insurance claims manager

SRV Group Hospital- Multispeciality

Job Title: Billing &amp; TPA Executive / ManagerDepartment: Finance / Revenue Cycle ManagementIndustry: Hospital / HealthcareJob SummaryThe Billing &amp; TPA Executive/Manager is responsible for managing hospital billing operations, insurance coordination, and Third Party Administrator (TPA) processes to ensure accurate billing, timely claim submission, and optimal revenue realization while complying with hospital policies and regulatory requirements.Key Responsibilities (Common for Both Roles)Handle IPD &amp; OPD billing including cash, credit, insurance, and corporate billingCoordinate with TPAs, insurance companies, and corporate clientsProcess pre-authorizations, extensions, and final approvalsEnsure accurate preparation and submission of insurance claimsVerify patient insurance coverage, policy details, and eligibilityMonitor claim status, follow up on pending, rejected, and denied claimsResolve discrepancies related to billing, coding, and documentationMaintain proper documentation as per Insurance normsCoordinate with doctors, nursing staff, front office, and finance teamEnsure compliance with hospital policies and statutory requirementsMaintain MIS reports related to billing, claims, collections, and TATAdditional Responsibilities &ndash; Billing &amp; TPA ExecutiveGenerate provisional and final bills accuratelyCollect and verify all clinical and non-clinical documentsSubmit claims within stipulated timelinesUpdate patient and TPA records in the Hospital Information System (HIS)Support audits and internal reviewsAdditional Responsibilities &ndash; Billing &amp; TPA ManagerLead and supervise the Billing &amp; TPA teamDevelop and implement billing SOPs and process improvementsLiaise with TPAs/Insurance companies for empanelment and negotiationsReview high-value and complex claims before submissionAnalyze rejection trends and implement corrective actionsEnsure achievement of revenue targets and reduction of claim rejectionsPrepare and present monthly MIS and performance reports to managementTrain and mentor billing &amp; TPA staffEligibility &amp; QualificationsGraduate/Postgraduate in Commerce, Finance, Healthcare Management, or related fieldCertification in Medical Billing / Healthcare Management is an added advantageExperienceBilling &amp; TPA Executive: 1 &ndash; 4 years of hospital billing &amp; insurance experienceBilling &amp; TPA Manager: 5 &ndash; 8 years of hospital billing &amp; TPA management experienceSkills &amp; CompetenciesStrong knowledge of hospital billing, insurance, and TPA processesFamiliarity with ICD, CPT, CGHS, Ayushman Bharat (if applicable)Proficiency in HIS, MS Excel, and billing softwareExcellent communication and coordination skillsAttention to detail and strong problem-solving abilities.Please WhatsApp your resume: 9353009902Job Type: Full-timePay: ₹20,000.00 - ₹30,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

Billing And TPA

Sanderson

A growing insurance broking organisation is seeking an experienced Claims Client Manager to join its UK Real Estate team. This is a client-facing role, managing a portfolio of commercial property clients, delivering high-quality claims services, and ensuring strong relationships with insurers, loss adjusters, and internal teams. Key Responsibilities: <ul> <li>Manage end-to-end claims for a portfolio of commercial clients, including large or sensitive claims.</li><li>Provide advice on policy coverage, documentation requirements, and claims processes.</li><li>Negotiate with insurers to achieve fair and cost-effective settlements.</li><li>Build and maintain strong, long-term relationships with clients, insurers, and loss adjusters.</li><li>Conduct periodic portfolio reviews and provide management information as required.</li><li>Support tenders and client presentations, demonstrating the claims proposition.</li><li>Maintain accurate records, ensuring compliance with internal procedures and regulatory standards.</li><li>Participate in insurer relationship meetings and contribute to service improvement initiatives.</li></ul> Skills & Experience: <ul> <li>Strong commercial insurance claims experience, preferably in property or real estate.</li><li>Knowledge of commercial insurance policies claims procedures, and risk management principles.</li><li>Excellent analytical, problem-solving, and negotiation skills.</li><li>Strong communication skills, able to build rapport with clients and stakeholders.</li><li>Well-organised, able to prioritise workloads and meet deadlines without compromising quality.</li><li>Competent in Microsoft Office and internal claims systems.</li><li>CII qualifications required (or willingness to take out the relevant classes).</li><li>Understanding of regulatory controls and compliance requirements.</li></ul> Ideal Candidate:A proactive, client-focused claims professional with a strong commercial insurance background within Real Estate or Property who is motivated to develop further through formal CII learning and hands-on experience. Reasonable Adjustments: Respect and equality are core values to us. We are proud of the diverse and inclusive community we have built, and we welcome applications from people of all backgrounds and perspectives. Our success is driven by our people, united by the spirit of partnership to deliver the best resourcing solutions for our clients. If you need any help or adjustments during the recruitment process for any reason, please let us know when you apply or talk to the recruiters directly so we can support you.

Claims Client Manager Real Estate

Suncorp

Take the next step. Be part of something bigger at Suncorp.<ul><li>Contract Role: Commencing 24 November 2025 until 29 April 2026</li><li>Hours: Full-time, Monday-Friday (rotating roster 8am-6pm)</li><li>Salary: $79,500 inclusive of 12% super</li><li>Training: 5-week structured program</li></ul> What It's Really Like to Be a Claims Manager at Suncorp As a Claims Manager, people think I just manage claims. But what I really do is help people on some of the worst days of their lives - and we're looking for others who are just as passionate about making a difference.When storms hit or fires break out, our phones ring. I could be speaking to someone whose home is underwater, whose roof has collapsed, or who's just lost everything. It's not easy, but it's real, human work, that matters - because customer obsession is at the heart of everything we do.I joined Suncorp because I wanted to make a difference. What I found was a role where I'm challenged every day, backed by a team who truly gets it, and supported by leaders who check in, especially after the tough calls.What I Do as a Claims Manager:No two days are ever quite the same, but here's what you can expect:<ul><li>Listen, really listen: I speak with customers who are often overwhelmed or vulnerable. I give them the space to be truly heard, because customer obsession starts with understanding.</li><li>Be a calm, steady guide: I walk them through what's covered in their policy, what will happen next, and make the complex feel simple.</li><li>Balance heart with policy: I make fair, transparent decisions that respect both the customer's situation and our guidelines.</li><li>Keep things moving: I manage my own portfolio of claims end-to-end, making timely decisions and keep things moving, especially during busy times.</li><li>Solve problems: Every customer's situation is different. I think critically and creatively to find the best way forward, especially when things don't go to plan.</li><li>Stay on top of the detail: I document everything accurately, it's how we stay accountable and ensure customers feel confident in the process.</li><li>Lean on your team: Some calls are challenging, but I'm part of a supportive group who debrief together, check in, and keep things human.</li></ul>What You'll Bring:This isn't a script-reading call centre job. It's fast-paced, emotionally complex and deeply human.You'll do well here if you bring:<ul><li>Compassion: A calm, compassionate voice that brings reassurance, even in tough conversations</li><li>Resilience: Emotional resilience with the ability to manage your wellbeing and stay grounded</li><li>Confidence: Confidence to make clear, fair decisions and communicate them with clarity</li><li>Detail-Focused: Sharp attention to detail paired with the skill to balance multiple priorities</li><li>Empathy: Genuine empathy and care for customers navigating challenging times</li><li>Growth Mindset: Experience in customer service, claims, insurance, or fast-paced environments is valued, but what matters most is a growth mindset and passion to make a real difference</li><li>Work From Home Setup: Reliable internet & ergonomic desk and chair. Laptop & headset will be provided.</li></ul>What's in it for you:<ul><li>Hours: Full-time, Monday to Friday (rotating roster between 8am-6pm) - contract role until 29 th April 2026.</li><li>Location: Hybrid working - just two days a week in the office</li><li>Salary: $79,500 inclusive of 12% super</li><li>Training: Five weeks of structured, supportive training, setting you up to succeed and grow from day one.</li><li>Equipment: Laptop and headset will be provided.</li><li>Support: Leaders who genuinely care, real-time coaching to help you shine, access to Employee Assistance Programs, and a kind, capable team that has your back.</li></ul>Why I Stay:This job isn't for everyone. You need thick skin and a big heart. You'll have days where the calls are tough, and you feel stretched. But if you're someone who finds purpose in helping people when it really counts, you'll find this role incredibly fulfilling.We're hiring now. If this speaks to you, apply today.And if you're unsure? Apply anyway, we'd love to speak with you. Some of the best Claims Managers here had no idea they'd be good at this, until they gave it a go.For more information, please contact our delivery partners on .At Suncorp, we are committed to building futures and protecting what matters. We value the unique experiences, insights and diverse workforce that benefits our people, our business, and our customers. We'd love to see your application and speak with you even if you do not match the above mentioned.Advertised: 29 Oct 2025 AUS Eastern Daylight Time Applications close: 09 Nov 2025 AUS Eastern Daylight TimeDon't see your dream job posted? No problem, sign up for job alerts and we'll let you know once something becomes available.

Claims Manager

GEICO

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Manages unit of assigned FPM Litigation Supervisors. Responsible for workflow, administration, developing employee technical skills, and evaluating performance of FPM Supervisors. Provides high-level technical advice and supervision on litigated cases.
We offer a flexible work environment that requires an individual to be in the office 4 days per week.
Role Responsibilities:<ul><li>
Manages a team of claims professionals who handle PIP billing for treatment arising out Auto insurance.</li><li>
Manages workflow and ensures quality control.</li><li>
Reviews case authority and reserves on claims.</li><li>
Accountable for reviewing, auditing, and approving legal expenses and fees.</li><li>
Responsible for hiring, employee development, performance evaluation, counseling, and all manager related administrative functions.</li><li>
Responsible for ensuring claim documentation records are current and complete across the team.</li><li>
Ensures that all policies and procedures, including compliance, regulatory, performance and customer service standards are met or exceeded.</li><li>
Within authority limit, independently analyzes, and helps support, investigate, negotiate and resolve claims/litigation.</li><li>
Builds and oversees a team of employees for assigned functional area through ongoing execution of recruiting, development, retention, coaching and support, performance management, and managerial activities.</li><li>
Accountable to deliver on department goals.</li><li>
Collaborates with counsel on litigation if necessary.</li></ul>
Minimum Qualifications:<ul><li>
Claims supervisor experience required</li><li>
Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>
Demonstrated ability to drive results.</li><li>
Excellent verbal and written communication skills.</li></ul>
Preferred Qualifications:<ul><li>
2+ years of PIP/MP claims handling experience and/or experience handling complex litigation claims preferred</li></ul> 
Annual Salary
$101,475.00 - $189,625.00
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations. 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

FPM Litigation Manager

Search 10000+ Insurance claims manager jobs near you this January. New roles added regularly across leading industries. Apply today.

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