Claims Processor Job at Winn Group (Newcastle)

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst will play a vital role in reviewin...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review claims transactions and provide feedback to claims processors
Improve process efficiency & quality for existing and new processes through analysis and design of workflows and business processes
Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst is responsible for reviewing claim...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Claims Adjuster

Join our team to support a leading pet insurance organization as a Claims Adjust...

Location

United States , Jersey City

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Active Property & Casualty Adjuster License, or the experience and aspiration to obtain licensing within six months
Experience in claims review and adjudication
Ability to clearly communicate with pet owners in writing and over the phone
Strong decision-making and problem-solving abilities
Excellent organizational and time management skills
Confidence with basic IT tasks in a remote environment: attaching files to emails, editing documents, screensharing, and escalating technical issues as needed
Experience with Microsoft Outlook, Word, Access, PowerPoint (primarily using existing slides)

Job Responsibility

Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures
Consistently meet or exceed daily claims targets
Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws)
Maintain active adjuster licenses as required by state and municipal regulations
Identify and recommend process improvements to enhance the claims workflow
Ensure all claims are processed according to compliance and quality standards

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Senior Claims Processor

The Customer Experience Administrator (CEA) is a field-based role reporting to t...

Location

United States , Sparks

Salary:

18.00 - 24.00 USD / Hour

MillenniumSoft Inc

Expiration Date

Until further notice

Requirements

At least 5 years of experience in a customer service/customer facing role
High School diploma or equivalent
Must be proficient in Microsoft word, excel, PowerPoint and be able to utilize computer based tools for reports, email and general communication
Ability to work both individually and in team setting
Must be able to interface with customers, peers and support personnel in a positive manner as well as the ability to think and act in a logical and methodical way
Excellent verbal, written, and organizational skills
Good problem-solving and critical thinking skills
Flexibility to travel up to 50% of time outside of home geographic area, based upon business needs
Must be able to lift up to 30lbs frequently and up to 70lbs infrequently
Adhere to all PPE (Personal Protective Equipment) standards/guidelines required by company policy

Job Responsibility

Drive Net Promoter Scores (Customer Satisfaction) higher
Improve communication between customers and the Field Service Engineers
Follow up with customers after service has been completed to ensure that all needs were met or exceeded
Manage company assets including, cell phone, computer, tablet, etc
Establish and foster positive business relationships with customers and peers
Perform administrative duties including, but not limited to, recording time worked, training, etc
Provide ongoing feedback to customers in regards to instrument repair and status
Work closely with district team leads and dispatch to schedule and support customer base
Satisfactorily complete training in Salesforce, ServiceMax, and Qualtrics

Fulltime

Senior Manager, Payroll Tax

The Senior Manager, Payroll Tax & Garnishments oversees payroll tax operations f...

Location

United States , Bethesda

Salary:

90800.00 - 110000.00 USD / Year

HMSHost

Expiration Date

Until further notice

Requirements

2 years of experience supervising a team of payroll professionals engaged in executing payroll tax and garnishment programs
6-8 years of payroll experience engaged in delivering payroll tax and garnishment programs
A bachelor’s degree in a program related to the functional area can count for 3 of the 6-year requirement
An MBA or a master’s level degree in a program related to the functional area can count for an additional 2 years of 6-year requirement
3-5 years of Hospitality, F&B and/or Retail experience
Must have at least 4 years of experience processing payroll in a high-volume environment
Training that leads to very strong knowledge of state, federal, and provincial payroll tax and garnishment laws, as well as wage and hour regulations
Requires PeopleSoft HRMS experience including Query, implementation or upgrade experience a plus
Proficiency in Microsoft Office
Requires the ability to maintain confidential data and ensure that correspondence with sensitive data is done in a manner that adheres to compliant methodology

Job Responsibility

Manages the outsourced ADP payroll tax function and garnishments to ensure compliance
supports with investigating tax issues
Assists ADP tax team to complete year-end processes within ADP system
complete YE processes and adjustments in PeopleSoft
Manages quarter-end processes and quarterly tax updates from PeopleSoft
runs test payroll runs in PeopleSoft to ensure quarterly tax updates are completed successfully, coordinating with IT to move updates to production
Participates in systems upgrades and testing for tax and garnishment updates, serving as the liaison between the company and the third-party garnishment processor, and resolving and payroll issues
participates in system upgrade design and process testing and troubleshoots various HRMS & Payroll issues within PeopleSoft HRMS
Supports weekly tax transmissions to a third-party tax processing service and ensures timely and accurate tax funding on a weekly basis
Performs third-party sick pay adjustments and TEFRA adjustments

What we offer

Health, dental and vision insurance
Generous paid time off (vacation, flex or sick)
*401(k) retirement plan with company match
*Company paid life insurance
*Tuition reimbursement
Employee assistance program
Training and exciting career growth opportunities
Referral program – refer a friend and earn a bonus

Fulltime

Collection & Dispute Accountant

We are looking for a professional to manage customer collection and dispute reso...

Location

Egypt , Cairo

Salary:

Not provided

Coca-Cola HBC

Expiration Date

Until further notice

Requirements

0 to 2 Years of experience
Bachelor's degree in accounting or finance
SAP experience is a must
FMCG experience is a +
Dedicated & result orientated

Job Responsibility

Sending Monthly Claims Via emails to CCH EGP customers after being received from CCH AR team max by 7th of each month
Daily Communicating with CCH EGP Customers to collect outstanding balances promptly & as per CCH wow using Collection Worklist tool in (ERP SAP) via Electronic & Call
Maintain Weekly meetings with Commercial & AR team to solve and follow up on any problematic customer
Responsible for preparing & clarifying Payment remittance (Breakdown) & send it on daily basis to AR team for clearing
Proactive collection -Send to Customers ahead dues to notify Commercial & AR team of any potential payment issues or disputes
Support AR team by Circulating the Bi annual Balance confirmations & Or Monthly dunning letters to related customers
Maintain effective communication with Customers, Commercial, AR team ,other Business partners & stakeholders & providing support to maximize prompt payments
Daily Dispute Management & processing “receiving disputes , reviewing them, send to dispute processors , obtain approvals as per local COA & resolve Dispute
Daily update & send Dispute tracking sheet to AR & Credit Management teams
Ensuring open disputes are closed within Local SLA to achieve targeted KBI

What we offer

Bonus incentives
Coaching and mentoring programs
Development opportunities
Flexible Time
IT Equipment
Learning programs
Medical Insurance
Free product quota

Fulltime

New

Production Technician I

Responsible for manufacturing and subassemblies, components, and/or kits. Job re...

Location

United States , Cypress, California

Salary:

22.00 - 28.00 USD / Hour

Diasorin

Expiration Date

Until further notice

Requirements

H.S. Diploma (or equivalent) with minimum of 1 year of industry experience, required
Bachelor's Degree in a related field required
Industry experience preferred
Ability to understand documents such as safety rules, operating and maintenance instructions, and procedures manuals
Ability to add, subtract, multiply, and divide. Ability to round numbers to the nearest whole number, tenths, hundredths, or thousandths. Knowledge of metric system with ability to convert units – weight (milligram, gram, kilogram, etc.), volume (milliliter, liter, etc.), and distance (centimeter, millimeter, meter, etc.). Knowledge of statistical formulas with ability to calculate mean, %cv (coefficient of variance), and percent difference
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, verbal, diagram, or schedule form

Job Responsibility

Manufacture subassemblies, components, and/or kits per documented methods
Assist in investigations to identify potential root causes of issues
Understand, comply, and support FDA and ISO regulatory requirements
Understand, comply, and support all policies and procedures
Perform lab maintenance per documented cleaning requirements
Perform inventory maintenance
replenish raw materials and supplies as required per documented procedures
Provide proper storage of raw materials, subassemblies, components, and kits
Perform equipment operation and maintenance per documented procedures
calibrate as required

What we offer

comprehensive plan of health benefits, retirement and financial wellbeing, time off programs, wellbeing support and perks
may be eligible to participate in an annual incentive program

Fulltime

New

Bps - Non Voice Process Associate

An individual contributor processing a range of financial transactions including...

Location

India , Chennai

Salary:

Not provided

Sopra Steria

Expiration Date

Until further notice

Requirements

Graduate preferably finance/banking background
Total Experience Expected: 00-02 years
Good working knowledge of computer applications in MS Office (Excel, PowerPoint, word)
Good typing skills (accuracy being of prime importance in addition to reasonable speed)
Good English Interpretation skills
Typing skills, English comprehension / Document interpretation skills

Job Responsibility

Achieve pre-defined quality levels to meet and exceed customer SLAs
Maintain sanctity of customer data and adhere to Compliance, INFOSEC and audit requirement policies
Should take additional responsibilities at process level by taking ownership in process improvement / changes required for the process to create value to clients
Eliminate Operational Losses, write off/ Compensation, or Goodwill payment, Rework, by giving ideas via Kaizens, change logs, and show tangible benefits and take steps to reduce Customer complaints and rework
Ensure 100% completion of mandatory trainings
Ensure full participation in Org/local level initiatives
To be part of at least one cross training in a process other than assigned process
To be part of corporate social responsibility activities as announced from time to time
Process information / financial transactions in accordance with the assigned targets. Strive to improve upon productivity targets for the team/process
Handle all assigned processes and be ready to work on processes from simple to complex, as per operational requirements

Claims Processor

Winn Group

Location:
United Kingdom , Newcastle

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

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