claims

Claims Processor – US Healthcare Payer (FACETS) | BPM Role Summary Claims Processors will support US Healthcare Payer and BPM operations, responsible for accurate and compliant end-to-end medical claims adjudication within the TriZetto FACETS platform. The role requires strong knowledge of benefits, pricing logic, provider validation, and payer rules while...

Position Summary: An Underwriting Operations Technician plays a crucial role in the insurance industry by supporting underwriters in evaluating risks and ensuring compliance with company guidelines. They handle administrative tasks, analyze policy language, and engage with internal and external stakeholders. Location: Mumbai - India What will your job...

Key Responsibilities: 1. Claims Processing & Management: Verify and process claims related to expired, damaged, and near-expiry stock  from distributors and retailers. Validate documentation for sales returns, promotional schemes, discounts, and incentive claims. Ensure claims are processed within defined SLAs and aligned with company policies. 2....

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Claims Examiner III NB to join our team! What you’ll be doing? • Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurately...

Job Title : Bodyshop Service Advisor – Insurance Claims Role: Bodyshop Service Advisor Experience: 2–5 Years Employment Type: Full-Time Qualification: Diploma in Automobile/Mechanical Engineering or Graduate with relevant experience. About the RoleWe are looking for a proactive and customer-focused Bodyshop Service Advisor to manage end-to-end accident...

Introduction Welcome to Gallagher in India — where expertise, technology, and purpose come together. Since 2006, Gallagher in India has supported global teams by delivering quality, service, and speed through deep expertise, smart technology, and specialized knowledge services. More than just an operations center, it’s a place where careers grow through...

Key Responsibilities: 1. Claims Processing and Resolution: • Oversee end-to-end claims validation, approval, and settlement processes. • Ensure claims related to stock returns, pricing errors, incentives, and disputes are addressed efficiently. • Implement strong reconciliation mechanisms to minimize financial losses and discrepancies. • Drive...

Claims Processing Executive (CPE) Job Summary: We are looking for a driven and curious Claims Processing Executive (CPE) to join our growing dynamic medical billing team. The ideal candidate will perform all activities involved in the preparation, insurance verification and retrieval of medical records for US Workers’ Compensation claims. The CPE will...

JOB DESCRIPTION POSITION               : Claim Representative AREPORTING TO     : Claim Supervisor or ManagerDEPARTMENT       : ClaimsCareer Band          : Band 1  About USAt CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is...

You desire impactful work. You’re RGA readyRGA is a purpose-driven organization working to solve today’s challenges through innovation and collaboration. A Fortune 200 Company and listed among its World’s Most Admired Companies, we’re the only global reinsurance company to focus primarily on life- and health-related solutions. Join our multinational...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications:Any Graduation Years of Experience:1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized...

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Claims Examiner III NB to join our team! What you’ll be doing? • Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurately...

Claims Processing Executive (CPE) Job Summary: We are looking for a driven and curious Claims Processing Executive (CPE) to join our growing dynamic medical billing team. The ideal candidate will perform all activities involved in the preparation, insurance verification and retrieval of medical records for US Workers’ Compensation claims. The CPE will...

Introduction Welcome to Gallagher in India — where expertise, technology, and purpose come together. Since 2006, Gallagher in India has supported global teams by delivering quality, service, and speed through deep expertise, smart technology, and specialized knowledge services. More than just an operations center, it’s a place where careers grow through...

Location: BengaluruExperience: 3–5 YearsQualification: MBBS / BHMS / BAMSWork Schedule: 5 Days a Week | Rotational ShiftsIndustry: Health Insurance / TPA / Healthcare OperationsJob SummaryWe are looking for a proactive and result-oriented Team Lead – Medical Insurance Operations to manage day-to-day operations, team performance, inventory allocation, and...

Job Description: Job description:   Claims Executive Responsibilities: • Receiving and answering emails, telephone calls related to claims • Advice policyholders on claim procedure • Ensure fair settlement of a claim with TAT • Manage all administration aspects of the claim • Adhere to legal requirements, industry regulations and customer...

Job Profile -Claims Associate RepresentativeJob Description –Have a passion for solving problems?  Dedicated to improving the customer experience?  Love digging in to research and analyse complex issues? The Claims Associate Representative’s primary responsibility is to process and complete customer and provider submitted claims. Deliver basic...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications:Any Graduation Years of Experience:1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills...

About Job The Medical Claim Processor is responsible for end-to-end processing of medical insurance claims (reimbursement), ensuring accuracy, compliance with policy terms, and adherence to turnaround time (TAT). This role requires close coordination with hospitals, customers, internal teams, and third-party administrators to deliver timely and efficient...

Effective handling MACT Claims.· Tendering evidence and taking regular follow up from Advocates.· Demarkation and processing of awards· Prepare and Vetting of WS and timely filing written notes of arguments.· Maintaining MIS of the concerned location.· Travelling to Locations for reviewing cases , adducing evidences and pre- settlement .