claims agent right of way

State of Arizona

<div><div>DEPT OF TRANSPORTATION
Driving the future of transportation with a diverse and innovative team 
To 

</div>RIGHT OF WAY AGENT SENIOR
Job Location:
<div>Address: 205 S. 17th Avenue, Phoenix, AZ 85007
</div>Posting Details:
<div>Salary: $62,446.70 - $72,446.70 
 
Anticipated Salary: $67,446.70
Grade: 21 
Closing Date: October 10, 2025
</div>Job Summary:
<div>Under the general supervision of the Right of Way (R/W) Acquisition Section Manager, the R/W Agent Senior position is responsible for performing the diverse upper level technical R/W Acquisition and Residential and Business Relocation functions required of the Section. Providing upper level direction, oversight, problem solving solutions and technical assistance related to R/W Acquisition and Relocation to lower level agents; Performing all the required R/W Acquisition and Relocation functions per State and Federal Statutes, regulations, standards and guidelines. 

This position may be available for remote work within Arizona (# days per week in the office/hoteling. 

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State&rsquo;s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.
</div>
Job Duties:
<div>Give and receive information requiring analysis and judgment regarding current and specific business practices of the Right of Way Group by multiple means including telephone, electronically and direct contact. Drive a state vehicle in the course of performing required duties.

Review the work products of lower level Right of Way agents.

Train and assist lower level workers with work assignments and more complex problem solving regarding work methods and processes.

Confer with Right of Way management, staff members and representatives of other Sections and agencies to acquire information needed for determinations and/or decisions.

Attend and participate in meetings and training as required and assigned. Out of town travel and overnight lodging as needed. 
</div>
Knowledge, Skills &amp; Abilities (KSAs):
<div>KNOWLEDGE
<ul>
<li>Current principles, practices and methods in the agency Right of Way program</li>
<li>Federal and State statutes, rules and regulations, agency policies, standards and regulations as they apply to the Right of Way Functions of the assigned work Unit, Section, or within the Group</li>
<li>Principles and practices of modern organizational operation and development.</li></ul> 
 
SKILLS
<ul>
<li>Comprehending and complying with established priorities</li>
<li>Effectively dealing with conflicting needs and timelines</li>
<li>Communicating effectively verbally and in writing</li>
<li>Complying with Right of Way program initiatives, policies and procedures</li>
<li>Analyzing diverse situations and developing potential solutions</li>
<li>Researching, collecting data and reports; synthesizing diverse issues and information</li>
<li>Making inferences from a variety of sources; supporting the development and implementation of various improvement initiatives for the Right of Way program, its associated functions, products and services.</li></ul> 
 
ABILITY
<ul>
<li>Analyze specific situations and determine acceptable solutions within the framework of laws, rules, regulations and policies</li>
<li>Perform research, collect and analyze data, and report information</li>
<li>Negotiate and apply reason persuasively to resolve issues</li>
<li>Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes and work cooperatively and jointly to provide quality seamless customer service.</li>
</ul></div>Selective Preference(s):
<div>Four years of experience in relevant area with increased responsibility over time, requiring at least two years&rsquo; experience similar to that done by a Right of Way Agent 2 in Real Estate and/or Property Management. Bachelor&rsquo;s degree in relevant field may substitute for two years of specialized experience.
</div>
Pre-Employment Requirements:
<div>This position requires driving or the use of a vehicle as an essential function of the job, and the following requirements apply. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver&rsquo;s license, complete all required training, and successfully pass all necessary driver&rsquo;s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver&rsquo;s license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) R2-10-207.11).

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
</div>
Benefits:
<div><div>The Arizona Department of Administration offers a comprehensive benefits package to include:
 
<ul><li>Sick leave</li><li>Vacation with 10 paid holidays per year</li><li>Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).</li><li>Health and dental insurance</li><li>Retirement plan</li><li>Life insurance and long-term disability insurance</li><li>Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance</li></ul></div> 
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. 

</div>
Retirement:
<div>Mandatory participation in the Arizona Retirement System (ASRS) is required 
</div>
Contact Us:
<div>For questions about this career opportunity, please contact ADOT Human Resources Recruitment via email at srecruitment@azdot.gov or phone call at (602) 712-8188

Option 2.
 
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 712-8188
Option 3. 
Requests should be made as early as possible to allow sufficient time to arrange the accommodation. ADOT is an Equal Employment Opportunity Employer.</div></div>

RIGHT OF WAY AGENT SENIOR

Stantec

<div>A career in transportation is more than bridges, roads, and rail. As we plan, design, and manage projects that move people and goods from Point A to Point B, we create connections that transform our communities. Every airport, road, bridge, port, or transit project is an opportunity to make communities safer, cleaner, and more resilient. Together, we&rsquo;re making an impact around the world.
If you&rsquo;re looking for a career that moves, join our team of professionals who are passionate about the future of transportation.
Your Opportunity
Under the direction of the Right of Way Project Manager, you will possess a good working knowledge of all right of way disciplines; title, permitting, acquisition and documentation.
The Right of Way Agent opportunity reports to the VA office with working locations available in Virginia and North Carolina. Stantec is considering all experience levels. Utility Experience a plus
Your Key Responsibilities
<ul><li>Performs right of way title research activities Including the research of records and closings</li>
<li>Familiarity of courthouse records, including but not limited to: Deeds, Leases, Easements, Mortgages, Deeds of Trust, Wills, Probate Records, Court Cases, Delinquent Taxes and any other instrument that may affect surface ownership</li>
<li>Ability and possessing skills necessary to conduct title searches of up to 100 years</li>
<li>Familiarity with online databases and public records to aide in landowner identification and title research (ie. County GIS and other associated databases)</li>
<li>Performs thorough quality control (QA/QC) of own work and that of others</li>
<li>Prepares reports for weekly project status meetings and reports on the status of right of way acquisition</li>
<li>Performs other right of way duties of a similar nature and level as assigned</li>
<li>Excellent written and verbal communication skills</li>
<li>Exceptional organizational, planning, prioritization skills and attention to detail</li>
<li>Analytical, problem-solver, and detail-oriented</li>
<li>Must be comfortable using a variety of different technologies.</li>
<li>Excellent customer service skills</li>
<li>Meeting with customers to secure signed easements</li>
</ul>Your Capabilities and Credentials
<ul><li>Thorough understanding of right of way laws</li>
<li>Ability to digitally compile title abstracts illustrating a complete chain of title along with pertinent encumbrances that may directly impact proposed surface use</li>
<li>Ability to solve problems using sound professional judgement, creativity and innovation</li>
<li>Ability to multi-task on various tasks and projects</li>
<li>Takes initiative on tasks and in coordinating with other members of the team</li>
<li>Ability to participate and collaborate in project team setting, engage in creative and critical thought and effectively communicate concepts and ideas to others</li>
<li>Ability to read and interpret complex engineering drawings</li>
<li>Ability to read and interpret land survey documents and right of way plans and maps</li>
<li>Familiarity with the provisions of the VDOT Right of Way Manual as well as the North Carolina Right of Way Manual as it applies to the acquisition of property</li>
<li>Familiarity with project management cycle</li>
<li>Proficiency in MS Office Suite</li>
<li>Analyzing titles and title reports;</li>
<li>Identifying key information about parcels and communicating such effectively to stake holders</li>
<li>Ability to read and understand real estate terminology</li>
<li>Ability to ascertain types of title evidence required to obtain descriptions of properties and names involved</li>
<li>50% of your time is spent traveling, primary project locations located in VA &amp; NC</li>
<li>English language proficient</li>
<li>Valid Driver&rsquo;s License</li>
<li>Bilingual (Spanish) a plus</li>
</ul>Education and Experience
<ul><li>Technical degree/diploma/certificate or equivalent in related field; or equivalent combination of education and experience.</li>
<li>Minimum 3 years of experience within ROW/Title Research</li>
<li>VA or NC Real Estate License a plus</li>
<li>Being a Notary Public is a plus</li>
</ul>Typical office environment working with computers and remaining sedentary for long periods of time. Field work may include exposure to the elements including inclement weather.
This description is not a comprehensive listing of activities, duties or responsibilities that may be required of the employee and other duties, responsibilities and activities may be assigned or may be changed at any time with or without notice.
About Stantec
Stantec is a global leader in sustainable engineering, architecture, and environmental consulting. The diverse perspectives of our partners and interested parties drive us to think beyond what&rsquo;s previously been done on critical issues like climate change, digital transformation, and future-proofing our cities and infrastructure. We innovate at the intersection of community, creativity, and client relationships to advance communities everywhere, so that together we can redefine what&rsquo;s possible.
Pay Transparency: In compliance with pay transparency laws, pay ranges are provided for positions in locations where required. Please note, the final agreed upon compensation is based on individual education, qualifications, experience, and work location. At Stantec certain roles are bonus eligible. Actual compensation for part-time roles will be pro-rated based on the agreed number of working hours per week.
Benefits Summary: Regular full-time and part-time employees (working at least 20 hours per week) have access to medical, dental, and vision plans, a wellness program, health saving accounts, flexible spending accounts, 401(k) plan, employee stock purchase program, life and accidental death &amp; dismemberment (AD&amp;D) insurance, short-term/long-term disability plans, emergency travel benefits, tuition reimbursement, professional membership fee coverage and paid family leave. Regular full-time and part-time employees will receive ten paid holidays in each calendar year. In addition, employees will be eligible to accrue vacation between 10 and 20 days per year and eligible for paid sick leave (and if more generous, in accordance with state and local law).
Temporary/casual employees have access to 401(k) plans, employee stock purchase program, and paid leave, in accordance with state and local law.
The benefits information listed above may not apply to union positions because benefits for such positions are governed by applicable collective bargaining agreements
Primary Location: United States | VA | Richmond
Organization: 2026 Transpt-US Southeast Infrastructure-Richmond VA
Employee Status: Regular
Travel: Yes
Schedule: Part time
Job Posting: 24/10/2025 06:10:29
Req ID: 1002775
Stantec provides equal employment opportunities to all qualified employees and applicants for future and current employment and prohibit discrimination on the grounds of race, colour, religion, sex, national origin, age, marital status, genetic information, disability, sexual orientation, gender identity or gender expression. We prohibit discrimination in decisions concerning recruitment, hiring, referral, promotion, compensation, fringe benefits, job training, terminations or any other condition of employment. Stantec is in compliance with laws and regulations and ensures equitable opportunities in all aspects of employment. At Stantec we are committed to ensuring our recruitment process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a member of our Talent Acquisition team.</div>

Right of Way (ROW) Agent

State of Maine

<div><h2 class="jobSectionHeader">If you are a current State of Maine employee, you must complete your application through the internal application process (Find Jobs Report). Please apply using your PRISM account. If you are on Seasonal Leave and do not have access to PRISM, contact your local Human Resources representative for application information.
</h2>Maine Department of Transportation
Salary: $19.84 - $27.49 per hour ( Salary Schedule )
Office/Bureau: Project Development &ndash; Property Office
Opening Date : October 24, 2025
Closing Date : November 10, 2025
Job Description:
The Right of Way Agent is technical services work involving entry level aspects of land acquisition for highway right-of-way purposes.
Responsibilities may include, but are not limited to:
<ul><li>Contacting property owners and conducting property negotiations,
</li><li>Checking deeds and related records for information,
</li><li>Locating physical improvements and property boundaries, and
</li><li>Assisting in the preparation of necessary documents.
</li></ul>Knowledge of real estate valuation practices and procedures as well as the ability to read highway, bridge and multi-modal construction plans are preferred.
To be minimally qualified for this position candidates must provide evidence of the following experience:
An Associates degree in a related field OR an equivalent combination of training, experience, and education, providing a knowledge of real estate negotiations, title examinations, surveying, estimating, appraising, and evaluation work.
Application Instructions:
Interested applicants need to apply online along with uploading a cover letter, current resume, and any applicable copies of post-secondary transcripts, licensing, registration and certifications.
If have general questions, please contact MaineDOT Human Resources at 207-624-3050 or via email at jobs.DOT@maine.gov
Why join our team?
No matter where you work across Maine state government, you find employees who embody our state motto&mdash;&quot;Dirigo&quot; or &quot;I lead&quot;&mdash;as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:
<ul><li>Work-Life Fit &ndash; Rest is essential. Take time for yourself using 13 paid holidays , and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
</li><li>Wellness &ndash; We care about you and your family&rsquo;s wellbeing, offering 12 days of sick leave annually to help you stay healthy.
</li><li>Health Insurance Coverage &ndash; The State of Maine pays 85%-95% of employee-only premiums ($11,196.96 - $12,514.32 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
</li><li>Dental Insurance &ndash; The State of Maine pays 100% of employee-only dental premiums ($358.08 annual value).
</li><li>Retirement Plan &ndash; The State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
</li></ul>State employees are eligible for an extensive and highly competitive benefits package , covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness .
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time.
There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.
If you&rsquo;re looking for a great next step, and want to feel good about what you do, we&rsquo;d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.
Thinking about applying?
Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you&rsquo;re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.
.
If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.</div>

Right of Way Agent

Metropolitan St. Louis Sewer District

<div>Overview
Under general supervision, obtain easements through privately owned land for the construction of sewers. 
 
Essential Functions:<ul><li>
Verify the location and ownership of rights of way;
</li><li>Contact property owners at times convenient to same and explain need for easements and work to be done;
</li><li>Negotiate payments for construction damage; obtain written letter of agreement for easement from property owners;
</li><li>Investigate complaints of property owners during and following construction;
</li><li>Appear in court as witness during condemnation procedures;
</li><li>Confer with engineer in making changes in plans and required easements;
</li><li>Obtain deeds of records for property information as requested by use of courthouses, municipal records, title companies and etc.,</li><li>
Maintain records and prepare reports.</li></ul> 

Additional Responsibilities:<ul><li>
Perform related work as required or as delegated by supervisors.</li></ul> 

Physical Demands<ul><li>
Stationary Position: Occasionally
</li><li>Move/Traverse: Occasionally
</li><li>Stationary Position/Seated: Constantly
</li><li>Transport/Lifting: Rarely
</li><li>Transport/Carrying: Rarely
</li><li>Exerting Force/Pushing: Rarely
</li><li>Exerting Force/Pulling: Rarely
</li><li>Ascend/Descend: Rarely
</li><li>Balancing: Rarely
</li><li>Position Self/Stooping: Rarely
</li><li>Position Self/Kneeling: Rarely
</li><li>Position Self/Crouching: Rarely
</li><li>Position Self/Crawling: Rarely
</li><li>Reaching: Rarely
</li><li>Handling: Occasionally
</li><li>Grasping: Occasionally
</li><li>Feeling: Rarely
</li><li>Communicate/Talking: Constantly
</li><li>Communicate/Hearing: Constantly
</li><li>Repetitive Motions: Frequently
</li><li>Coordination: Frequently
</li></ul>Work Environment<ul><li>
Extreme cold: Rarely</li><li>
Extreme heat: Rarely</li><li>
Humidity: Rarely</li><li>
Wet: Rarely</li><li>
Noise: Occasionally</li><li>
Hazards: Rarely</li><li>
Temperature Change: Rarely</li><li>
Atmospheric Conditions: Rarely</li><li>
Vibration: Rarely</li></ul>
Responsibilities
Qualifications
Training and Experience:<ul><li>
Associate Degree in related field, or 60 college credit hours towards a related degree, or
</li><li>Two of the following:
<ul><li>Certificate of Applied Management I
</li><li>30 college credit hours</li><li>
Certification by the International Right-of-Way Association (IRWA) (or other approved equal licensure/certification program) in the discipline of Negotiation/Acquisition an</li></ul></li><li>
Four (4) years' experience in easement acquisition, investigation and/or public contact work.</li></ul> 

Desirable Knowledge, Skills and Abilities:<ul><li>
Working knowledge of public improvement construction terms, procedures, materials, specifications, etc.;
</li><li>Working knowledge of the operation of the District;
</li><li>Skilled in reading and interpreting maps and blueprints;
</li><li>Working skill in locating individuals and property ownership;
</li><li>Working skill in establishing and maintaining effective working relationships with property owners;
</li><li>Ability to represent the District in court proceedings;
</li><li>Ability to communicate in oral and written form;
</li><li>Working skill in maintaining adequate records and preparing reports.</li></ul> 

SPECIAL REQUIREMENT: 
 
Must possess a valid driver's license issued by the state in which the employee resides. 
 
Pursuant to MSD's &quot;Substance Abuse Policy and Procedures,&quot; this position has been designated as non - safety 
sensitive and candidate must pass a Non-D.O.T. Drug Test for this position. Employees occupying this 
position are not subject to Federal (D.O.T.) Drug and Alcohol Testing Regulations. 
 
Must be able to provide transportation for field work. 
 
All current employees must have a 'Meets Expectations' or 'Proficient' rating on their most recent performance evaluation to be eligible.</div>

SinglePoint Acquisitions Group

SinglePoint Acquisitions Group is a rapidly growing land acquisition and project management services company whose skilled professionals strive for excellence in each of our unique projects with utility companies and real estate development projects.We are seeking entry level Right Of Way Acquisition Agents who will work for our client's land acquisition projects throughout the state of Georgia under the supervision of a Project Manager. The position is not per-diem eligible but authorized travel expenses and mileage will be reimbursed. Our ideal candidate has some real estate related negotiation experience and a general understanding of the land acquisition for public works/municipal/utility projects. You must be self-motivated, ambitious, detail-oriented, and capable to meet deadlines with limited supervision.A background check and drug screen is required by our client.SinglePoint Acquisitions Group is committed to fostering a diverse workforce and is proud to be an Affirmative Action/Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, age, national origin, veteran status, disability, or any other classification protected by law.SinglePoint Acquisitions Group will not accept unsolicited resumes from recruiters, headhunters, contract recruiters, search firms or employment agencies.Job Duties &amp; Requirements<ul><li>Conducts land rights acquisition tasks, including reviewing ownership records, valuations, construction plans, and related documents.</li><li>Provides effective, professional effort to meet with property owners and other stakeholders to successfully conduct negotiations that serve our client's land rights acquisition goals.</li><li>Thoughtfully resolves property owner problems in a professional manner.</li><li>Makes recommendations of settlements and works toward agreement when disputes occur.</li><li>Obtains and documents all title activities including tax records, title certificates/searches, condemnation title, curative and file management.</li><li>Coordinates preparation and delivery of acquisition offers and easements documents with Contract Coordinator oversight.</li><li>Skillfully prepares documents as needed and ensures precision in data and file input and documentation.</li><li>Prepares files and progress reports accurately, timely and consistently</li><li>If needed, assists at public meetings and may serve as witness in condemnation proceedings.</li><li>Perform other duties as assigned or required.</li></ul>Requirements:<ul><li>Minimum of 2 years of experience in real estate sales and negotiations, preferably in the land acquisition and easement space.</li><li>Understands principles of Georgia real estate law and eminent domain.</li><li>Knowledgeable in reading and understanding real property descriptions.</li><li>Ability to read and interpret maps and exhibit drawings</li><li>Must be proficient in English speaking and written communication, with proper grammar. Bilingual Spanish is beneficial</li><li>Excellent computer skills, including proficiency in use of Microsoft Office products</li><li>Sound business acumen and ability to effectively communicate in writing, in person, and by phone.</li></ul>Work Location:<ul><li>Work from a Georgia based home office with ability to travel throughout Georgia as needed to accomplish project goals and requirements. Authorized travel expenses will be reimbursed but there is no per-diem arrangement with this position.</li></ul>Schedule:<ul><li>Full-time, Monday to Friday, occasional weekend work may be required.</li></ul>Other Duties:This job description is not designed to cover or contain a comprehensive listing or activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.Supervisory Responsibility:This position has no supervisory responsibilities.Physical Demands:Able to sit or stand for long periods of time. Ability to drive. Ability to read, write, and communicate verbally. Lift light weights. Ability to traverse different types of landscapes in a variety of weather conditions.Job Type: Full-timeProjected Total Compensation: $38.00 - $45.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: On the road

Navi

<div>
 
 
 
 About the Team
 
 
 
 
 The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications&mdash;across calls, chats, and other channels&mdash;to ensure accuracy, consistency, and compliance. The team also ensures compliance across different verticals and runs multiple initiatives in coordination with business team stakeholders to drive key business metrics. Insights from these audits are used to drive continuous improvement through targeted training, helping agents close knowledge or process gaps and deliver a consistently excellent customer experience.
 
 
 
 
 
 
 
 About the Role
 
 
 
 
 We are seeking an experienced doctor with medical knowledge for the process excellence vertical to join our dynamic team. As a vital member of our Process Excellence team, a quality auditor dedicated exclusively to auditing claims processed by medical officers to ensure accuracy, compliance, and continual improvement. A quality auditor conducts detailed reviews of claims, identifying areas for improvement.
 
 
 
 
 
 
 
 What We Expect From You
 
 
 
 <ul>
 <li>
 The role involves identifying discrepancies, fraud, or errors in claims to ensure compliance with health insurance policies and regulatory requirements
 </li>
 <li>
 Review health claims for accuracy, completeness, and compliance with insurance policies and applicable regulations.
 </li>
 <li>
 Identify any inconsistencies, overbilling, or discrepancies between the services provided and the claims submitted
 </li>
 <li>
 Detect potential fraudulent claims by analyzing patterns and identifying suspicious activities or behaviors
 </li>
 <li>
 Suggest process improvements to enhance the efficiency and accuracy of the claims audit process.
 </li>
 <li>
 Stay updated with industry trends, regulations, and changes in healthcare policies that may impact claims auditing.
 </li>
 </ul>
 
 
 
 
 
 
 Must Haves
 
 
 
 <ul>
 <li>
 Medical Graduate in any stream (MBBS/BHMS/BAMS/BUMS/BDS)
 </li>
 <li>
 Experience in handling an audit
 </li>
 <li>
 Background in claims processing with clinical experience in a hospital setting
 </li>
 <li>
 Data analytics experience would be an added advantage
 </li>
 <li>
 Knowledge of different languages would be an added advantage. Proficiency in Hindi and English is mandatory.
 </li>
 <li>
 Knowledge of health insurance policies and regulations, IRDAI circulars is a must
 </li>
 <li>
 Strong analytical and problem-solving skills.
 </li>
 <li>
 Excellent attention to detail and ability to spot discrepancies
 </li>
 <li>
 Ability to anticipate potential problems and take appropriate corrective action
 </li>
 <li>
 Effective communication skills for working with different stakeholders
 </li>
 <li>
 Time management skills to meet deadlines.
 </li>
 <li>
 Should have a broad understanding of Claims Practice
 </li>
 <li>
 Sharp business acumen to understand health insurance claim servicing needs
 </li>
 <li>
 Excellent communication skills, including writing reports and presentations
 </li>
 </ul>
 
 
 
 
 
 
 Inside Navi
 
 
 
 
 We are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal &amp; Home Loans to UPI, Insurance, Mutual Funds, and Gold &mdash; we&rsquo;re building tech-first solutions that work at scale, with a strong customer-first approach.
 
 
 
 
 
 Founded by Sachin Bansal &amp; Ankit Agarwal in 2018, we are one of India&rsquo;s fastest-growing financial services organisations. But we&rsquo;re just getting started!
 
 
 
 
 
 
 
 Our Culture
 
 
 
 
 The Navi DNA
 
 
 
 Ambition. Perseverance. Self-awareness. Ownership. Integrity.
 
 
 
 We&rsquo;re looking for people who dream big when it comes to innovation. At Navi, you&rsquo;ll be empowered with the right mechanisms to work in a dynamic team that builds and improves innovative solutions. If you&rsquo;re driven to deliver real value to customers, no matter the challenge, this is the place for you. We chase excellence by uplifting each other&mdash;and that starts with every one of us.
 
 
 
 
 
 
 
 Why You'll Thrive at Navi
 
 
 
 
 At Navi, it&rsquo;s about how you think, build, and grow. You&rsquo;ll thrive here if:
 
 <ul>
 <li>
 
 You&rsquo;re impact-driven :
 
 You take ownership, build boldly, and care about making a real difference.
 </li>
 <li>
 
 You strive for excellence
 
 : Good isn&rsquo;t good enough. You bring focus, precision, and a passion for quality.
 </li>
 <li>
 
 You embrace change
 
 : You adapt quickly, move fast, and always put the customer first.
 </li>
 </ul>
</div>

Claims Manager - Medical Claim Audit

<div>
 
 
 
 About the Team
 
 
 
 
 The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications&mdash;across calls, chats, and other channels&mdash;to ensure accuracy, consistency, and compliance. The team also ensures compliance across different verticals and runs multiple initiatives in coordination with business team stakeholders to drive key business metrics. Insights from these audits are used to drive continuous improvement through targeted training, helping agents close knowledge or process gaps and deliver a consistently excellent customer experience.
 
 
 
 
 
 
 
 About the Role
 
 
 
 
 We are seeking an experienced doctor with medical knowledge, analytical skills for process excellence to join our dynamic team..The ideal candidate will be responsible for strategic claim auditing, insight-driven reporting, stakeholder engagement, and improvement areas. The auditor should be able to identify patterns and process gaps. will collaborate with cross-functional teams like claims, network providers, and investigations. product, analytics, automation &amp; compliance to ensure successful delivery of initiatives.
 
 
 
 
 
 
 
 What We Expect From You
 
 
 
 <ul>
 <li>
 Review submitted health claims for accuracy, completeness, and compliance with insurance policies and applicable regulations.
 </li>
 <li>
 Identify any inconsistencies, overbilling, or discrepancies between services provided and the claims submitted
 </li>
 <li>
 Detect potential fraudulent claims by analyzing patterns and identifying suspicious activities or behaviors
 </li>
 <li>
 Providing detailed reports on audit findings, Decision accuracy, including identifying overpayments, underpayments, or fraudulent activities
 </li>
 <li>
 Recommend actions based on findings, such as denying, reducing, or adjusting claims
 </li>
 <li>
 Communicate audit results and findings to management and external stakeholders
 </li>
 <li>
 Review submitted health claims for accuracy, completeness, and compliance with insurance policies and applicable regulations.
 </li>
 <li>
 Identify any inconsistencies, overbilling, or discrepancies between services provided and the claims submitted
 </li>
 <li>
 Detect potential fraudulent claims by analyzing patterns and identifying suspicious activities or behaviors
 </li>
 <li>
 Providing detailed reports on audit findings, Decision accuracy, including identifying overpayments, underpayments, or fraudulent activities
 </li>
 <li>
 Recommend actions based on findings, such as denying, reducing, or adjusting claims
 </li>
 <li>
 Communicate audit results and findings to management and external stakeholders
 </li>
 </ul>
 
 
 
 
 
 
 Must Haves
 
 
 
 <ul>
 <li>
 Medical Graduate in any stream (MBBS/BHMS/BAMS/BUMS/BDS)
 </li>
 <li>
 Experience in handling audit
 </li>
 <li>
 Background in claims processing with clinical experience in a hospital setting
 </li>
 <li>
 Data analytics experience would be an added advantage
 </li>
 <li>
 Knowledge of different languages would be an added advantage. Proficiency in Hindi and English is mandatory.
 </li>
 <li>
 Knowledge of health insurance policies and regulations, IRDAI circulars is must
 </li>
 <li>
 Strong analytical and problem-solving skills.
 </li>
 <li>
 Excellent attention to detail and ability to spot discrepancies
 </li>
 <li>
 Ability to anticipate potential problems and take appropriate corrective action
 </li>
 <li>
 Effective communication skills for working with different stakeholders
 </li>
 <li>
 Time management skills to meet deadlines.
 </li>
 <li>
 Should have a broad understanding of Claims Practice
 </li>
 <li>
 Sharp business acumen to understand health insurance claim servicing needs
 </li>
 <li>
 Excellent communication skills, including writing reports and presentations
 </li>
 </ul>
 
 
 
 
 
 
 Inside Navi
 
 
 
 
 We are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal &amp; Home Loans to UPI, Insurance, Mutual Funds, and Gold &mdash; we&rsquo;re building tech-first solutions that work at scale, with a strong customer-first approach.
 
 
 
 
 
 Founded by Sachin Bansal &amp; Ankit Agarwal in 2018, we are one of India&rsquo;s
 
 
 fastest-growing financial services organisations. But we&rsquo;re just getting started!
 
 
 
 
 
 
 
 Our Culture
 
 
 
 
 
 
 The Navi DNA
 
 
 
 
 
 Ambition. Perseverance. Self-awareness. Ownership. Integrity.
 
 
 
 We&rsquo;re looking for people who dream big when it comes to innovation. At Navi, you&rsquo;ll be empowered with the right mechanisms to work in a dynamic team that builds and improves innovative solutions. If you&rsquo;re driven to deliver real value to customers, no matter the challenge, this is the place for you. We chase excellence by uplifting each other&mdash;and that starts with every one of us.
 
 
 
 
 
 
 
 Why You'll Thrive at Navi
 
 
 
 
 At Navi, it&rsquo;s about how you think, build, and grow. You&rsquo;ll thrive here if:
 
 <ul>
 <li>
 
 You&rsquo;re impact-driven
 
 : You take ownership, build boldly, and care about making a real difference.
 </li>
 <li>
 
 You strive for excellence
 
 : Good isn&rsquo;t good enough. You bring focus, precision, and a passion for quality.
 </li>
 <li>
 
 You embrace change
 
 : You adapt quickly, move fast, and always put the customer first.
 </li>
 </ul>
</div>

Senior Claims Manager - Medical Claim Audit

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Claims Manager - Medical Claim Audit

Senior Claims Manager - Medical Claim Audit