Claim Processing jobs in Pune, Maharashtra
- GallagherPune, Maharashtra
- Health insurance
- Life insurance
- Provident Fund
- Professionals in this group focus on processing insurance claims.
- They validate members, provider and other claims information.
- View all Gallagher jobs - Pune, Maharashtra jobs - Senior Claims Analyst jobs in Pune, Maharashtra
- Salary Search: Senior Analyst - Claim Operations salaries
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Claim Intake Specialist - PUNE
Often replies in 1 dayDaviesPune, Maharashtra- Accurately enter all new claims received via email into the claims management system.
- This role ensures that all new losses are entered correctly into the…
- View all Davies jobs - Pune, Maharashtra jobs - Intake Specialist jobs in Pune, Maharashtra
- Salary Search: Claim Intake Specialist - PUNE salaries
View similar jobs with this employerFBS Claims Operations Specialist
Often replies in 1 dayCapgeminiPune, Maharashtra- Health insurance
- Paid time off
- This role supports and coordinates with internal teams to facilitate efficient claims processing.
- This position provides back-office support to the claims…
FBS Claims Operations Specialist - Sep
Often replies in 1 dayCapgeminiPune, Maharashtra- Health insurance
- Paid time off
- This role supports and coordinates with internal teams to facilitate efficient claims processing.
- This position provides back-office support to the claims …
- WNS Global solutionsPune, Maharashtra
- Food provided
- Health insurance
- Paid time off
- Paid sick time
- Life insurance
- Cell phone reimbursement
- Job Summary:* The Insurance Process Executive is responsible for handling insurance-related transactions, policy servicing, customer support, claims processing,…
FBS Senior Claims Operations Specialist - sept
Often replies in 1 dayCapgeminiPune, Maharashtra- Paid time off
- This position provides back-office and operational support to the claims operations by managing moderately complex workflows, ensuring data integrity, and…
- EXL ServicePune, Maharashtra
- The Demand Specialist will also review files prior to phone call to familiarize themselves with the claim.
- In addition, the Demand Specialist will match the…
- Enquad Solution (India) Pvt LtdBaner, Pune, Maharashtra
- Provident Fund
- Ensure claims meet payer-specific and HIPAA compliance requirements.
- Manage AR aging reports and escalate problematic claims for resolution.
- CognizantPune, Maharashtra
- Use spreadsheets and word processing applications to track trends in issues such as claims benefits eligibility and billing so that recurring problems can be…
- CognizantPune, Maharashtra
- Guide junior analysts by sharing domain insights on payer and provider operations explaining complex benefit structures and demonstrating best practices in…
- View all Cognizant jobs - Pune, Maharashtra jobs
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- CognizantPune, Maharashtra
- Bring strong domain exposure to payer operations including benefit structures premium rating concepts claims impact from enrollment accuracy and group account…
- View all Cognizant jobs - Pune, Maharashtra jobs
- Salary Search: TL-Enrollment & Billing salaries
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View similar jobs with this employerInsurance Operations Associate
Often replies in 1 dayAccenturePune, Maharashtra- Review and assess complex insurance claims including death claims to determine coverage and eligibility for payment.
- Years of Experience:1 to 3 years.
View similar jobs with this employerInsurance Operations Associate
Often replies in 1 dayAccenturePune, Maharashtra- Review and assess complex insurance claims including death claims to determine coverage and eligibility for payment.
- Years of Experience:1 to 3 years.
View similar jobs with this employerMROPune, Maharashtra- Experience with data processing software/tool and platform is a plus.
- The Analyst - ROI Operations at MRO Corp plays a critical role in managing and analysing…
FBS Claims Operations Supervisor
Often replies in 1 dayCapgeminiPune, Maharashtra- Paid time off
- US Property & Casualty customer service or claims experience desired but not mandatory.
- Interacts with customers, vendors and other internal departments to…
- CognizantPune, Maharashtra
- Support standardization of work instructions by suggesting template improvements checklist enhancements and tracker refinements based on recurring issues…
- View all Cognizant jobs - Pune, Maharashtra jobs
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Job Post Details
Senior Analyst - Claim Operations - job post
Location
Benefits
Pulled from the full job description
- Health insurance
- Life insurance
- Provident Fund
Full job description
How you'll make an impact
Responsibilities:
- Professionals in this group focus on processing insurance claims.
- They validate members, provider and other claims information.
- Professionals determine accurate payment criteria for clearing pending claims based on defined policy and procedure.
- They maintain productivity goals, quality standards and aging timeframes and scrutinize medical claim documents and settlements.
- They are involved in settlement of disputes and preparing case recovery through negotiations with the third party and providers.
- Incumbents at this level are specialist Para-Professional with broad/ advanced knowledge of operational procedures and tools obtained through extensive work experience and may require vocational or technical education.
- They have broad experience but may not have a professional qualification.
- They work under limited supervision for non-routine situations and are responsible for leading daily operations.
- They deal with problems that are typically difficult and non-routine but not complex.
- They train, delegate and review work of lower level employees.
About you
Qualifications:
-
Typically requires a High School education or equivalent and minimum of 6 years of experience.
Additional Information
Compensation and benefits
On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you’ll get, depending on your job level, these benefits may improve:
- Medical Insurance and Parental Medical Insurance
- Accidental Insurance and Life Insurance
- Retirals - Employee Gratuity, Future Service Gratuity benefit - Group Term Life, Employee Provident Fund, National Pension Scheme
- Flexi Benefits Plan – Tax Savings Plans
- Educational expense reimbursement
- Annual Leave/ Maternity & Paternity Leave/ Additional paid ML, Mental Health Day
Other benefits include:
- Employee Wellness Programs
- Training programs
- And more..
We value inclusion and diversity
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination.