434 Job openings found

Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people are met. Key ...

Job Title: US Medical Claims Processor  (Night Shift) Overview: As a US Healthcare Claims Processor working remotely during night shifts, you will be integral to supporting the US claims team and other team members. Your role will involve identifying, researching, processing, and resolving claims and system edit pends according to desk-level procedures, business ...

Primary Role Description: - Responsible for leading claims-focused training, learning & development, and quality management across Financial and Medical claims operations. The role ensures high-quality, compliant, and efficient claims processing through robust training frameworks, continuous learning initiatives, and quality assurance programs. Key Roles & Responsibilities: Design and deliver structured training programs for Financial and Medical ...

US Unemployment Claims Coordinator   A US Unemployment Claims Coordinator's job duties typically involve managing unemployment insurance claims, including investigation, processing, and payment. They also may be responsible for tracking claims data, providing guidance on related policies and procedures, and collaborating with other departments.  Key Responsibilities: Claim Management: Investigating, processing, and managing unemployment insurance claims to ...

Approval and authorization of motor claims of Branch which includes theft, high value repairs & alternate mode of settlement as per the financial authority. Oversee processing of motor OD claims & ensure performance in conformity with the benchmarks set by the company. Review of claims Review all repudiation cases pertaining to the location. Attend ...

Approval and authorization of motor claims of Branch which includes theft, high value repairs & alternate mode of settlement as per the financial authority. Oversee processing of motor OD claims & ensure performance in conformity with the benchmarks set by the company. Review of claims Review all repudiation cases pertaining to the location. Attend ...

Approval and authorization of motor claims of Branch which includes theft, high value repairs & alternate mode of settlement as per the financial authority. Oversee processing of motor OD claims & ensure performance in conformity with the benchmarks set by the company. Review of claims Review all repudiation cases pertaining to the location. Attend ...

Duck Creek Claims Developer Duck Creek Claims Duck Creek Claims Technical Lead: Strong understanding of P&C industry and solutions with 8+ years’ experience in Duck Creek Claims which includes leading a onsite team Must have technical knowledge of Duck Creek Claims Must have detailed understanding on Duck creek Architecture , Data ...

Key Responsibilities Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA) Deep understanding of medical coding, billing, and medical terminologies Operates with urgency in a real time service environment Defines, communicates and manages workflow and data coordination to support various ...

Role  Claims Management with the objective of operational efficiency, reducing average Claim Cost and Improvement in Turn Around Time of Claims Settlement. Analysis and monitoring of claims to identify the Local / Geographical trends Responsible for Designing and implementation of various policies and procedures for claims Management     Regular engagements with customers and Insurer to build relations Responsible for claims disposal / settlement ratio Fraud Detection Improve TAT in claims and reduce ...