Home
Jobs

671 Claims Processing Jobs - Page 3

Filter Interviews
Min: 0 years
Max: 25 years
Min: ₹0
Max: ₹10000000
Setup a job Alert
Filter
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

2.0 - 7.0 years

1 - 5 Lacs

Pune

Work from Office

Naukri logo

Basic Purpose:Provide timely and accurate response to assigned internal and external customers Collaborate with underwriters to establish target dates and communicate coverage recommendations.Responsibilities to include account set-up, quoting, proposals, policy issuance, policy administration requests, and account service.Assist in reviewing documentation received for completeness and request missing informationDocument and maintain unit processes and procedures and disseminate information to the applicable team.Other responsibilities as needed.Primary Job Responsibilities:Screen transactions to determine authority and process and/or refer to underwriter per established guidelines.Gather a wide variety of rating elements from applications/UW instructions/WC rating bureaus/NCCI/ /Reference Connect and company guidance to rate new or renewal business.Input information and rating elements into the policy rating system with a high degree of accuracy. Review output to ensure proper rating elements were applied.Maintain rating documentation using paperless policy environment per established guidelines.Provide endorsement quotes on demandDevelop relationships and work within team and across departments to ensure customer tasks are completed and customer response expectations are achieved.Initiate and facilitate renewal process in collaboration with underwriter and timely, professional communication with producer.Resolve customer service issues.Ensure proper initiation and completion of incoming requests for policy issuance, quote requests, Endorsement and policy administration.Identify areas for improvement, with recommendations for process, procedure, or system changes. Qualifications Qualifications, Skillset and Experience:Minimum 6+ months experience in P&C Insurance background within Underwriting Support experience (Issuance, Endorsements) required for AssociateMinimum 12+ months experience in P&C Insurance background within Underwriting Support experience (Issuance, Endorsements) required for Sr. AssociateOrganizational and interpersonal skills to set priorities, manage time, and be responsive to assigned customers.Demonstrated ability to professionally communicate and collaborate with internal staff and external customers.Solutions mind-set, passion for the customer serviceExcellent Communication skills verbal and written. Fluent proficiency & comprehension in English is required.Strong ability to multi-task while effectively communicating with the customersEfficient in internet, computer usage and web-based application skills. Typing speed of 30+Eye for DetailEducational Qualification :Attended at least 2 years in CollegeGraduate / Under GraduateOthers :Ability to perform work from Office Willingness to work in shifts. Work may extend beyond normal business hours as per business requirements NoteThis job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position. Job Location

Posted 2 days ago

Apply

0.0 - 1.0 years

2 - 6 Lacs

Noida

Work from Office

Naukri logo

Selected Intern's Day-to-day Responsibilities Include. Assist with Lead GenerationEngage with CXOs via cold calls, emails, and LinkedIn. Do Consultative PitchingUnderstand business needs and present tailored solutions. Deliver Concept PresentationDeliver impactful presentations to secure business opportunities. Write ProposalsDevelop compelling techno-commercial proposals. Help with Deal ClosureNegotiate and finalize contracts for seamless onboarding. Support Account ManagementBuild and maintain strong client relationships. Ensure Business Lifecycle ManagementWork with business leads to optimize processes. Keep Market AwarenessStay updated on industry trends and technology advancements. About CompanyWe are an engineering company with leading capabilities in digital transformation, internet-related services and products, data science, development operations, product as a service, technology consulting, and software engineering. Trusted by industry giants, we have a proven track record in providing customized digital solutions across various industry segments.

Posted 2 days ago

Apply

0.0 - 4.0 years

2 - 6 Lacs

Bengaluru

Work from Office

Naukri logo

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 skil

Posted 2 days ago

Apply

0.0 - 1.0 years

3 Lacs

Bengaluru

Work from Office

Naukri logo

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 2 days ago

Apply

0.0 - 1.0 years

3 Lacs

Navi Mumbai

Work from Office

Naukri logo

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 2 days ago

Apply

0.0 - 1.0 years

3 Lacs

Coimbatore

Work from Office

Naukri logo

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 2 days ago

Apply

7.0 - 12.0 years

11 - 15 Lacs

Hyderabad

Work from Office

Naukri logo

Job Area: Finance & Accounting Group, Finance & Accounting Group > Global Accounting Ops Center General Summary: GAOC Senior Accountant role is to work on Brazil and Mexico countries payroll processing, working in PST time zone and work location is Hyderabad. Job overview and Primary Responsibilities: End to end processing of monthly payroll. Execute and manage critical activities (not limited to) such as: Validate the payroll reports shared by service providers and ensure payrolls are processed on time without any errors. Variance Analysis - Research on variance report and provide the reasons for variances in net pay. Focus on payroll compliance, improving and streamlining payroll processes and procedures. Respond to routine payroll related inquiries from employees and partners. Must be able to work independently and as part of a team. Professional and customer-service orientated with the ability to effectively interact with employees at all levels, managers, and business partners. Process reimbursements/claims requested by the Employees as per the frequency. Work with multiple streams like HR, Legal, Finance, Stocks and Benefits on various requirements. Internal audits – Assist in internal audits. Maintain/update standard operating procedures on a periodic basis. Execute the payroll processes with high emphasis on accuracy, timelines, and compliance. Skills required: Experience of 7+ years into Brazil or Mexico Payroll with large employee volume and transactions Strong analytical skills and attention to detail. Excellent communication skills and ability to interact with stakeholders. Strong and excellent working knowledge of Microsoft Office Knowledge of manual payroll processing. Ability to understand various deadlines and ensure that the deadlines are met with quality. Minimum Qualifications: Bachelor's degree. 4+ years of Finance, Accounting, or related work experience. *Completed advanced degrees in a relevant field may be substituted for up to two years (Master’s = one year, Doctorate = two years) of work experience. Experience in Brazil and Mexico payroll Shift Timimgs:6 PM to 3AM

Posted 2 days ago

Apply

0.0 - 3.0 years

3 - 6 Lacs

Pune

Work from Office

Naukri logo

Job Job TitleGreeter-Bundgarden Job TypeFull-Time We are currently seeking a professional Greeter to join our team at Tanishq Jewellery in Bundgarden. As a Greeter, you will be responsible for welcoming and assisting customers as they enter our store. The ideal candidate will have excellent communication skills, a friendly demeanor, and a passion for providing exceptional customer service. If you are looking for a rewarding opportunity in the retail industry, we would love to hear from you. Apply now to join our team at Tanishq Jewellery as a Greeter-Bundgarden.

Posted 2 days ago

Apply

6.0 - 7.0 years

8 - 9 Lacs

Chennai

Work from Office

Naukri logo

Arzion RCM is looking for Senior AR Caller to join our dynamic team and embark on a rewarding career journey Tellecaller is responsible for various tasks including planning, execution, and management of related duties They should possess relevant skills and experience to excel in this role Duties include teamwork, problem-solving, and achieving organizational goals Candidates must have strong communication and technical abilities Responsibilities include project management, strategy execution, and performance optimization (More details as per role requirements )

Posted 2 days ago

Apply

4.0 - 6.0 years

7 - 11 Lacs

Chennai

Work from Office

Naukri logo

Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you’d like, where you’ll be supported and inspired bya collaborative community of colleagues around the world, and where you’ll be able to reimagine what’s possible. Join us and help the world’s leading organizationsunlock the value of technology and build a more sustainable, more inclusive world. Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. Primary Skills Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation. Guideware Creative Thinking (SDLC) Methodology JavaScript Policy Development Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual transition to a digital and sustainable world, while creating tangible impact for enterprises and society. It is a responsible and diverse group of 340,000 team members in more than 50 countries. With its strong over 55-year heritage, Capgemini is trusted by its clients to unlock the value of technology to address the entire breadth of their business needs. It delivers end-to-end services and solutions leveraging strengths from strategy and design to engineering, all fuelled by its market leading capabilities in AI, cloud and data, combined with its deep industry expertise and partner ecosystem. The Group reported 2023 global revenues of "22.5 billion.

Posted 2 days ago

Apply

3.0 - 8.0 years

8 - 12 Lacs

Mumbai

Work from Office

Naukri logo

Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience – 3 to 15 years Skills – Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills.

Posted 2 days ago

Apply

1.0 - 6.0 years

4 - 6 Lacs

Navi Mumbai

Work from Office

Naukri logo

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : Knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in

Posted 2 days ago

Apply

1.0 - 8.0 years

6 - 7 Lacs

Chennai

Work from Office

Naukri logo

About the Role: Seeking a highly skilled Data Analyst with 6 years of experience to join our dynamic team. The ideal candidate will have a sound understanding of insurance products, processes such as underwriting, claims, policy administration and be skilled in transforming complex data into technical transformations. Requirements: Expertise in writing complex SQL queries to extract and manipulate data from relational databases (e.g., Oracle, SQL Server, Snowflake). Should analyse policy, claims, billing and underwriting data to identify trends, anomalies and opportunities. Proficient in translating raw data into business and technical transformations. Familiarity in document business rules, data mapping and transformation logic to support data pipeline development and data quality initiatives. Sound knowledge of P&C insurance domains such as policy administration, claims processing, underwriting, etc is a plus. Experience in SQL and relational database systems. #LI-MP1 #Hybrid

Posted 2 days ago

Apply

5.0 - 7.0 years

3 - 4 Lacs

Mumbai

Work from Office

Naukri logo

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

Posted 2 days ago

Apply

15.0 - 20.0 years

4 - 8 Lacs

Bengaluru

Work from Office

Naukri logo

Project Role : Business Analyst Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Must have skills : GuideWire Integration Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Analyst, you will engage in a variety of tasks that involve analyzing organizational processes and systems. Your typical day will include assessing the current state of business models, identifying customer requirements, and defining future states or business solutions. You will conduct research, gather data, and synthesize information to support decision-making and improve integration with technology, ensuring that the organization meets its strategic goals effectively. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Facilitate workshops and meetings to gather requirements and feedback from stakeholders.- Develop detailed documentation of business processes and system requirements. Professional & Technical Skills: - Must To Have Skills: Proficiency in GuideWire Integration.- Strong analytical skills to assess business processes and identify areas for improvement.- Experience with process mapping and modeling techniques.- Ability to communicate effectively with both technical and non-technical stakeholders.- Familiarity with project management methodologies. Additional Information:- The candidate should have minimum 2 years of experience in GuideWire Integration.- This position is based at our Bengaluru office.- A 15 years full time education is required. Qualification 15 years full time education

Posted 2 days ago

Apply

0.0 - 1.0 years

1 - 5 Lacs

Bengaluru

Work from Office

Naukri logo

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate 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 Ability to perform under pressureAbility to work well in a teamAdaptable and flexibleCommitment to qualityAccount Management Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Posted 2 days ago

Apply

3.0 - 5.0 years

2 - 6 Lacs

Bengaluru

Work from Office

Naukri logo

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(International) - Intermediate 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 Property and Casualty InsuranceAbility to establish strong client relationshipAbility to meet deadlinesAbility to perform under pressureAbility to work well in a teamPrioritization of workloadClaims Processing Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Posted 2 days ago

Apply

0.0 - 1.0 years

2 - 6 Lacs

Navi Mumbai

Work from Office

Naukri logo

Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for Us shiftsQuick learner Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Posted 2 days ago

Apply

3.0 - 5.0 years

5 Lacs

Chennai

Work from Office

Naukri logo

Role Description Overview: The QC is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service and Ensuring that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement Responsibility Areas: Participate in client calls and understand the quality requirements both from process perspective and for targets Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager Collect data on individual transactions (chart, claim, EOBs etc) on the errors Provide face to face feedback and also send emails with the type of errors etc. on daily basis Coach employees to minimize errors and improve performance Provide inputs to the training team on common mistakes made to enhance training curriculum Test files/batches for new clients/processes to be processed as part of familiarization Generation of QA reports on a daily basis Attainment of Internal & External SLA as per Process Defined. Strict adherence to the company policies and procedures. Extensive Quality experience Audits, Coaching & training as per process defined. Min of 1.5 Yrs of Professional and Relevant Experience Sound knowledge in Healthcare concept. Excellent Communication skills Verbal & Non Verbal Critical problem solving and issue resolution Must have Good Product and Process Knowledge Must have good analytical and judgmental skills Quality Feedback/Refresher sessions Prepare and Maintain Quality status reports

Posted 2 days ago

Apply

0.0 - 2.0 years

1 - 3 Lacs

Pune

Work from Office

Naukri logo

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile – Executive If interested kindly share your resume to recruitment1@mdindia.com

Posted 2 days ago

Apply

1.0 - 2.0 years

1 - 3 Lacs

Chennai

Work from Office

Naukri logo

To co-ordinate with cashless patients, Insurance companies and corporate for smooth functioning of cashless treatment provided to the patient. To send the pre-authorization forms to the concerned TPAs and to follow-up till receipt of initial approval

Posted 2 days ago

Apply

1.0 - 3.0 years

3 - 5 Lacs

Coimbatore

Work from Office

Naukri logo

Job Summary We are seeking a skilled Claims Adjudication Specialist with 1 to 3 years of experience to join our team. The role involves working from the office during night shifts focusing on claims adjudication processes. The ideal candidate will have a strong understanding of claims and payer domains contributing to efficient and accurate claims processing enhancing our service delivery. Responsibilities Process claims efficiently and accurately to ensure timely adjudication and resolution. Collaborate with team members to identify and resolve discrepancies in claims processing. Analyze claims data to identify trends and areas for improvement in adjudication processes. Maintain up-to-date knowledge of industry standards and regulations related to claims adjudication. Communicate effectively with internal and external stakeholders to address claims-related inquiries. Utilize technical skills to enhance the accuracy and efficiency of claims processing. Implement best practices in claims adjudication to improve overall service quality. Monitor claims processing metrics to ensure compliance with performance standards. Provide feedback and suggestions for process improvements to enhance operational efficiency. Ensure all claims are processed in accordance with company policies and procedures. Support the team in achieving departmental goals and objectives through effective claims management. Participate in training sessions to stay updated on new technologies and methodologies in claims adjudication. Contribute to the development of a positive work environment by fostering teamwork and collaboration. Qualifications Demonstrate proficiency in claims adjudication with a strong technical background. Exhibit knowledge of claims and payer domains to enhance processing accuracy. Possess excellent analytical skills to identify and resolve claims discrepancies. Show ability to communicate effectively with stakeholders at all levels. Display commitment to maintaining up-to-date industry knowledge. Demonstrate problem-solving skills to improve claims processing efficiency. Exhibit teamwork and collaboration skills to support departmental objectives. Certifications Required Certified Claims Professional (CCP) or equivalent certification in claims adjudication.

Posted 2 days ago

Apply

8.0 - 12.0 years

27 - 42 Lacs

Chennai

Work from Office

Naukri logo

Job Summary Google ChromeBook management Google Workspace Administration Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Responsibilities Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Ensure device security regular updates and compliance with organizational policies. Create and manage Organizational Units (OUs) for different departments or user groups. Manage user accounts groups and organizational units in Google Workspace. Configure and monitor Gmail Drive Calendar Meet and other Workspace apps. Provide technical support and training to end-users. Monitor and resolve issues related to mail delivery file sharing or access controls. Respond to service tickets related to Google Workspace and Chromebook issues. Develop documentation for users and IT procedures. Stay updated with Google product changes and new features.

Posted 3 days ago

Apply

0.0 - 3.0 years

3 - 5 Lacs

Thane, Navi Mumbai, Mumbai (All Areas)

Work from Office

Naukri logo

Role: Business Advisory Associate - Automotive Supply Chain (Warranty Claims) Location: Navi Mumbai Experience: 0 - 3 years Are you passionate about cars, components, and customer experience? Ready to shift gears and take your career to the next level with a global powerhouse? Accenture is hiring for the role of Aftersales Services & Warranty Claims Adjudication. Who can apply? - BE in Automobile (with or without automotive experience) - BE in Mechanical (with automotive experience) - 1 to 5 years of experience in Warranty, Auto Components, or Service Advisors from authorized Auto dealerships. What you'll do? - Investigate and validate warranty claims using OEM tools, parts catalogs, and labor standards - Drive supply chain transformation through digitization and analytics - Work closely with dealers, warranty engineers, and internal teams to meet SLAs - Maintain accuracy, efficiency, and high-quality delivery in operational processes About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and, security. 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 world's 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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and, communities. Visit us at www.accenture.com

Posted 3 days ago

Apply

8.0 - 12.0 years

8 - 10 Lacs

Ghaziabad

Work from Office

Naukri logo

Job Description: Skills Required: Strong leadership, team management skills with Excellent communication and interpersonal skills Comprehensive understanding of hospital admission processes and billing systems Customer service oriented with problem-solving capabilities Ensuring accurate billing for services provided to inpatient (hospitalized) patients, including room charges, medical procedures, medications, and consultations. Leading and managing the team responsible for processing and generating bills for inpatient services. Collaborating with other departments like clinical, pharmacy, and insurance for timely and accurate billing. Overseeing day-to-day administration, directing and controlling of the IPD operations. Ensuring close adherence to prescribed Standard Operating Procedures (SOPs) in all functional areas. Organizing regular training inputs and organizing feedback sessions from Staff and Customers. Monitoring customer feedback on a day-to-day basis - acknowledges and take corrective action, wherever required. Interacting with Consultants in IPD and catering to their requirements. Oversee and streamline billing process and for the timely submission of medical claims to insurance companies Cross Checking of patients bills i.e. balance and final respectively. Taking any confirmation with IPA and coordinating with TPA for any deficiency in getting approval. Manages billing system updates and providing patient financial counseling Going over insurance pre-authorizations and verifications and tracking payment and payment plans. Educating the patients about their rights and responsibilities. To ensure timely and accurate compliance with the standards laid down under ISO for the departmental function. To handle inter and intra departmental coordination for smooth discharge. Preparing TPA approval as per given clauses and coordinating with Cash/ Corporate bill on daily basis. Authentication of documents CGHS/ PSU and same dispatch to concern for final payment. Post discharge checking of CGHS/ TPA bills. To ensure timely action on patient queries related to billing. To follow Cash / Credit / Corporate billing / discount instructions. To ensure accurate and timely Billing. Maintaining register for discharge flow. Checking of referral, approval and mandatory requirements of institutions. Package mapping during night hours. Updating OT sheets and assigning packages of Cath/ OT. Special vigil on international patient billing. To be well groomed, punctual & adhere to company policies and practices. To effectively utilize Hospital Information System and other software provided. To comply with the service quality process, environmental & occupational issues & policies of the respective area.

Posted 3 days ago

Apply
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies