detail; analytical skills and the ability to multi-task are important • Should be a team player with previous work experience in an office environment required • Client focused with proven relationship building skills • Ability to work collaboratively as a key member of a team and independently with minimum supervision • Highly organized with a proven ability to prioritize competing requirements and deadlines under pressure Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Quantuspro Solutions is seeking a candidate with good analytical skills with understanding of US Health care/ Revenue Cycle Management/Accounts Receivables/ Claims processing. **EXCELLENT COMMUNICATION SKILLS IN ENGLISH IS VERY IMPORTANT** ** FRESHERS ARE WELCOME ** Job Description: - US Healthcare / Dental Billing Process - Accounts Receivables Calls - Denials and Appeals Management - End to End Billing Cycle Management - Posting Payments - Knowledge of Provider Credentialing - Knowledge of Insurance Eligibility verification - Knowledge in Dental Billing is a Plus - Excellent Communication Skills - Must be flexible to work in Day / Night Shifts - Good Typing Speed - Must be willing to work in Voice / Non-voice process Day Shift timings: 9 AM to 6 PM (IST) Night Shift timings: 8: 30 PM to 5: 30 AM (IST) FRESHERS ARE WELCOME ** Candidates with no experience but excellent communication, analytical skills, computer skills may also apply for this position. For further details please contact 7801017313/04035683890 Regards, HR Team Quantuspro Solutions

Coordinating with TPA/corporate companies for approval and claim processing, Primary responsibility of TPA and Corporate Head is Follow ups and Clearing of outstanding dues with TPA’s & other govt. agencies and split billing. Required Candidate profile Reporting of daily, weekly, monthly dues outstanding follow ups to the reporting mgr. Update received from any of the TPAs or Corporates to ensure the updates are informed to all the unit team.

Job Title: Bodyshop Advisor Department: Claims Management -Motor Insurance Company: Policybazaar.com Job Summary: We are looking for a detail-oriented and customer-focused Bodyshop Advisor to join our Claims Management team. The ideal candidate will be responsible for assisting customers through their vehicle accident claims process, from initial claim intimation to coordination with insurance companies and garages. Your role will be pivotal in ensuring a smooth, efficient, and transparent claim experience for our valued customers. Key Responsibilities: Claim Intimation: Assist customers in raising accidental claims by accurately gathering incident details and submitting claims to respective insurance providers. Customer Coordination: Act as the primary point of contact for customers during the entire claim process. Provide regular updates and ensure all queries are addressed. Insurance Liaison: Coordinate with insurance companies to facilitate timely survey appointments, approvals, and claim settlements. Garage Coordination: Work closely with bodyshops/service centers to monitor vehicle repairs and expedite claim-related processes. Documentation: Ensure all necessary claim documents are collected, verified, and uploaded on the system as per insurer requirements. Follow-ups: Regularly follow up with insurers, surveyors, and repair shops to ensure claim progression and timely delivery of the repaired vehicle. Customer Satisfaction: Ensure high levels of customer satisfaction by providing empathetic, accurate, and timely assistance during stressful accident scenarios. Key Skills Required: Strong understanding of motor insurance and accidental claim process Excellent communication and interpersonal skills Customer-first attitude with a problem-solving mindset Attention to detail and strong organizational abilities Ability to work under pressure and manage multiple cases simultaneously Familiarity with CRM systems and insurance claim portals (preferred)

Roles and Responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and compliance with company policies. Coordinate with various departments (e.g., underwriting, risk management) to resolve claim-related issues. Conduct thorough investigations into accidents, damages, or losses to determine coverage eligibility. Negotiate settlements with insured parties or third-party representatives as needed. Maintain accurate records of all interactions related to claims management.

Role & responsibilities: Accurately enter insurance data into the database Maintain Insurance Company database Maintain quality score Perform other duties as assigned Observe professional standards of conduct, including attendance, professional behaviour, and dress code. Required Candidate Profile: - Adaptable and flexible -Knowledge of excel basics - Ability to perform under pressure - Problem-solving skills - Detail orientation - Ability to establish strong client relationship -Comfortable with Night Shifts -Good Communication Skills -Stability Shifts- Night Shifts Mode of work- Work from Office Perks and benefits: -5 days working. -Apart from development, and engagement programs, we offer transportation facility to all its employees. (Subject to hiring zone) -There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. -All employees are covered under insurance program. Interested candidates can share their resumes via whatsapp on 9773714088

Role Purpose The purpose of this role is to execute the process and drive the performance of the team on the key metrices of the process. Do Ensure process is executed as per the client contract Conduct briefings before every shift to drive focus on key metrices and debrief at the end of the shift to drive focus of the team on quality and adherence to contract compliance processes Prepare notes from the huddle meetings and share it with the team Prepare and share the performance data of the team with the client at the end of the shift Interact with the client and prepare note to share updates and changes with the team Review the performance on the key process metrices and conduct RCA to improve quality parameters Prepare presentation on weekly and monthly performance data for the manager to be shared with the client Collaborate and influence internal key stakeholders to manage and resolve issues to ensure fulfillment and flawless delivery of projects Be part of the discussion between manager and WFM team on forecast and number of agents required Organize fun hours on Friday for the team to promote team engagement Identify opportunities for automation within the account and share it with the manager Provide details and data to the automation team to support the automation initiative Drive performance of the team on the identified metrices of the process Review last 6-8 weeks performance data (RAG) and identify low performers Provide feedback and coach the outliers/ low performers to improve their performance metrices Prepare Performance Coaching & Counselling Plan (PCCP) to document and support the low performers Handhold the employees on performance on process and monitor for improvements Identify training needs for new joiners especially and track their daily progress Conduct process trainings as well as refresher trainings are provided to bridge the capability gap or if there is any change from the clients end Stakeholder Interaction & Management Coordinate with internal and external stakeholders to ensure compliance and quality in the delivery for accounts Interact and engage with the client manager to communicate and update progress against account plan, project delivery etc. Participate in monthly review meetings with Account Delivery leadership updating them on the status and progress of the account Work with quality team to ensure the quality improvements as per the delivery standards of the contract Provide timely assistance in case of an escalation and support resolution of escalations/ issues Effective Team Management Resourcing Hire adequate and right resources for the team Talent Management Ensure adequate onboarding and training for the team members to enhance capability & effectiveness Build an internal talent pool and ensure their career progression within the organization Manage team attrition Drive diversity in leadership positions Performance Management Set goals for the team, conduct timely performance reviews and provide constructive feedback to own direct reports Ensure that the Performance Nxt is followed for the entire team Employee Satisfaction and Engagement Lead and drive engagement initiatives for the team Track team satisfaction scores and identify initiatives to build engagement within the team Mandatory Skills: Claims_Processing.

Greetings from Medical Billing Wholesalers (A Division of Acrologic Business Solutions) Designation: AR Executive/ Senior AR Executive (Caller cum Analyst) Location: Chennai Shifts: Mid Shift (1PM - 10 PM) Year of exp: 3 - 5 Years Working Days: Monday to Friday For further details, Share your resume to Mob No: Lavanya - 7871090718 / Gowri - 77084 62567 Walk in Details: Medical Billing Wholesalers WorkEZ, Block B, 4th Floor RK Swamy Centre, 3/147, Pathari Rd, Thousand Lights, Chennai, Tamil Nadu 600006. Job Description Should have minimum 3 years of experience in calling and analyzing. Should be strong in calling, analyzing and reviewing. Should posses strong action taking skills and analyzing skills. Review the claim allocated and check status by calling the payer or through IVR /Web Portal Roles and Responsibilities Strong working experience in Accounts receivable, Denials, Physician Billing or Hospital billing Good Communication skills Looking for Immediate Joiners Perks and Benefits One-way drop cab facilities provided for Female employees Thanks & Regards, HR Team.

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 and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Mega Walkin Drive for Broker Technical Support Specialist|| Property & Casualty & Underwriting on 14th June2025 (Saturday) || Walkin venue: Chennai || Work location: Madurai Role- Process Developer, Management trainee (insurance) Walk-In Drive Date - 14 June 2025 (Saturday) Walk-In Venue - Chennai - RMZ One Paramount Porur Chennai, Campus-10,6th Floor, RMZ-One Paramount, Mount Poonamallee High Road, Porur, Chennai- 600116 Work location: Madurai (Only work from office) Time - 10:00 AM - 2:00 PM Shift - US shift Experience - 0-2 years (meaningful exp. in P&C insurance, Insurance domain knowledge) Grad - Any graduate is eligible (except law) Freshers are eligible (Candidate should be willing to relocate to Madurai location) Responsibilities • Perform necessary activities to support broking teams in collaborating with account management to initiate a renewal, preparing and submitting marketing proposals to underwriters, processing endorsements and policy checking along with other requests • Identify and retrieve relevant compliance documentation necessary to process new policies and policy renewals, changes, additions, deletions and cancellations. • Calculating adjustments and premiums on policies and other insurance documents. • Ensure repository of record is accurate and current to ensure outputs and client deliverables will be produced according to guidelines and policy detail. • Communicating directly with underwriters/brokers/account executives to follow up or obtain additional information. • Monitor and attend to requests via client service platform that require action in a timely manner. • Help colleagues troubleshoot and resolve basic issues and perform other related duties as required. Qualifications we seek in you! Minimum Qualifications • Any graduate is eligible (Except law) • Relevant and meaningful years of experience of working in US P&C insurance lifecycle pre-placement, placement, and post-placement activities (such as endorsements processing, policy administration, policy checking, policy issuance, quoting, renewal prep, submissions, surplus lines, licensing, agency admin, inspections and so on. • Proficient in English language- both written (Email writing) and verbal Preferred Qualification and Experience • Relevant years of insurance experience and domain knowledge, especially P&C insurance • Candidate having Broker (US P&C insurance) experience would be an asset • Proficient with Microsoft Office (Word, PowerPoint, Excel, OneNote) • Should be a team player with previous work experience in an office environment required Note: Please carry below documents with you: 3 copies of updated resume 3 Passport size photographs Original Aadhar card 2 copies of Aadhar card Payslip (if applicable) Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Hiring for Dental Billing( INTL Voice) Salary Up To: 16-17k(in hand) & Experience-Up To 30k CTC Location : Ahmedabad Us Shift(Cab Facility available) Fresher and Experience can apply Good English Communication required

Hello Job Seekers! New Opportunities are available hurry up! ||We are hiring for Bangalore location for Claim executive|| Any graduate Who has minimum 2 year of experience excellent knowledge about health claim process can easily apply Location -Bangalore Profile Claim Associate Working -5 days Rotational shift-24*7 Salary-4.5 LPA Both side cab facility Roles and Responsibilities Handle claims adjudication process from receipt to finalization. Conduct thorough analysis of claim documents, including medical records, billing statements, and other relevant documentation. Collaborate with healthcare providers to resolve discrepancies or issues related to claims processing. Desired Candidate Profile Strong understanding of claims processing procedures, regulations, and compliance requirements. Excellent communication skills for effective interaction with customers via phone calls or emails. Ready to take your career to new heights? Apply Now! For more details contact Monika(7266822602),Sohil(6393179544) or whatsapp your resume. Thanks and Regards, Monika Singh HR Executive Shining Stars ITPL

Hiring For Dental Billing and AR Caller #Shift: US Shift #Salry: Upto30kCTC #Location: Ahmedabad, Gujarat >> Fluent English Required << >>Freshers Also Welcome<< Working Days: 5 days working (Sat and Sun off) Cab facilities

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com 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 unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingClaims AnalysisClaims AdministrationPayer Claims ProcessingStrong analytical skillsHands-on experience with trouble-shootingResults orientationAbility to perform under pressureWritten and verbal communication Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com 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 unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProblem-solving skillsHands-on experience with trouble-shootingStrong analytical skillsWritten and verbal communicationClaims Administration Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com 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 unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingClaims AnalysisClaims AdministrationPayer Claims ProcessingStrong analytical skillsWritten and verbal communicationResults orientationDetail orientationAbility to perform under pressure Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Responsibilities: * Ensure timely claim settlements within budget constraints * Manage claims from intake to payment * Process insurance claims accurately and efficiently * Adjudicate claims based on policy terms

As a Process Associate – 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 Communication skills – English (both written & verbal) Proactive and high analytical skills; should foresee issues and suggest solutions, with impactful data Basic Computer knowledge along with typing speed of 35 words/minute Preferred technical and professional experience Proficient in MS Office applications Self-directed and ambitious achiever Meeting targets effectively Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills

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 functional and company-wide activities. Adheres to company policy, guidelines, and house rules including attendance, clean desk, dress code, etc. Maintain key records like working files and email for reference and audit purposes. Ability to handle basic day-to-day requirements of Excel. Handle own work in process and support team efforts to ensure that individual, and team goals are met. Identify process improvements and cost take-out opportunities and drive those projects for closure. 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 3-6 years of experience in the Life/Annuities products and Claims Department. Good English Communication (Both written & verbal). Proactive and high analytical skills; should foresee issues and suggest solutions, with impactful data. Basic Computer knowledge along with typing speed of 35 words/minute. Preferred technical and professional experience Self-directed and ambitious achiever, Meeting targets effectively. Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills. Preferred LOMA Level 1 and Gage R&R certification.

Company: Sutherland Global Services Job Title: Senior Claims/Insurance Executive Position Level: L2 Employment Type: Full-Time Work Model: Brick & Mortar (On-site) Process Type: Blended Process Package: 4.0 4.5 LPA (Based on Experience & Skills) Experience Required: Minimum 2 years of relevant experience in Insurance or Claims Processing Preference will be given to candidates with Motor Claims experience Key Responsibilities: Handle end-to-end claims processing and insurance operations within a blended process model Ensure accurate and timely resolution of insurance claims in line with company policies and procedures Liaise with internal teams, clients, and insurers to gather and verify required documentation Maintain a high level of accuracy and attention to detail in claim evaluation and documentation Provide prompt responses and resolutions to queries and escalations Ensure strict compliance with industry regulations and internal standards Mandatory Requirements: Excellent communication skills in English – both written and verbal Strong understanding of insurance terms, processes, and documentation Ability to work independently and collaboratively in a fast-paced environment Proficiency in MS Office tools and digital claim processing systems Interview Process: HR Round Assessment Managerial Round Preferred Candidate Profile: Detail-oriented and organized Strong analytical and problem-solving skills Customer-focused with a professional approach Prior experience in a corporate insurance/claims environment Job Location: Unit No. 202, 2nd Floor, Campus D, Centennial Business Park, Kundalahalli Main Road, EPIP Area, Bangalore, Karnataka, India – 560066 Walkin now to be a part of a dynamic and growing team!

Location: ARCHER Transnational Systems Pvt Ltd, Ground Floor, South-West Part, Alembic Business Park, Gorwa, Vadodara, Gujarat 390003. Date: 14 June 2025 Time: 9 am to 3 pm POSITION SUMMARY: The BK Specialist is responsible for entire BK lien resolution cycle beginning from onboarding to claimed clearance including extensive communication with US attorney, trustee and law firm. He will be responsible to resolve the BK lien in timely manner without any escalation from any stakeholder. He will work closely with US BK team along with India team members of multiple service line and QC team to deliver the best quality solution in timely manner. He will also overlook query resolution of other team members, supporting leader in creation of SOP/checklists and training materials. This role has opportunities for future advancement to senior associate or Team Lead role. JOB RESPONSIBILITIES: Data Entry/Onboarding of claimants in Salesforce. Reviewing claimants bankruptcy (legal) documents, maintaining account documents/files, sending LOI, sending and responding to emails, etc. Coordinating with members of onshore team and departments entwined with service line. Additionally, handling communication with Trustee, Assistant US Trustee, and Bankruptcy Attorney, and firm representatives via emails/calls to resolve the lien in timely manner without any escalation. Responding to all emails received personally or in mailbox within given TAT as per the SOP or 24 hours Maintaining service line tracker, account documents and files with precision. Keen eye for little details and ability flag potential problems and resolving them before they become major escalation. Will be responsible for overlooking junior team members work, addressing there queries, mentoring and shadowing them. Assisting team leader in maintaining as well as creation of SOP/Checklist and training material. Assist with other administrative special adhoc projects as needed. Coordinating with in-house teams like quality, training etc. for learning and development. Adhering to company policies/ARCHER principles and hence taking good care of Archer culture PROFESSIONAL QUALIFICATIONS/EXPERIENCE: Bachelor's Degree (Preferably Commerce Background) 3+ Yrs. with international KPO predominantly working with US clients. Specifically, domains which include email communication and auditing. Intermediate/Advance Excel, Proficiency with Outlook, Time Management Data entry skills: A typing speed of at least 40 WPM to keep up a standard level of efficiency at work. Additionally, it requires accuracy, attention to detail, and analyze/manage large amounts of data. Intermediate Excel (Pivot Tables, VLOOKUP, Functions, Tables, Formatting etc.) Proficient Outlook (Create Rules, Manage Folder, Manager Calendar, etc.) " Communication Skills - Written & Verbal - the ability to critically assess a given body of information and draw conclusions independently. ADDITIONAL NOTES: Knowledge of US bankruptcy will be added advantage. Previous experience in QC and business analysis is preferable. Roles where coordinating with stakeholders over emails to close an action item will have added advantage. You can share your resume on careers.india@archersystems.com / You can send your updated CV via email to lfernandes@archersystems.com

Job description Responsibilities Update the follow up notes in the patient account Mainly focus on the quality/quantity in all accounts worked. set the follow up tickler and forward the calling backlog to the day team. Work on the In-bound patient calls in emergency. Review the appeals and forward to client. Ensure that the appeal packet is utilized by the AR properly. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Generate excel add-in report to identify if secondary payer is billed or balance moved to patient. Update the appeal packet periodically Requirements Excellent interpersonal, communications, public speaking, and presentation skills. At least 1 year of experience, being as Caller in the Accounts Receivables domain. Any Graduate or Post Graduate with minimum 1 year experience. Qualities Expected Good problem - solving and decision making skills Excellent job & technical Knowledge Speed & Efficiency Team Work Willingness to learn Perform under pressure Excellent communication and listening skills Initiative Regularity & Punctuality Good time management and leave management Adaptability and Flexibility Ethics Contact Now if interested share me the Resume : Thirsha HR- 7200176823 or Pavithra HR - 9384270038 thirsha.k@jobixoindia.com