279 Claim Processor Jobs in Chennai

As a 2Wheeler Claims Manager at Corporate Warranties India Pvt. Ltd. in Chennai, your primary responsibility is to handle and manage claims efficiently. This full-time on-site role involves ensuring accurate and timely claims processing, evaluating claims, maintaining records, interacting with clients and insurers, and analyzing data for compliance with policies and regulations. Your goal is to support client satisfaction and operational effectiveness through effective claims management. - **Handle and manage claims for 2Wheelers** - **Ensure accurate and timely claims processing** - **Evaluate claims and maintain records** - **Interact with clients and insurers** - **Analyze data to ensure compliance with policies and regulations** Qualifications Required: - **Strong Claims Handling and Claims Management skills** - **Proficient in analytical skills** - **Knowledge of Insurance and Insurance Claims** - **Excellent communication and interpersonal skills** - **Ability to work both independently and as part of a team** - **Attention to detail and strong organizational skills** - **Experience in the automobile or related industry is a plus** - **Bachelor's degree in a related field is preferred**,

As a Sr. Processor at XBP Global, you will be responsible for handling Genealogy data as part of the Ancestry Staff Augmentation project. Your role will involve attending client training, analyzing Genealogy data from various providers, executing processes, SQL and MySQL queries, and store procedures, and publishing the data on the Ancestry website. Key Responsibilities: - Possess a bachelor's degree in computer science - Hold a Certificate in MySQL and SQL - Demonstrate experience or knowledge in handling SQL, MySQL store procedures, and queries - Exhibit excellent communication skills (both verbal and written) to interact with US clients - Be willing to work the 3:00 PM to 12:00 AM shift - Be open to working in the office on an as-needed basis - Serve as the primary resource in Chennai for this project Qualifications Required: - Bachelor's degree in computer science - Certificate in MySQL and SQL - Experience or knowledge in SQL, MySQL store procedures, and queries - Excellent communication skills for client interactions - Willingness to work the specified shift timings - Openness to working in the office based on project requirements Please note that the role requires immediate joining and a minimum 2 months" notice period as per client requirements. Additionally, candidates should be willing to commit to a minimum of two years in the same role and project.,

As a Claims Manager at SKD Health Allied Services, you will play a crucial role in overseeing the insurance claims investigation process. Your responsibilities will include: - Handling insurance claims for investigation on the ground. - Working in coordination with the ground team to ensure effective communication. - Ensuring quick delivery with utmost quality and documentation. - Showing sensitivity towards Turn Around Time and Quality. - Demonstrating passion towards claims investigation. To qualify for this role, you should have a Medical degree or relevant experience in healthcare. Experience in claims management is preferred. Additionally, you should possess the following skills: - Strong communication skills. - Ability to work under pressure. - Attention to detail. Preferred skills for this position include experience in insurance or claims processing, as well as knowledge of medical terminology. SKD Health Allied Services offers a competitive salary based on experience. We are committed to diversity and inclusivity in our hiring practices.,

As a HC & INSURANCE OPERATIONS SENIOR ASSOCIATE at NTT DATA, your primary responsibility will be to process and update Provider Data Management and Provider Data Enrollment Resources in the Clients main application following defined policies and procedures. Your role will involve ensuring day-to-day transactions are processed as per standard operating procedures, completing pends, and maintaining quality and timeliness standards. Additionally, you will need to have in-depth knowledge and experience in US healthcare Provider Data Validation and Management, specifically in provider enrollment and credentialing. Key Responsibilities: - Possessing 5 years or more experience in US healthcare, with a focus on Provider Data Enrollment and Management - Demonstrating knowledge in Amisys and Cenprov applications - Conducting product checks for affiliation with Medicaid, Medicare, and Exchange - Reading and understanding provider contracts - Handling Paid claims, recouped claims, claims rejections, and claims denial management - Understanding the End-to-End provider billing process - Working with EDI rejection claims and managing patient and provider demographic changes Qualifications Required: - 3 to 5 years of experience in US healthcare related to Provider Data Enrollment and Management - Ability to work in a 24/5 environment with rotational shifts - University degree or equivalent with 3+ years of formal studies - Strong teamwork, logical thinking, and English comprehension/written skills - Proficiency in MS Office applications - Effective communication skills both verbally and in writing - Capability to interact with clients is preferred Please note that the required schedule availability for this position is 24/5, and shift timings may be adjusted based on client requirements. Overtime work and weekend shifts may be necessary as per business needs.,

Role Overview: As a candidate for the role, your responsibilities will include working for a US based BPO or US healthcare insurance industry, or similar experience is recommended. You should be competent in MS Office Suite and Windows applications, demonstrate strong verbal communication skills, and display fast and accurate typing skills while maintaining a conversation. Additionally, you must be able to multitask data entry while conversing with Client contacts and insurance companies, professionally and confidently communicate to outside parties via phone, email, and fax, handle large volumes of work while maintaining attention to detail, and work effectively in a fast-paced environment. Qualification Required: - Diploma or Bachelor's Degree in any discipline - At least 1 year of total work experience, with experience in a similar role being preferred - Ability to work in a night shift schedule - Willingness to commute or relocate to Chennai, Tamil Nadu before starting work,

As a Technical Analyst specializing in Population Health and Care Management, your role will involve demonstrating strong domain expertise in Medicaid and other relevant healthcare programs. Your responsibilities will include working with stakeholders to identify current and future data needs, mapping Population Health and Care Management data to a normalized data model, and serving as a subject matter expert on domains such as Care Management, Utilization Management, Quality Scores, HEDIS, and Care gaps. Additionally, you will be responsible for building data concepts to support Population Health use cases and providing technology solutions to address business and technical issues for assigned customer areas. Key Responsibilities: - Act as a quality consultant and subject matter expert, conducting testing and validation of data element mapping to standards. - Collaborate with technical resources to analyze root causes and remediate data quality issues. - Work with customers to clarify and plan for current and future technology needs, mapping existing business processes/functions, and recommending changes for system integration. - Design and implement projects involving systems integration, small teams, and multiple technical platforms. - Conduct financial analysis, including Return on Investment (ROI), to support project funding/prioritization. - Drive improvement activities to achieve department and organizational goals, ensuring consistency and optimization of work product. - Provide subject-matter expertise on Health Ministry processes, policies, and requirements for functional area process design, testing, and implementation. - Identify opportunities for process improvement, make recommendations, and monitor task assignments to ensure timely completion with the intended scope and quality level. - Escalate process and project issues that cannot be resolved internally. Qualifications Required: - Prior experience working as a Population Health analyst in the Healthcare system. - Working knowledge of relational databases/database structures, with SQL expertise desired. - Strong understanding of data collected and used in Claims, Adjudications, Health Insurance, Care, and Utilization Management. - Knowledge and experience with ambulatory and acute clinical, billing and claims workflows, and clinical information systems. - Bachelor's or Master's degree in a related health or finance field (e.g., informatics or bioinformatics). - Critical thinking skills, decisive judgment, and the ability to work with minimal supervision in a stressful environment. - 5 years of experience in a similar role preferred. Please note that this job requires a proactive approach to driving improvement activities, staying abreast of industry trends, and applying knowledge to enhance existing business processes. If you are passionate about leveraging technology to optimize healthcare processes and data management, this role offers an opportunity to make a significant impact in the field of Population Health and Care Management.,

As a Medical Claims Analyst, you play a crucial role in the organization by handling collections, account follow-up, billing, and allowance posting for assigned accounts. Your responsibilities include meeting daily productivity/quality standards, adhering to established policies and procedures, analyzing claims issues to reduce denials, communicating identified trends to management, initiating appeals when necessary, correcting billing errors, and sending accurate appeals with supporting documentation. Additionally, you will assist with special A/R projects, demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions. - Handle collections, account follow-up, billing, and allowance posting for assigned accounts - Meet daily productivity/quality standards and adhere to established policies and procedures - Analyze claims issues to reduce denials and communicate identified trends to management - Initiate appeals when necessary and correct billing errors - Send accurate appeals with supporting documentation - Assist with special A/R projects - Demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions - Completed at least a High School education - Experience in medical billing/AR collections - Strong interpersonal and problem-solving skills - Sound judgment, integrity, and dependability - Excellent written and verbal communication abilities - Gracious and welcoming personality for customer service interactions If you are seeking a challenging yet rewarding role where you can utilize your skills in medical claims analysis and contribute to the organization's success, this position may be the perfect fit for you. Join our team and be part of a dynamic environment dedicated to delivering high-quality service while upholding patient confidentiality and compliance with HIPAA standards.,

Role Overview: You will be responsible for preparing bank reconciliations, ageing report, and Statement of Accounts. You will support internal and external audit requirements and process invoices and expense claims. Additionally, you will maintain accounting ledgers, assist in monthly closing, perform vendor and bank reconciliations, and work with various stakeholders to improve AP process, controls & analysis. Key Responsibilities: - Prepare bank reconciliations, ageing report, and Statement of Accounts - Support internal and external audit requirements - Process invoices and expense claims - Maintain accounting ledgers and assist in monthly closing - Perform vendor and bank reconciliations - Work with various stakeholders to improve AP process, controls & analysis Qualifications Required: - Bachelor/Masters degree in Accounts or related field - Experience in a similar role is a plus - Excellent knowledge of MS Office suite - Knowledge of Oracle, SAP, or similar accounting software is a plus - Ability to work independently in a fast-paced environment - Organised and possess high attention to detail - Excellent interpersonal and communication skills,

We are looking for an efficient Mortgage Loan Processor to process mortgage loan files and help clients submit complete applications. You will gather all necessary documentation and spot mistakes to ensure approval for the mortgage. If you want to succeed as a mortgage loan processor, you should be highly detail oriented. Customer service and communication skills are key since youll be the glue that binds all interested parties, from clients to underwriters. Mortgage loan processors should also have an aptitude in math and excellent time management skills. Responsibilities Perform a general evaluation of an application (financial documents, mortgage type etc.) Help client choose the most appropriate mortgage Gather all important data from client (assets, debts etc.) Verify information and references by contacting the right sources Correct mistakes and investigate inconsistencies Submit completed loan files for appraisal Act as point of contact between loan officers, underwriters and clients Conduct a final review of the file before closing

An executive claims management job description involves overseeing a team, managing claims operations from intake to settlement, and ensuring compliance with regulations. Key duties include strategic leadership, client communication, managing performance, and handling complex escalations, while also focusing on process improvement and team development.    Core responsibilities Team and operational leadership: Manage and lead a team of claims specialists or adjusters, including hiring, training, performance appraisals, and employee engagement. Oversee daily workflow, allocate resources, and balance workloads to meet operational KPIs and SLAs. Claims process management: Direct the entire claims lifecycle, from First Notice of Loss (FNOL) to adjudication and final settlement. Handle complex claims cases, disputes, and client escalations. Work with various stakeholders like insurers, adjusters, solicitors, and other departments. Compliance and quality assurance: Ensure all claims activities comply with relevant insurance laws, regulations, and internal policies. Monitor the quality of claims processing and ensure adherence to best practices. Client and stakeholder relations: Act as a primary point of contact for clients, managing relationships and resolving escalated issues. Collaborate with other departments to ensure seamless integration of claims operations with broader business objectives. Reporting and analysis: Prepare and present reports on key performance metrics, operational trends, and improvement opportunities. Implement solutions to enhance efficiency, accuracy, and service delivery. 

We are searching for a reliable quantity surveyor to join our capable team of professionals. The quantity surveyor will be tasked with analyzing existing budgets and making improvements, reviewing plans and preparing quantity estimates, negotiating with various contractors and vendors, as well as building relationships with clients and site managers. To be successful as a quantity surveyor, you should have a methodical approach and superb interpersonal skills. Outstanding quantity surveyors are not only great at analyzing costs, but they also know how to read people and tailor their negotiation strategies to ensure the best possible outcome.

Job Description: As a full-time, permanent employee, you will be joining our team as a fresher in a dynamic work environment. Your role will involve the following key responsibilities: - Handling tasks related to Provident Fund Your qualifications should include: - Ability to work in person at the designated work location Please note that the additional details of the company are not provided in the job description.,

As an experienced Insurance Operations Specialist, you will be responsible for handling claims, coordinating policies, and ensuring compliance with insurance regulations. Your role will require a sound understanding of insurance products, liabilities, and assets. Your excellent communication and interpersonal skills will be essential for effectively coordinating with clients and stakeholders. Key Responsibilities: - Manage claims handling process efficiently - Coordinate insurance policies and endorsements - Ensure accurate renewals of policies - Process claims with attention to detail and compliance Qualifications Required: - Minimum 1 year of experience in liabilities - Minimum 2 years of experience in endorsements and claims processing - Familiarity with insurance software/systems - Proficiency in MS Office tools, particularly Excel and Word You will be working full-time on a day shift schedule at our in-person location. Your strong attention to detail and ability to manage multiple priorities will be crucial for success in this role.,

Role Overview: You will be responsible for procurement of competitive terms from the Insurers, negotiating terms and coverage, preparing quote comparative analysis for Clients decision making, and providing expert advice to clients for selection of Insurer, terms, and claims settlement TAT. Additionally, you will assist the claims team with data, reports, and documentation, monitor renewal of policies, and ensure timely policy issuance and endorsements. Key Responsibilities: - Procure competitive terms from Insurers - Negotiate terms and coverage - Prepare quote comparative analysis for Clients decision making - Assist clients in decision making with expert advice - Maintain TATs for policy issuance and endorsements - Provide endorsements to clients as per specific requirements - Have detailed knowledge of Property, Marine, Liability, and engineering products - Monitor renewal of policies on a monthly basis - Vet policy copies, endorsements, and other documents - Review policy terms & conditions and ensure appropriate endorsement for deviations - Maintain TAT of claims process including timely reporting to insurers and facilitating necessary documentation Qualifications Required: - Minimum 3-5 years of experience in a similar role - Excellent communication and negotiation skills - Strong understanding of insurance products and processes Please note that the salary for this position is competitive and will be offered as per market standards. The location for this role is in Chennai/Hyderabad.,

As a Senior Quality Control Specialist for the Accounts Receivable process at our company in Chennai, India, your role involves collaborating with senior leaders to establish a robust quality control system. You will play a key role in transitioning new projects, engaging with clients, and ensuring that the team meets business requirements. Your responsibilities will also include overseeing project progress, participating in client meetings, monitoring quality standards for executives, and addressing operational and staffing issues promptly and effectively. Key Responsibilities: - Collaborate with senior leaders to develop a robust quality control system for the Accounts Receivable process - Participate in the transition of new projects, engage with clients, and ensure the team meets business requirements - Oversee project progress and participate in client meetings - Facilitate and monitor quality standards for executives - Address operational and staffing issues promptly and effectively Qualifications Required: - Minimum 11 years of work experience Please note that this role requires excellent communication and people skills, as well as the ability to work in the US Shift (06:00 PM to 03:00 AM IST). Strong project management and client coordination skills are also essential for this position.,

Role Overview: You will be responsible for handling Accounts Receivable and Pre-Authorization processes with good analytical and probing skills. Your main tasks will include initiating Prior Authorization requests, following up on requests, working on Pre-Determination Requests, coordinating with U.S. Based clients, analyzing claims, and resolving issues. Key Responsibilities: - Initiate Prior Authorization requests to Insurances across the US on behalf of Provider Office - Follow up on Prior Authorization requests and obtain approvals - Work on Pre-Determination Requests - Coordinate with U.S. Based clients on a daily basis on assigned tasks - Analyze Claims and resolve any issues - Perform Pre-Call Analysis on claims before contacting insurance companies - Have a good understanding of claims specifications and medical billing terminologies Qualifications Required: - Minimum of 1 year experience in Pre Authorization is a must - Strong knowledge in handling denials - Good oral and written communication skills Please Note: This is a full-time position with an expected start date of 15/10/2025.,

As a L&A Business Consultant at EY, you will be part of the Consulting team, engaging in a wide range of topics to support clients in various domains, including but not limited to: - Proficient in Individual and Group Life Insurance concepts, different types of Annuity products, etc. - Proficient in different insurance plans such as Qualified/Non-Qualified Plans, IRA, Roth IRA, CRA, SEP - Solid knowledge of Policy Life cycle, Illustrations/Quote/Rating, New Business & Underwriting, Policy Servicing and Administration, Claims Processing, and Disbursement - Demonstrated ability in Insurance Company Operations like Nonforfeiture option/Face amount increase, decrease/CVAT or GPT calculations/Dollar cost averaging and their respective transactions - Understanding of upstream and downstream interfaces for policy lifecycle Your consulting skills will be put to use by: - Experience in creating business process maps for future state architecture and WBS for overall conversion strategy - Conducting Due-Diligence and Assessment projects to evaluate current state maturity and gaps in functionalities - Requirements Gathering, Elicitation writing BRDs, FSDs, and conducting JAD sessions - Defining optimal future state operational processes and related product configuration - Providing innovative solutions, and challenging new client requirements while ensuring the required business value - Delivering clearly defined requirement documents with relevant dataflow and process flow diagrams Your technology skills will involve: - Proficiency in technology solution architecture and designing innovative solutions - Experience in data migration projects and data analytics to drive informed decision-making - Strong understanding of data governance principles and best practices Experience with COTS products such as FAST, ALIP, OIPA, and wmA is preferable. Additionally, industry certifications (AAPA/LOMA) will be an added advantage. EY is committed to building a better working world by creating new value for clients, people, society, and the planet. With a focus on data, AI, and advanced technology, EY teams help shape the future with confidence and develop solutions for pressing issues. Operating across assurance, consulting, tax, strategy, and transactions services, EY teams provide services in more than 150 countries and territories.,

As an Analyst in Motor Claims in this role, you will be responsible for handling General Insurance Claims and providing international voice support. Your main responsibility will be to interact with global clients over voice and email, assisting them with motor insurance claims. Key Responsibilities: - Handle end-to-end motor or general insurance claim processes. - Communicate effectively with global clients over voice and email. - Provide claim updates, resolve queries, and ensure customer satisfaction. - Maintain accurate documentation and follow claim handling procedures. - Collaborate with internal teams for claim resolution and reporting. Qualification Required: - Experience in Motor Claims or General Insurance Claims is required. - A strong background in international voice processing is mandatory. - Excellent spoken and written communication skills in English. - Strong understanding of claim processing workflows. - Candidate must be currently based in Bangalore.,

Job Description: As an Assistant Manager specializing in ABA and General Medical Billing at our company based in Bronx, NY, you will be responsible for managing medical billing processes with a mix of on-site and remote work. Your role will involve ensuring accuracy in claims submission, coordinating with insurance providers, overseeing account receivables, and troubleshooting billing discrepancies. Additionally, you will be instrumental in team coordination, process improvement, and maintaining regulatory compliance. Key Responsibilities: - Manage medical billing processes for ABA and General Medical Billing - Ensure accuracy in claims submission and coordinate with insurance providers - Oversee account receivables and troubleshoot billing discrepancies - Lead team coordination, process improvement, and regulatory compliance efforts Qualifications: - Expertise in ABA billing, general medical billing, and claims submission - Strong knowledge of account management, accounts receivable, and reconciliation - Experience with insurance verification and resolving claim disputes - Leadership and team management skills in a healthcare setting - Proficiency in billing software and financial systems - Familiarity with HIPAA regulations and compliance - Effective verbal and written communication abilities - Bachelors degree in Healthcare Administration, Business, or related field preferred - Prior experience in ABA therapy practices is a plus,

As a Claims Adjuster, your role involves evaluating and processing insurance claims to determine the extent of an insurer's liability and ensuring that settlements are fair and in line with policy conditions. Key Responsibilities: - Investigate insurance claims by interviewing claimants, witnesses, and professionals like mechanics, contractors, and physicians. - Review policy terms to determine coverage, exclusions, and limitations. - Inspect property damage and gather relevant documentation such as photographs, police reports, and repair estimates. - Negotiate settlements with policyholders, third parties, or legal representatives. - Prepare and submit detailed claim reports with recommendations for approval or denial. - Coordinate with external investigators, legal counsel, and other specialists when necessary. - Ensure that all claim processing activities comply with state and company-specific regulations. Qualifications Required: - Previous experience in insurance claims adjusting or a related field is preferred. - Strong analytical and problem-solving skills. - Excellent communication and negotiation abilities. - Knowledge of insurance policies and regulations. Please note that this job is full-time and permanent. The work location is in person.,