AVP - Claims Specialist
4 weeks ago
Kshema is seeking an experienced AVP - Claims professional to oversee the claims processing lifecycle from initiation to settlement. This role is responsible for providing claim settlement focused on efficiency, accuracy, and customer satisfaction.
Key Responsibilities- Lead the claims processing lifecycle, ensuring timely and accurate settlement of claims.
- Develop and implement processes to improve claims servicing, including building a strong and robust team.
- Collaborate with Underwriting, Actuarial, Finance, and other stakeholders to ensure knowledge sharing on market trends, legal changes, and loss developments.
- Stay up-to-date on industry regulations and compliance requirements, ensuring adherence to legal and regulatory standards.
- Examine claim forms and records to determine coverage in insurance policy statements.
- Set up and create robust governance to manage claim assessment and settlement processes.
- 12-14 years' experience in insurance claims management.
- Minimum 2-3 years' experience in a lead role.
- Experience in setting up a team from scratch (preferred but not mandatory).
- Excellent verbal and written communication skills.
MBA/CA/Agri Graduate/preferably agricultural related graduate degree.
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AVP - Claims Specialist
4 weeks ago
Hyderabad, Telangana, India Kshema Full timeAVP - Claims Job DescriptionKey Responsibilities:Oversee the entire claims processing lifecycle, from initiation to settlement, ensuring efficiency, accuracy, and customer satisfaction.Lead a team of claims professionals, fostering a culture of excellence and implementing processes to optimize claims servicing.Develop and maintain robust governance...
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Claims Specialist
3 weeks ago
Hyderabad, Telangana, India Kshema Full timeJob Title: Claims SpecialistJob Summary:Kshema is seeking a skilled Claims Specialist to join our team. The ideal candidate will have a strong background in handling retail product claims and crop insurance business. The Claims Specialist will be responsible for reconciliation of issued policies, tracking and monitoring of registered claims, and assessment...
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Claims Resolution Specialist
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Hyderabad, Telangana, India UnitedHealth Group Full timeClaims Resolution SpecialistImagine being part of a team that processes and resolves payment information for millions of transactions every day. At UnitedHealth Group, we're looking for a Claims Resolution Specialist to join our team of passionate and energetic professionals. As a Claims Resolution Specialist, you'll be responsible for reviewing,...
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AR Claims Specialist
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Claims Resolution Specialist
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Hyderabad, Telangana, India UnitedHealth Group Full timeClaims Resolution SpecialistAt UnitedHealth Group, we're on a mission to make the health system work better for everyone. As a Claims Resolution Specialist, you'll play a critical role in processing and resolving payment information for millions of transactions. You'll work with our team of passionate and energetic Claims Representatives to maintain our...
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Claims Resolution Specialist
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Hyderabad, Telangana, India UnitedHealth Group Full timeRole SummaryWe are seeking a skilled Claims Resolution Specialist to join our team at UnitedHealth Group. As a Claims Resolution Specialist, you will play a critical role in maintaining our reputation for service, accuracy, and a positive claims experience.Key Responsibilities* Provide expertise and general claims support by reviewing, researching,...
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Medical Claims Specialist
2 weeks ago
Hyderabad, Telangana, India Equavantage Consulting Full timeAt Equavantage Consulting, we are seeking a skilled Medical Claims Specialist to join our team. The ideal candidate will have experience in medical billing and a strong understanding of ICD-10 and CPT codes, as well as the ability to multitask in a fast-paced environment.ResponsibilitiesReview and attach patient notes, prepare and mail paper claims, and...
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AgroInsurance Claims Specialist
2 weeks ago
Hyderabad, Telangana, India Kshema Full timeCrop Claims Specialist Job SummaryThis role is responsible for assessing crop loss and managing claims in the agroinsurance sector. The ideal candidate will have a strong background in crop insurance and excellent analytical skills.Key Responsibilities:Assess crop cutting experiment data to estimate loss ratios.Handle web portals for crop loss intimation and...
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Claims Specialist
4 weeks ago
Hyderabad, Telangana, India Kshema Full timeJob Title: Claims ManagerJob Summary:Kshema is seeking a highly skilled Claims Manager to join our team. The successful candidate will be responsible for managing the claims process, ensuring timely and accurate resolution of claims, and maintaining excellent relationships with clients and stakeholders.Key Responsibilities:Reconcile issued policies on a...
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Medical Claims Specialist
3 weeks ago
Hyderabad, Telangana, India Candari Enterprise Full timeCandari Enterprise is seeking a detail-oriented and organized Insurance Biller to manage the billing process, ensuring accurate and timely submissions of insurance claims, and resolving any discrepancies.This role is crucial in facilitating the financial operations of our hospital and ensuring patient accounts are handled efficiently.Key responsibilities...
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Senior Claims Assessor
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Hyderabad, Telangana, India Kshema Full timeJob Summary:Kshema is seeking a skilled Crop Loss Intimation Specialist to join our team. As a key member of our Claims Assessment department, you will be responsible for assessing crop losses and preparing expected loss ratios.Key Responsibilities:Assess crop cutting experiment data to determine expected loss ratios.Handle web portal for crop loss...
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Healthcare Claims Specialist
2 weeks ago
Hyderabad, Telangana, India UnitedHealth Group Full timeWe are seeking a skilled Claims Representative Associate to join our team at UnitedHealth Group. In this role, you will be responsible for providing expertise and general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. You will analyze and identify trends and provide reports as necessary, consistently...
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Claims Resolution Specialist
2 weeks ago
Hyderabad, Telangana, India UnitedHealth Group Full timeKey Responsibilities• Provide technical expertise in claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims• Analyze and identify trends and provide reports as necessary• Meet established productivity, schedule adherence and quality standards ConsistentlyRole OverviewThis role involves working with complex...
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Medical Claims Specialist
3 weeks ago
Hyderabad, Telangana, India Equavantage Consulting Full timeJob OverviewAs a Medical Biller at Equavantage Consulting, you will be responsible for ensuring timely and accurate processing of medical claims. Key Responsibilities:Claims Processing: Review and attach patient notes, prepare and mail paper claims, and maintain accurate records.Mailroom Management: Sort, deliver, and stamp mail, as well as print and...
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Hyderabad, Telangana, India Capgemini Full timeJob SummaryAs a technical specialist in Guidewire Policy, Claims, and Billing development, you will be responsible for integrating and configuring our systems to meet the needs of our clients. This role requires a strong understanding of Guidewire products and experience in development, as well as excellent problem-solving skills and the ability to work in a...
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Senior Fraud and Claims Operations Director
3 hours ago
Hyderabad, Telangana, India WELLS FARGO BANK Full timeAbout the JobWe are seeking a highly skilled Senior Fraud and Claims Operations Director to join our team at Wells Fargo Bank. In this role, you will be responsible for managing and developing a team of supervisors, analysts, specialists, or consultants, and engaging management, vendors, or related functional areas associated with fraud and claims...
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Medical Claims Specialist
4 weeks ago
Hyderabad, Telangana, India Candari Enterprise Full timeCandari Enterprise is seeking a detail-oriented and organized Insurance Biller to manage the billing process, ensuring accurate and timely submissions of insurance claims, and resolving any discrepancies.This role is crucial in facilitating the financial operations of our hospital and ensuring patient accounts are handled efficiently.Key responsibilities...
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Healthcare Claims Resolution Specialist
4 weeks ago
Hyderabad, Telangana, India UnitedHealth Group Full timeClaims Resolution AssociateAt UnitedHealth Group, we're on a mission to make the health system work better for everyone. As a Claims Resolution Associate, you'll play a critical role in processing and resolving payment information for millions of transactions. Your expertise will be essential in maintaining our reputation for service, accuracy, and a...
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Crop Insurance Claims Specialist
2 weeks ago
Hyderabad, Telangana, India Kshema Full timeKey Responsibilities:Conduct daily assessment of Crop Cutting experiment data to determine expected Loss Ratio.Manage web portal for Crop Loss Intimation and claim status verification.Ensure Claim Sheet data reconciliation with portal data for accuracy.Coordinate with vendors and state teams to minimize loss ratio.Prepare and submit Management Information...
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Fraud and Claims Operations Specialist
3 weeks ago
Hyderabad, Telangana, India WELLS FARGO BANK Full timeAbout this role:Wells Fargo is seeking a highly skilled Fraud and Claims Operations Representative to join our team. In this role, you will play a critical part in supporting our fraud and claims functional area by proactively identifying opportunities to improve customer experience and mitigate risks.Key Responsibilities:Support fraud and claims functional...