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manager claims insurance

Oceanic Group of Companies

<ul><li>Oversee and streamline the end-to-end claims process to ensure timely, fair, and compliant settlements.</li><li>Lead and mentor the claims team, setting clear KPIs and performance standards.</li><li>Ensure adherence to regulatory requirements and internal audit guidelines.</li><li>Liaise with clients, legal teams, underwriters, and third-party service providers.</li><li>Analyze claims trends to identify risk areas and recommend process improvements.</li><li>Collaborate with underwriting, policy servicing, and finance teams for seamless operations.</li></ul>Job Type: Full-timePay: From Rs200,000.00 per monthEducation:<ul><li>Master's (Preferred)</li></ul>Experience:<ul><li>Claims: 4 years (Preferred)</li></ul>Work Location: In person

Manager Claims - Insurance

Steps Ahead Pakistan

<div>
 
 Job Title:
 
 Junior Manager Operations
 
 
 
 Job Location:
 
 Karachi
 
 
 
 Salary:
 
 PKR 45,000
 
 
 
 Minimum Criteria
 
 
 
 <ul>
 <li>
 Education: Bachelors Degree
 </li>
 <li>
 Experience: 1-2 years in operations, insurance claim handling, or related functions
 </li>
 <li>
 Skills: MS Office (Excel, Word, PowerPoint), documentation management, coordination, and communication skills
 
 
 
 </li>
 </ul>
 
 Key Responsibilities
 
 
 
 Handle insurance-related matters including policy checking, claim preparation, documentation, and submission to insurance providers.
 
 
 Coordinate with insurance companies, vendors, and client departments to ensure timely processing of claims.
 
 
 Maintain records of insurance policies, renewals, and claim status for audit and compliance purposes.
 
 
 Support day-to-day operational tasks assigned by management to ensure smooth workflow.
 
 
 Assist in preparing reports, maintaining documentation, and ensuring adherence to company policies.
 
 
 Be responsible for execution of any additional operational assignments as required.
 
 
 
 Applications Deadline: 23-Sep-25
 
</div>

Junior Manager Operations - Karachi

Shispare

We are seeking a highly skilled and detail-oriented remote medical biller to join our team, with a primary focus on managing claims for All-on-X surgical procedures and other full-arch implant surgeries. This role involves end-to-end claims processing, proactive follow-up, and effective denial management to ensure maximum reimbursement.Key Responsibilities:<ul><li>Claims Management &amp; Submission:</li><li>Prepare, review, and submit medical claims for All-on-X and other oral surgery procedures to insurance payers. Ensure that all claims are coded accurately with the correct surgical codes and modifiers for maximum reimbursement.</li><li>Denial Management &amp; Appeals:</li></ul>Track and analyze claim denials, identify patterns, and prepare and submit timely appeals. Work closely with our internal team to resolve any coding issues or documentation gaps that lead to denials.<ul><li>Follow-Up &amp; Communication:</li></ul>Conduct regular follow-ups with insurance companies to check the status of claims, address any delays, and ensure that outstanding balances are resolved in a timely manner. Maintain clear and professional communication with both the internal surgical team and external payers.Ensure all billing activities comply with relevant regulations and payer policies. Maintain accurate records of claims, appeals, and reimbursements in our billing systems.Bring a strong understanding of surgical codes related to full-arch dental implant procedures, especially All-on-X. Be comfortable working with medical insurance billing rather than traditional dental billing, and able to navigate the nuances of out-of-network claims.Qualifications:<ul><li>Documentation &amp; Compliance:</li><li>Surgical Billing Expertise:</li></ul><ul><li>Proven experience in medical billing, particularly</li><li>Strong familiarity with surgical billing codes and procedures, especially related to All-on-X and full-arch implant surgeries. Prior experience with medical (not just dental) insurance billing is a must.</li><li>Excellent attention to detail and accuracy in coding, documentation, and follow-up.</li><li>Strong communication skills to interact effectively with payers, resolve issues, and work collaboratively with the surgical team.</li><li>Ability to work independently in a remote environment, managing tasks and deadlines efficiently.</li><li>Familiarity with relevant billing software and electronic health record systems</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Current Salary?</li><li>Expected Salary?</li></ul>Work Location: In person

Medical Biller - Surgical Claims Specialist

Barqtron Engineering Solutions

We&rsquo;re looking for a detail-oriented HR Officer with at least 2 years of experience handling payroll processes and statutory compliance such as SESSI, EOBI, Provident Fund, and health insurance. The ideal candidate will ensure smooth HR operations aligned with labor laws and company policies.Key Responsibilities:<ul><li>Process monthly payroll accurately and on time, managing salary changes, deductions, and benefits.</li><li>Maintain employee records for social security, provident fund, and insurance documentation.</li><li>Oversee employee health insurance enrollment, claims, and cancellations.</li><li>Support payroll audits, prepare reconciliation reports, and assist with compliance documentation.</li><li>Keep the organizational chart updated to reflect staffing changes and reporting lines.</li><li>Enforce HR policies and assist employees with HR-related inquiries in coordination with the HR Manager.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in HR, Business Administration, or related discipline.</li><li>Minimum 2 years in payroll processing, benefits administration, or HR operations.</li><li>Strong knowledge of statutory compliance including SESSI, EOBI, Provident Fund, and health insurance.</li><li>Proficient with payroll software, HRIS systems, and MS Excel.</li><li>Excellent attention to detail and organizational skills.</li><li>Familiarity with local labor laws and HR compliance standards.</li><li>Strong communication and documentation capabilities.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Operations: 2 years (Required)</li></ul>Work Location: In person

Human Resources Executive

Eastgate Industries Pvt Ltd

Job Description<ul><li>Establish and manage L/Cs or Bank Contracts in consultation with the Manager Import / GM Commercial.</li><li>Coordinate with suppliers/indenters for Indents, Proforma Invoices, Quotations, and price negotiations.</li><li>Liaise with banks for L/Cs, Bank Contracts, shipping documents, and retirement advice.</li><li>Communicate with suppliers, bankers, freight forwarders, clearing agents, insurance companies, and customs authorities (including attending hearings if required).</li><li>Arrange clearance of consignments through clearing agents, including processing duty requests, arranging pay orders, and handling shipment documentation.</li><li>File and follow up on insurance complaints/claims with insurance companies to facilitate settlements.</li><li>Collaborate with freight forwarders to optimise marine freight operations and identify cost-saving opportunities.</li><li>Develop alternate sourcing options and arrange samples for new projects.</li><li>Calculate landed costs of imported items and maintain the Import Master Chart.</li><li>Maintain records of security deposits, shipment files, and document retirement from banks.</li><li>Process clearing agents and transporters' bills, and create shipment batches in the system for inbound tracking.</li><li>Issue dispatch intimations to the factory post-clearance.</li><li>Place orders with suppliers as per system-generated PRs and prepare Import Purchase Orders through SAP.</li></ul>Qualification &amp; Experience :<ul><li>Bachelor's / Master's degree in Supply Chain.</li><li>Minimum 6 months to 1 year of experience</li></ul>Job Type: Full-timeEducation:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>supply chain import: 1 year (Required)</li></ul>Location:<ul><li>Karachi (Required)</li></ul>Work Location: In person

Supply Chain Executive (Imports) - KHI

Enterprise64

<div>Overview 
Enterprise64 is a U.S.-based technology company that creates digital solutions for startups to Fortune 500 companies in the United States, Europe, and the United Arab Emirates. We are growing rapidly across all our global offices and have career opportunities for tech professionals who are looking to work in a fast-growing company, work in a fun environment, looking to be challenged, grow, and fast-track their careers. 
 
Job Description 
Claim Informatics is seeking a Senior DevOps Engineer with deep expertise in AWS Cloud Native application environments. This role is critical to ensuring that our healthcare analytics and claims processing platforms are highly available, secure, scalable, and compliant. You will collaborate closely with developers, data engineers, QA, and architects to design, automate, and optimize CI/CD pipelines, infrastructure, and cloud operations. 
The ideal candidate has hands-on experience with AWS-native services (EKS, Lambda, API Gateway, RDS/Aurora, DynamoDB, CloudFormation/Terraform, etc.), understands healthcare data compliance (HIPAA, PHI, SOC2), and thrives in a fast-paced, data-driven environment. 
 
Key Responsibilities<ul><li>
Design, implement, and maintain AWS cloud-native infrastructure supporting Claim Informatics&rsquo; healthcare analytics platform.</li><li>
Build and optimize CI/CD pipelines for rapid, reliable deployments across multiple environments.</li><li>
Manage Kubernetes/EKS clusters, containerized workloads, and service mesh configurations.</li><li>
Automate infrastructure provisioning and configuration using Terraform/CloudFormation and Infrastructure as Code (IaC) best practices.</li><li>
Ensure scalability, availability, and cost optimization of AWS environments.</li><li>
Implement monitoring, logging, and alerting solutions using CloudWatch, Prometheus, Grafana, ELK/EFK, or similar.</li><li>
Champion security-first DevOps practices, including secrets management, IAM policy enforcement, vulnerability scanning, and compliance automation (HIPAA/SOC2).</li><li>
Collaborate with application developers and data engineers to streamline data pipelines, APIs, and cloud-native applications.</li><li>
Drive incident response, root cause analysis, and disaster recovery planning.</li><li>
Mentor junior engineers and contribute to defining DevOps best practices and standards.</li></ul>
Required Qualifications<ul><li>
7+ years of professional experience in DevOps / Cloud Engineering roles.</li><li>
5+ years of hands-on experience with AWS services in production environments.</li><li>
Strong expertise in:<ul><li>
Containerization &amp; Orchestration: Docker, Kubernetes (EKS preferred).</li><li>
CI/CD tools: Jenkins, GitLab CI/CD, GitHub Actions, or equivalent.</li><li>
IaC: Terraform, AWS CloudFormation, or CDK.</li><li>
Networking &amp; Security: VPC, IAM, Security Groups, Secrets Manager, WAF.</li></ul></li><li>
Proficiency with Python, Bash, or Go for scripting and automation.</li><li>
Experience with monitoring &amp; logging stacks (Prometheus, Grafana, ELK, CloudWatch).</li><li>
Strong background in cloud-native application patterns (microservices, serverless, event-driven architectures).</li><li>
Knowledge of data security &amp; compliance requirements (HIPAA, PHI, SOC2) in healthcare/insurance contexts.</li><li>
Excellent communication skills and ability to work across distributed global teams.</li></ul>
Preferred Qualifications<ul><li>
Experience supporting healthcare, insurance, or claims data platforms.</li><li>
Familiarity with AWS Well-Architected Framework.</li><li>
Exposure to data lake/analytics solutions (Glue, Athena, Redshift, Snowflake).</li><li>
Background in cost governance &amp; FinOps practices.</li><li>
Previous experience mentoring or leading DevOps teams.</li></ul>
Benefits<ul><li>
Talent upskilling program.</li><li>
Provident fund.</li><li>
Health insurance.</li><li>
Eligible for US H-1 Visa.</li><li>
Project-based bonus.</li><li>
Leave encashment.</li><li>
EOBI</li><li>
Maternity leaves/ Paternal WFH</li><li>
Religious holidays</li><li>
Work from home facility.</li><li>
Referral bonus.</li><li>
Paid time off.</li><li>
Transportation service.</li><li>
Loan and advance salary.</li></ul></div>

Sr. DevOps Engineer

Karsaz

<div></div><div><div>Qualification :</div><div>
BBA - Supply Chain
MBA - Supply Chain - Preferred</div><div>
 Experience :</div><div>
Fresh - 2 Years</div><div></div><div>
 Job Description :</div><div><ul><li>
Adheres to all company policies, procedures, ethics and ensures that the same communicated and implemented within the team.</li><li>
Protects organization&rsquo;s value by keeping information confidential</li><li>
Responsible to assist Supply Chain Manager in managing day to day operations</li><li>
Responsible to prepare and maintain Databases of Foreign &amp; Local Suppliers, Freight Forwarders, clearing agents, etc., and keeping track of records of the market e.g., other vendors pricing strategies and services etc.,</li><li>
Responsible for arranging tools and equipment according to customer inquiries effectively including their prices estimation and competitive proposal preparation and submission according to deadlines in the supervision of the SCM/Procurement Manager.</li><li>
Responsible for the preparation of Presentations</li><li>
Responsible for maintaining the following tasks regularly effectively:</li><li>
Update inquiry register according to the RFQ received from customers.</li><li>
Update Goods delivery note for internal records</li><li>
Update Job Forms etc.,</li><li>
Update Equipment arrival sheet</li><li>
Update Warranty Claims, Goods return, short shipments etc.,</li><li>
Implement best and Modern practices in the Supply chain</li><li>
Work and suggest improvements in supply chain processes</li><li>
Responsible to take at least three 03 quotations before finalization of any order confirmation for inland transportation.</li><li>
Responsible to maintain stock/Inventory according to the requirement of internal departments e.g., parts sales, Projects etc., and maintain up-to-date record of inventory before ordering goods.</li><li>
Daily tracking of shipments and report to HOD</li></ul></div><div></div><div>
 Last date to apply :</div>
31 Oct, 2025</div>

Supply Chain Executive

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