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1.0 - 4.0 years
4 - 9 Lacs
Bengaluru
Work from Office
We are looking for a motivated and enthusiastic analyst with an unwavering 'can-do' attitude to join the Commercial Engineering team. As a part of the Commercial Engineering team you will contribute to the design, prototyping, testing, deployment, performance, security, and enhancement of Thomson Reuters' Commercial Engineering systems/applications. You will also participate in a wide range of business analysis, project management, strategic planning, product management, and escalated support activities. About The Role: Bachelor's degree in accounting, business, or computer science Unyielding attention to detail Highly organized with strong analytical andproblem-solvingskills Ability to collaborate and brainstorm with developers, other departments, and product users in a highly dynamic environment Strong planning and time management skills, with a proven track record of managing multiple concurrent projects with time-sensitive milestones Must be able to work independently with minimal direction and guidance to achieve established goals and objectives Excellent verbal and written communication skills Ability to deliver high quality work on time in a high-energy, rapidly changing environment About You: Formulate and define complex information systems scope and objectives through research, analysis, and testing combined with a basic understanding of business needs, industry requirements, and best practices. Translate internal and external feedback to design solutions that satisfy user and business needs while managing expectations and relationship risks. Resolve problems of complex and diverse scope where the effective analysis of data often requires an accurate evaluation of identifiable and/or contributing factors Analyze and communicate extensive research findings into relevant and applicable insights Exercise independent judgment and resourcefulness within the scope of generally defined practices and policies in selecting the most appropriate methods and techniques for obtaining optimal solutions. #LI-KP2 Whats in it For You Hybrid Work Model Weve adopted a flexible hybrid working environment (2-3 days a week in the office depending on the role) for our office-based roles while delivering a seamless experience that is digitally and physically connected. Flexibility & Work-Life Balance: Flex My Way is a set of supportive workplace policies designed to help manage personal and professional responsibilities, whether caring for family, giving back to the community, or finding time to refresh and reset. This builds upon our flexible work arrangements, including work from anywhere for up to 8 weeks per year, empowering employees to achieve a better work-life balance. Career Development and Growth: By fostering a culture of continuous learning and skill development, we prepare our talent to tackle tomorrows challenges and deliver real-world solutions. Our Grow My Way programming and skills-first approach ensures you have the tools and knowledge to grow, lead, and thrive in an AI-enabled future. Industry Competitive Benefits We offer comprehensive benefit plans to include flexible vacation, two company-wide Mental Health Days off, access to the Headspace app, retirement savings, tuition reimbursement, employee incentive programs, and resources for mental, physical, and financial wellbeing. Culture: Globally recognized, award-winning reputation for inclusion and belonging, flexibility, work-life balance, and more. We live by our valuesObsess over our Customers, Compete to Win, Challenge (Y)our Thinking, Act Fast / Learn Fast, and Stronger Together. Social Impact Make an impact in your community with our Social Impact Institute. We offer employees two paid volunteer days off annually and opportunities to get involved with pro-bono consulting projects and Environmental, Social, and Governance (ESG) initiatives. Making a Real-World Impact: We are one of the few companies globally that helps its customers pursue justice, truth, and transparency. Together, with the professionals and institutions we serve, we help uphold the rule of law, turn the wheels of commerce, catch bad actors, report the facts, and provide trusted, unbiased information to people all over the world. Thomson Reuters informs the way forward by bringing together the trusted content and technology that people and organizations need to make the right decisions. We serve professionals across legal, tax, accounting, compliance, government, and media. Our products combine highly specialized software and insights to empower professionals with the data, intelligence, and solutions needed to make informed decisions, and to help institutions in their pursuit of justice, truth, and transparency. Reuters, part of Thomson Reuters, is a world leading provider of trusted journalism and news. We are powered by the talents of 26,000 employees across more than 70 countries, where everyone has a chance to contribute and grow professionally in flexible work environments. At a time when objectivity, accuracy, fairness, and transparency are under attack, we consider it our duty to pursue them. Sound excitingJoin us and help shape the industries that move society forward. As a global business, we rely on the unique backgrounds, perspectives, and experiences of all employees to deliver on our business goals. To ensure we can do that, we seek talented, qualified employees in all our operations around the world regardless of race, color, sex/gender, including pregnancy, gender identity and expression, national origin, religion, sexual orientation, disability, age, marital status, citizen status, veteran status, or any other protected classification under applicable law. Thomson Reuters is proud to be an Equal Employment Opportunity Employer providing a drug-free workplace. We also make reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law. More information on requesting an accommodation here. Learn more on how to protect yourself from fraudulent job postings here. More information about Thomson Reuters can be found on thomsonreuters.com.
Posted 1 week ago
1.0 - 4.0 years
3 - 4 Lacs
Bengaluru
Work from Office
Job Title : Medical officer Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing experience. Understanding of GIPSA/MA packages, SOC, and Tariff deviations. Identifying bill inflations in insurance billing. Knowledge of surgeries, advanced treatments, and procedure costs. Behavioral Competencies: Strong communication skills (verbal & written). Teamwork and collaboration. Time management and multitasking.
Posted 1 week ago
10.0 - 20.0 years
20 - 35 Lacs
Gurugram
Work from Office
Role Purpose: The Contracts Lead will oversee all aspects of contract administration, risk management, and project closure claims for the assigned projects. The role will involve advising the project execution teams (of the applicable projects allocated) on interpretation of contractual terms, evaluating contractual risks, and ensuring proper claims management. This position plays a key role in aligning the contractual obligations with project execution to mitigate risks and resolve disputes in a proactive manner Key Accountabilities : Contractual Advisory & Guidance • Act as the key advisor for the project execution teams on interpreting contract terms, conditions, and obligations • Ensure that project teams understand the implications of contract clauses and recommend necessary actions to mitigate risk • Support the informal dispute resolution process by providing strategic advice related to contract terms Management of Project Level Documentations • Train and support Project Team Members of the BUs projects to ensure consistency and adherence to document control protocols • Oversee and improve project level documentation practices, for maximum adherence to central documentation SOPs/policies Contractual Risk Evaluation & Assessment • Evaluate and assess contractual risks at the project level, identifying potential liabilities or deviations from the SoW • Proactively assess contractual risks associated with key project deliverables, payment delays, CoS, EoT, and more Vetting of Contractual Correspondences • Review and vet contractual correspondences to ensure alignment with contractual provisions • Ensure that such communications are compliant with contract stipulations and are handled professionally and with full documentation Claims Management during project cycle • Identify pending claims and unresolved issues related to the projects closure, by categorizing claims as per applicable reason of delays • Collate all relevant records supporting project closure claims, including notices, logs, approvals, and communications; to finalize Statement of Claims (SoC) for unresolved issues SOPs and Guidelines • Contribute to the development and maintenance of SOPs and guidelines for contract and claims management within the applicable projects • Ensure the consistent application of SOPs across all assigned projects and compliance with legal and regulatory requirement Collaboration with other teams • Assist Project Execution Teams in informal settlement discussions and ensure they are aligned with contractual obligations and future risks • Liaise with the legal team as required, particularly in relation to ADR processes and formal dispute proceedings
Posted 1 week ago
0.0 - 1.0 years
2 - 3 Lacs
Hyderabad
Work from Office
We are hiring freshers or experienced medical officer to process the health insurance claims in TPA or Insurance companies. Educational Qualification: MBBS / BAMS / BHMS / BPT / MPT / BDS / Pharm D.
Posted 1 week ago
3.0 - 8.0 years
3 - 7 Lacs
Kochi
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, Darini HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432492 | WhatsApp 9591269435 darini@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************
Posted 1 week ago
2.0 - 7.0 years
4 - 8 Lacs
Mumbai, Bengaluru
Work from Office
Role and Candidate Expectations: Candidate 4-8 years of experience in global benefits Language Proficiency: Native-level fluency in English (both verbal and written). Experience in payroll processing claims & vendor file SFTP Experience in Pension enrollments and updates Experience in wellness benefits and group health insurance and medical benefits Experience in pre and post pension payroll and active payroll checks Experience in supplier invoicing collaboration with finance teams Proficient in Darwin Workday and Service Now tools. SLA & KPI Adherence Must be flexible to work in shifts Contact Person: shalini Contact Number: 9840116523 Email ID: shalini@gojobs.biz
Posted 1 week ago
4.0 - 9.0 years
10 - 20 Lacs
Pune, Chennai, Coimbatore
Hybrid
Guidewire Claim Center Developer
Posted 1 week ago
2.0 - 5.0 years
3 - 5 Lacs
Noida
Work from Office
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on varsha.kumari@mediassist.in Thanks & Regards Varsjha Kumari Email - varsha.kumari@mediassist.in
Posted 1 week ago
0.0 - 5.0 years
3 - 4 Lacs
Mumbai
Work from Office
Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in
Posted 1 week ago
0.0 - 1.0 years
1 - 1 Lacs
Hyderabad
Work from Office
Roles and Responsibilities: For Payment Posting: Posting insurance and patient payments into the billing software accurately. For AR Calling: Calling insurance companies in the US to follow up on unpaid or underpaid claims. Over time allowance Gratuity
Posted 1 week ago
1.0 - 5.0 years
1 - 6 Lacs
Pune
Work from Office
Urgent requirement for BHMS/BAMS/BDS doctors-Pune (Vadgaonsheri) Candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and responsibilities: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS graduate. Good Medical & basic computer knowledge. Should have completed internship (Permanent Registration number is mandatory) Preferred -TPA or insurance sector Experience. Work from office . Interview Timings-11am To 5pm(Monday To Saturday) Venue Details: MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune 411014
Posted 1 week ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports 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 Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 week ago
3.0 - 8.0 years
5 - 10 Lacs
Bengaluru
Work from Office
Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports 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 Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 week ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports 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 Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 week ago
3.0 - 8.0 years
5 - 15 Lacs
Noida
Work from Office
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 1 week ago
3.0 - 8.0 years
20 - 35 Lacs
Hyderabad, Pune, Bengaluru
Hybrid
Strong understanding of P&C industry & solutions with 3-15 Yrs' exp. in Duck Creek Policy Exp. in application maintenance support engagements (Commercial & Specialty insurance preferred) in configuring DuckCreek Claims product & Agile methodology Required Candidate profile Technical knowledge of DuckCreek Claims & detailed understanding on Duck creek Architecture, Data Model, UI design, processes, events & DCOD Environment,2. Exp.in integrating Duck Creek Claims product
Posted 1 week ago
0.0 - 1.0 years
2 Lacs
Mumbai
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management 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 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 establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- 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 1 week ago
0.0 - 5.0 years
0 - 2 Lacs
Kolkata
Work from Office
SUMMARY Looking Both Fresher/Exp candidates ready to work in A VOICE Process in Leading KOLKATA MNC. Excellent Communication Skills. WORK FROM OFFICE. Salary up to 5lpa for EXP(more than 1 year) Freshers Salary : 3.6 LPA CTC. UG/GRAD both can apply. Requirements Requirements. * Any Undergraduate / Graduate fresher and exp with excellent English communication can apply * Should have excellent communication (read/write/speak) * Should be smart and have convincing skills * Doing outbound calls and providing information * Selling products and promos * Helping customer * Comfortable to work in rotational shift Benefits Benefits. Salary for Freshers - 3.6 LPA CTC Salary Experience (1+ years exp) - Up-to 5.20 LPA CTC. PF+ESIC+HEALTH INSURANCE+ GREAT MNC CULTURE+ LUXURIOUS OFFICFE+ CABS + IJP.
Posted 1 week ago
15.0 - 24.0 years
20 - 25 Lacs
Durgapur
Work from Office
Roles and Responsibilities Manage billing processes for hospitals, ensuring accurate and timely submission of claims to TPAs and insurance companies. Oversee medical billing operations, including claims processing, cash posting, and denial management. Develop and implement effective strategies to reduce claim rejections and improve revenue cycle management (RCM). Collaborate with healthcare providers to ensure compliance with NABH standards and regulations. Analyze financial data to identify trends and areas for improvement in hospital administration. Desired Candidate Profile More than 18 years of experience in medical billing (hospital administration). Degree in Hospital Administration or relevant discipline; MBA/PGDM- Finance is preferred. Strong knowledge of billing procedures, claims processing, cash posting, denial management, health care services, medical billing, NABH guidelines. * Interested candidate can share their CV at ayesha.tabassum@iqct.in
Posted 1 week ago
2.0 - 7.0 years
1 - 4 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 EU insurance claims processing for individual, employer, group, and provider. Job Description* 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 claims in accordance with policy terms and conditions. M Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. 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. Carry out other adhoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. 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, Commerce, Statistics, Mathematics, Economics or Science. Experience Range* : Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Foundational Skills- Expertise in EU insurance claims processing Work Timings* : 1:00-10:00 PM IST Job Location*: Bengaluru (Bangalore)
Posted 1 week ago
2.0 - 7.0 years
3 - 6 Lacs
Bengaluru
Work from Office
for individual, employer, group, and provider. 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. Adjudicate international claims in accordance with policy terms and conditions. M. Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. 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. Carry out other adhoc 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 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, Commerce, Statistics, Mathematics, Economics or Science. Experience Range*: Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Expertise in EU insurance claims processing. Join us in driving growth and improving lives. Process Overview. Requirements*. Strong interpersonal skills. Foundational Skills-. . 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 EU insurance claims processing for individual, employer, group, and provider. Job Description* 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 claims in accordance with policy terms and conditions. M Monitor SLA times to ensure your claims are settled within required time scales. Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible. Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes. 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. Carry out other adhoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. 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, Commerce, Statistics, Mathematics, Economics or Science. Experience Range* : Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims. Foundational Skills- Expertise in EU insurance claims processing Work Timings* : 1:00-10:00 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. for individual, employer, group, and provider. Ability to work under own initiative and proactive in recommending and implementing process improvements. Back to search results Previous job Next job JOB DESCRIPTION Driving Growth. Improving Lives.
Posted 1 week ago
1.0 - 5.0 years
3 - 6 Lacs
Gurugram
Work from Office
Job Description: We are looking for a detail-oriented and proactive AR Follow-Up Executive to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for following up on outstanding claims with insurance companies to ensure timely reimbursement for healthcare services To apply, Call/WhatsApp HR Palak 9289050069 Key Responsibilities: Review and analyze unpaid or denied medical claims. Follow up with insurance carriers via phone or online portals. Resolve claim rejections and denials by identifying root causes. Update the billing system with action taken and next steps. Meet daily productivity and quality targets. Requirements: 13 years of experience in AR follow-up (US healthcare domain). Strong understanding of the denial management process. Good communication skills and ability to work in a fast-paced environment.
Posted 1 week ago
1.0 - 3.0 years
2 - 3 Lacs
Gandhinagar, Ahmedabad
Work from Office
Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available
Posted 2 weeks ago
1.0 - 3.0 years
2 - 3 Lacs
Gandhinagar, Ahmedabad
Work from Office
International Voice Process Shift - US Shift 5days working Location - Ahmedabad Food is Available
Posted 2 weeks ago
1.0 - 3.0 years
2 - 3 Lacs
Gandhinagar, Ahmedabad
Work from Office
Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available
Posted 2 weeks ago
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