
Senior Analyst Claims Adjusting
1 day ago
Role Overview: As a Senior Analyst in Claims Adjusting specializing in Medical Malpractice Insurance, you will be responsible for managing the entire lifecycle of medical malpractice claims. This includes conducting in-depth investigations, analyzing claim details, reviewing medical records and legal documents, determining insurance coverage, coordinating with various stakeholders, and ensuring compliance with relevant laws and standards. Your role will involve thorough documentation of claims and reports to facilitate the resolution process efficiently. Key Responsibilities: - Manage the entire lifecycle of medical malpractice claims - Conduct in-depth investigations and analyze claim details - Review medical records and legal documents - Determine insurance coverage and coordinate with various stakeholders - Ensure compliance with relevant laws and standards - Thoroughly document claims and reports to facilitate the resolution process efficiently Qualifications Required: - Strong educational background with a preference for a degree in insurance, law, or a related field - Minimum of 3 years of experience in medical malpractice litigation or claims - Comprehensive understanding of malpractice insurance policies, exclusions, and legal frameworks - Possess certifications such as AIC, AINS, or Cert CII (advantageous) - Analytical skills, negotiation abilities, and interpersonal communication skills Additional Details: Flexibility in working hybrid shifts as per business requirements is essential for this position. By demonstrating your expertise in claims adjusting and your adherence to compliance with medical malpractice laws, regulatory standards, and company policies, you will contribute significantly to the efficient resolution of medical malpractice claims.,
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▷ Urgent! Senior Executive
1 week ago
Chennai, India EXL IT service management Full timeJob Description Job Description_ Senior Executive - AR Analyst _ Denial management Job Name: Senior Executive Position Title: Senior Executive - AR Analyst Band: A2 LOB:Denial Management - AR Analyst - RCM Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: Review, Analyze and Manage assigned outstanding receivables...
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Senior Business Analyst
24 hours ago
All India WovV Technologies Full time ₹ 9,00,000 - ₹ 12,00,000 per yearRole Overview: As a Senior Business Analyst at WovV Technologies, a Global Business Productivity SaaS company, you will work remotely from locations like Chennai, Mumbai, Vadodara, or from home. With over 3 years of experience, your primary responsibility will be to collect, analyze, and document requirements from stakeholders and customers. You will also be...
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Claims Associate
4 days ago
Hyderabad, India Optum Full timeJob Description Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion,...
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Claims Adjudication Associate
3 days ago
India CIEL HR Full timeJob Summary **Role**: - HealthCare Claims Adjudication Associate **Experience**: - 1 to 4 years **Work Location**: - Hyderabad (Work From Office) **Shift Timing**: - US Shift time (5:30 PM to 03:30 AM IST) Resources should be completely Vaccinated to attend this interview & should have Hi-Speed Internet / Broadband Connection MUST have Mandatory...
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Claims Adjudication Associate
2 weeks ago
India CIEL HR Full timeJob Summary Requirement - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong...
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Sr Executive
1 week ago
Hyderabad, India PepsiCo Full timeJob Description Overview 1. Managing Deduction claims and Invoice claims processing in SAP TPM 2. Assist with promotional event enrolments / claim approvals. 3. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. 4. Maintain a strong control environment with accurate trade accruals, contract approvals and...
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Guidewire claimscenter data analyst
4 days ago
India Sky Systems, Inc. Full timeRole: Guidewire Claims Center Data Analyst Position Type: Full-Time Contract (40hrs/week) Contract Duration: Long Term Work Hours: Standard (Must work until 11:30am EST) Work Schedule: 8 hours/day (Mon-Fri) Location: Hybrid - India (3x days onsite/week in India) We are seeking a Senior Claims Data Analyst with strong experience in Guidewire Claim...
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Senior Analyst, Business Operations
24 hours ago
All India Bain & Company Inc Full time ₹ 15,00,000 - ₹ 25,00,000 per yearRole Overview: As an Operations Senior Analyst (OSA) at Bain & Company's global Strategy & Transformation Practice, you will be instrumental in carrying out operational tasks vital for the practice's success. Your main focus will involve assisting in strategic planning, practice reporting, budgeting, and managing overall practice operations. Key...
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Guidewire ClaimsCenter Data Analyst
4 days ago
India Sky Systems, Inc. (SkySys) Full timeRole: Guidewire ClaimsCenter Data Analyst Position Type: Full-Time Contract (40hrs/week) Contract Duration: Long Term Work Hours: Standard (Must work until 11:30am EST) Work Schedule: 8 hours/day (Mon-Fri) Location: Hybrid - India (3x days onsite/week in India) We are seeking a Senior Claims Data Analyst with strong experience in Guidewire ClaimCenter,...
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Guidewire claim center qa
4 days ago
India Zensar Technologies Full timeAbout the Company GW CC QA is committed to delivering high-quality software solutions and fostering a culture of innovation and collaboration. About the Role The role involves testing and quality assurance for Claim Center, ensuring that user stories are effectively demonstrated and business scenarios are converted into test cases. Responsibilities ...