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2.0 - 7.0 years
1 - 2 Lacs
Kolkata, Delhi / NCR
Work from Office
We are hiring a dedicated and detail-oriented Insurance Claim & Survey Coordinator to handle claim processing and in-house claim evaluation for both Health Insurance and Motor Vehicle Insurance . The candidate will be responsible for guiding clients, assessing claim documents, and coordinating with insurers to ensure quick and hassle-free claim settlements. Key Responsibilities: Handle end-to-end processing of health and motor insurance claims . Collect, verify, and organize all claim-related documents including medical reports, bills, accident descriptions, repair invoices, FIRs (if required), and policy documents. Act as an in-house surveyor to evaluate claim documentation for accuracy and completeness. Coordinate with clients, garages, hospitals, and insurance companies for claim updates, approvals, and follow-ups. Verify vehicle repair estimates and bills submitted by garages/workshops. Ensure proper documentation for accidental damage , third-party liability , and theft claims under motor insurance. Review and cross-check health insurance documents for cashless and reimbursement claims. Maintain updated records of all claims, communication, and settlement timelines. Keep clients informed about claim status, required documents, and company procedures. Support in claim negotiations with insurers when discrepancies arise. Key Requirements: Diploma in Automobile engineering preferred Experience in insurance claims or surveyor roles is a strong advantage. Familiarity with Health and Motor Insurance claim processes , forms, and documentation. Basic understanding of vehicle repair invoices, parts cost evaluation, and insurance estimation. Strong communication and coordination skills. Good knowledge of MS Office, especially Word, Excel, and Email communication. Organized, reliable, and capable of managing multiple claims at a time.
Posted 3 weeks ago
3.0 - 7.0 years
3 - 5 Lacs
Hyderabad
Work from Office
Policy Processing: Review, process, and maintain insurance policies, endorsements, and renewals. Claims Support: Reviewing, evaluating, and ensuring all required documentation . Data Entry & Documentation is received & processed. Required Candidate profile 3-5 years of experience in US Insurance policy processing, claims handling, and underwriting procedures. Familiarity with claims systems, policy administration software, and related tools.
Posted 3 weeks ago
3.0 - 8.0 years
3 - 6 Lacs
Madurai
Work from Office
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 || 7th June2025 Drive Date - 7th 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.
Posted 3 weeks ago
4.0 - 8.0 years
0 - 0 Lacs
Hyderabad
Remote
,of Guidewire QA : Test lead having Guidewire experience Essential: 7+ years test analysis and Test Management. Recent Specialty insurance experience Knowledge of full policy / Billing / Claims lifecycle. Candidate Should have experience in Guidewire policy administration OR claims processing systems OR Billing System. Experience working on Release level system integration testing involving multiple workstreams/deliveries, on a single test schedule. Experience PAS Automation frameworks for workflow driven systems Creating, shaping, implementing and driving test approaches. Excellent stakeholder communication skills, able to summarise a complicated data set into meaningful progress reports. Manage meetings and planning testing with teams/business users Manage Interaction with other teams (REM, Infra, Product teams etc) or any other 3rd parties as may be required to support and resolve issues for testing Perform active project risk and issue management against the scope, agreed quality and delivery schedule, escalating in a timely manner where the Customer must manage the required outcome from the Customers resources and 3rd parties, specifically in the area of people performance management. Experience with industry standard test management tools (MS Azure DevOps, Microfocus Application Lifecycle Management Octane etc.). Previous experience integrating Waterfall and Agile methodologies. Proficient at defect management workflows and processes. Experience of transitioning from on premise to cloud solutions. Guidewire software products Onshore and offshore team management across multiple time zones. Guidewire Certified.
Posted 3 weeks ago
2.0 - 7.0 years
2 - 7 Lacs
Bengaluru
Work from Office
Long Term Disability Claim Manager Role Overview : The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc. to gather the information to make the decision on the claim. What You'll Do: Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Have discussions with customers and employers regarding return to work opportunities and communicate with an action-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis Ask focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives What You'll Bring: High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations. Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers. Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus
Posted 3 weeks ago
4.0 - 5.0 years
4 - 4 Lacs
Hassan
Work from Office
Responsibilities: * Manage AR calls, denials & US healthcare compliance. * Oversee RCM team performance & training. * Ensure accurate medical billing & claims processing. Health insurance Provident fund Office cab/shuttle
Posted 3 weeks ago
3.0 - 8.0 years
3 - 7 Lacs
Kochi, Pune, Mumbai (All Areas)
Hybrid
About the company Hiring for one of the Top Multinational corporation !!! Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 to 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine claim Adjuster Roles and Responsibilities : 1.Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2.Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3.Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. 4.Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5.Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6.Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune, Mumbai and Bangalore CTC Range : 4.5 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432432/Whatsapp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************
Posted 3 weeks ago
1.0 - 4.0 years
2 - 6 Lacs
Bengaluru
Work from Office
Bangalore Walk in Operations (15675A) Full-time Company Description WNS (Holdings) Limited (NYSEWNS) , is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries. We enable businesses in Travel, Insurance, Banking and Financial Services, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Healthcare, and Utilities to re-imagine their digital future and transform their outcomes with operational excellence. . About The Role Answer incoming calls and respond to customer queries Research and resolve customer issues using the tools and applications provided Identify and escalate issues to supervisors wherever necessary Document all calls as per the standard operating procedures Follow up on customer calls wherever necessary Identify and escalate to management any deviations observed in the call trends Maintain expected Quality Targets Must ensure the Average Handling Time, Average Speed of Answer and Answer Rate targets are met Meet internal Production, Utilization and Productivity target Qualifications Graduate from a recognized university Proficient in computer applications Knowledge of customer service practices Excellent listening, verbal and written communication skills Good logical, analytical and problem solving abilities Attention to detail and accuracy Good interpersonal skills and strong client focus Ability to communicate clearly, concisely and effectively Life insurance/claims processing knowledge preferredCookies Settings
Posted 3 weeks ago
10.0 - 15.0 years
15 - 20 Lacs
Pune
Work from Office
Role & responsibilities As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Preferred candidate profile Bachelors degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance
Posted 3 weeks ago
5.0 - 10.0 years
5 - 10 Lacs
Noida
Work from Office
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. Inviting applications for the role of Asst. Manager, Auto Claims In this role the claims Supervisor is responsible for the management of adjusters responsible for coverage and negligence investigations and resolution of your team’s claims in a low complexity, and high-volume and fast paced environment. This role is responsible for managing quality assurance, performance, and training activates with adjusters, clients, attorneys, and medical providers. The position is involved in developing and implementing on-going strategies, enhancing processes, materials, and communication tools. In addition, the position works closely in meeting client performance and quality standards. Responsibilities •Managing and coaching a team of claims adjusters, including setting goals, providing feedback, and conducting performance evaluations. •Ensuring that all claims are processed in a timely and efficient manner, and that all relevant policies and procedures are followed. •Developing and implementing processes and procedures to improve claims handling and ensure customer satisfaction. •Monitoring claims trends and identifying areas for improvement, such as training needs or process changes. •Coordinating with internal and external stakeholders, such as other departments, vendors, and customers, to ensure that all claims are handled effectively. •Providing regular updates to management on team performance, claims metrics, and trends. •Participating in departmental meetings and training sessions to stay informed about policy changes and new procedures. •Maintaining a high level of accuracy and attention to detail to ensure that all claims are handled ethically and in compliance with relevant laws and regulations. •Building strong relationships with internal and external stakeholders, such as customers, brokers, and vendors. •Working shift hours 08.00 AM CST to 05.00 PM CST Qualifications we seek in you! Minimum qualifications •Experience in handling Auto claims operations MD the US, Europe, India or LatAm •Experience leading adjudicating team of Auto MD the US, Europe, India or LatAm •College Diploma or commensurate work experience •Fluent in both spoken and written English •Ability to problem solve and create/update new processes that will improve operational efficiency and accuracy. •Strong written and oral communication skills •Thorough understanding of insurance claims best practices •Strong investigation and analytical skills •Must have willingness to roll-up your sleeves and put in the work as needed alongside your adjusters. •Proficient in MS Office (Word, Excel, PowerPoint) Preferred Qualifications/ Skills •Experience handling fast track/low touch claims •Insurance Designation(s) •Lean Six Sigma Certification(s) 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.
Posted 3 weeks ago
1.0 - 4.0 years
2 - 4 Lacs
Madurai, Chennai, Vellore
Work from Office
*Denial Management *Perform pre-call analysis & check status by calling the payer/ using IVR / web portal services for Hospital billing *Record after-call actions & perform post call analysis for the claim follow-up. *Resolve enquiries, complaints Required Candidate profile *Qualification: HSC/ 12th/ Under Graduates/Graduates *Experience: 01 to 4yrs *Good exposure to the US Healthcare Industry, Various Reports & Denial Management. *Open for night shifts
Posted 3 weeks ago
2.0 - 6.0 years
2 - 5 Lacs
Bangalore Rural, Chennai, Bengaluru
Work from Office
# 02 to 04 yrs Exp. in handling US Healthcare Medical Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *Qualification : HSC / 12th / Under Graduates / Any Graduates. *Good exposure to the US Healthcare Industry & Knowledge of various reports on Denial management, Global action etc.
Posted 3 weeks ago
2.0 - 7.0 years
2 - 5 Lacs
Bangalore Rural, Chennai, Bengaluru
Work from Office
# 02 to 04 yrs Exp. in handling US Healthcare of Hospital Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *02 to 04 Years experience in US Health care Hospital billing *Good exposure to US Healthcare Industry & various reports on Denial management, Global action etc. *Handling billing related queries
Posted 3 weeks ago
2.0 - 7.0 years
3 - 6 Lacs
Bangalore Rural, Chennai, Bengaluru
Work from Office
* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift
Posted 3 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Bengaluru
Work from Office
About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* International insurance claims processing for Member claims. * Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities- 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 make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. *: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings* 7:30 am- 16:30 pm IST Job Location* Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Posted 3 weeks ago
1.0 - 6.0 years
0 - 3 Lacs
Indore, Ahmedabad
Work from Office
Profile - Assistant Manager Department - Insurance Experience - 1 Year Location - Indore (MP), Ahmedabad (Gujarat) Responsible for managing insurance claims, verifying coverage, liaising with insurance companies, and ensuring timely processing of insurance-related documents. Maintain up-to-date knowledge of insurance policies, procedures, and regulations. Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables, VLOOKUP/XLOOKUP, data validation) Excellent verbal and written communication skills
Posted 3 weeks ago
1.0 - 3.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports
Posted 3 weeks ago
0.0 - 1.0 years
1 - 4 Lacs
Coimbatore
Work from Office
Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports
Posted 3 weeks ago
3.0 - 8.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports
Posted 3 weeks ago
3.0 - 8.0 years
2 - 6 Lacs
Chennai
Work from Office
Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports
Posted 3 weeks ago
5.0 - 10.0 years
1 - 5 Lacs
Hyderabad
Work from Office
Role Description Overview: The PC is accountable to manage day to day activities of coaching the employees, track and trend data for improvement Responsibility Areas: Understand the quality requirements both from process perspective and for targets To Train effectively the new joiners on Medical Billing concept with the guidelines. To monitor Trainees productivity per OJT glide path/ramp up targets. To monitor Trainees quality output per OJT glide path/ramp up targets. To initiate and implement improvement program for poor performers. Providing continuous feedback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Attainment of Internal & External SLA as per Process Defined. Strict adherence to the company policies and procedures. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Min of 1.5 Yrs of Professional and Relevant Experience. Sound knowledge in Healthcare concept. Excellent Communication skills Verbal & Non Verbal. Must have Good Product and Process Knowledge.
Posted 3 weeks ago
0.0 - 2.0 years
1 - 3 Lacs
Coimbatore
Work from Office
Role Description Overview: The Process Associate is accountable to manage day to day activities of Payment Posting or Demo & Charge or Correspondence or Charge Entry etc Responsibility Areas: To review emails for any updates Processing of Medical Data Entering charges and posting payments in the software Prepare and Maintain status reports. Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards.
Posted 3 weeks ago
2.0 - 3.0 years
3 - 4 Lacs
Bengaluru
Work from Office
GREETINGS FROM SUTHERLAND Currently Hiring for International Claims Associate Job Title : Customer Support Associate Company: Sutherland Global Services Job Type : Full Time About Us : We're a leading BPO company providing exceptional customer service to international clients. We're looking for talented individuals to join our team and deliver outstanding customer experiences. We're a dynamic team looking for talented individuals to join our crew! Key Responsibilities: 1. Customer Service: Provide exceptional customer service to international clients via phone, resolving their queries and concerns in a professional and courteous manner. 2. Communication: Effectively communicate with customers, understanding their needs and providing personalized solutions. 3. Issue Resolution: Troubleshoot and resolve customer complaints and issues in a timely and efficient manner. 4. Product Knowledge: Develop and maintain in-depth knowledge of our products and services to provide accurate information to customers. 5. Quality Assurance: Adhere to quality standards and metrics, ensuring high-quality customer interactions. Requirements: 1. Excellent Communication Skills: Strong verbal and written communication skills, with the ability to articulate complex information in a clear and concise manner. 2. Customer Service Experience: Previous experience in a customer-facing role, preferably in a BPO or call center environment. 3. Language Proficiency: Fluency in English, with a neutral accent and good diction. 4. Technical Skills: Familiarity with CRM software and other technology tools used in a call center environment. 5. Time Management: Ability to manage time effectively, prioritizing tasks and meeting productivity standards. 6. Adaptability: Willingness to work in a fast-paced environment, adapting to changing priorities and customer needs. Round of Interview 1. HR 2. Assessment 3. Operations How to Apply: Interested Folks can walk-in to the below mentioned location for Interview rounds and more details. Note: Virtual interviews are available & Immediate joiners only Walk in : 10:30AM to 2PM Documents to Carry: 1. Resume 2. Hard Copy of Aadhar Card Address: Unit no 202,2nd floor,Campus D, Centennial Business park, kundan Halli main road, EPIP Area, Bang,karnataka India 560066
Posted 3 weeks ago
0.0 - 3.0 years
3 - 5 Lacs
Pune, Bengaluru
Work from Office
Hiring for International voice Process (Insurance) min 6months to max 3 yrs exp into insurance b2c Location - Pune/Bangalore WFO | 5 days working | 2 days off CTC - Upto 5.3 LPA US Shifts contact - divyam@genesishrs.com
Posted 3 weeks ago
0.0 - 3.0 years
3 - 5 Lacs
Pune
Work from Office
Hiring for International voice Process (Insurance) min 6months to max 3 yrs exp into insurance b2c Location - Pune WFO | 5 days working | 2 days off CTC - Upto 5.3 LPA US Shifts contact - divyam@genesishrs.com
Posted 3 weeks ago
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