Contracts Claims Expert

Role & responsibilitiesGood understanding of Contract.Ensuring efficient contract compliance and efficient contract management.Claims Management including identification of potential claim events, preparing grounds, timely notices / Contemporary submissions, strategic development of case and submission of claims includes Extension of time & Change...

Company Description Work with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world's...

Job SummaryWe are seeking a highly skilled and experienced Subject Matter Expert (Medico) with 7-10 years offocused experience in the health insurance industry, particularly in claims processing. Understandingthe key KPIs that drive claims processing is critical. The candidate will play a crucial role in bridging thegap between business needs and IT...

Job Summary:We are seeking a highly skilled and experienced Subject Matter Expert (Medico) with 7-10 years offocused experience in the health insurance industry, particularly in claims processing. Understandingthe key KPIs that drive claims processing is critical. The candidate will play a crucial role in bridging thegap between business needs and IT...

Key Responsibilities:Adjudicate medical, dental, and vision claims using the Facets platform.Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules.Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA).Identify discrepancies or issues in claims data and take...

**Job Summary**: - Process: International Insurance/Insurance Operations (Life, Pensions, Annuities)- - Work Location: Pune (Sahyadri Park)- - 1 +Years of experience in any International Insurance and Good Communication skills- - **Position Summary**: - Associates will be responsible for handling and undertaking rule-based transactions with a small element...

**What You'll Do**: - Independent expertise in drafting, reviewing, and negotiating complex legal contracts with mínimal reliance on systems or tools. - Provide expert legal advice on governing laws (India or US & UK), particularly in contract matters. - Draft, review, and negotiate complex legal contracts. (with no support of the tools) - Manage the...

**Description**: Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment Excellent team player with interpersonal skills High level attention to detail and problem-solving skills Capable of working collaboratively and independently with mínimal supervision Exhibit...

Ensure that all critical contractual issues, such as contractual communications, bank guarantee management, extension of time, liquidated damages, suspension, variations, extra items, de-scoping, termination and claims, are administered effectively to safeguard the interests of GPL - Analyse reasons for delays and disruptions, identify client-related issues...

**This position is responsible for the delivery of exceptional customer service through claims review as per SLA.** - Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to...