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0.0 - 1.0 years
2 Lacs
Mumbai
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 19 hours ago
2.0 - 5.0 years
3 - 5 Lacs
Noida
Work from Office
Job Summary We are seeking a Senior Process Executive - P&C with 2 to 5 years of experience in Customer Service and Property & Casualty Insurance. The ideal candidate will have experience in Claim Investigation and Claims. This hybrid role requires rotational shifts and offers the opportunity to contribute to our companys success by ensuring efficient and effective process execution. Responsibilities Handle customer inquiries and provide timely and accurate responses. Process insurance claims and ensure all documentation is complete and accurate. Conduct claim investigations to verify the authenticity of claims. Collaborate with team members to improve process efficiency and effectiveness. Maintain up-to-date knowledge of industry regulations and company policies. Provide support to customers and resolve any issues or concerns they may have. Analyze data to identify trends and make recommendations for process improvements. Ensure compliance with all regulatory requirements and company standards. Assist in the development and implementation of new processes and procedures. Monitor and report on key performance indicators to ensure targets are met. Participate in training and development programs to enhance skills and knowledge. Communicate effectively with internal and external stakeholders. Contribute to a positive and collaborative team environment. Qualifications Possess a minimum of 2 years of experience in Customer Service within the Property & Casualty Insurance domain. Demonstrate expertise in claim investigation and claims processing. Exhibit strong analytical and problem-solving skills. Show proficiency in using relevant software and tools. Display excellent communication and interpersonal skills. Have the ability to work effectively in a hybrid work model with rotational shifts. Be detail-oriented and able to manage multiple tasks simultaneously. Show commitment to continuous learning and professional development. Demonstrate the ability to work independently and as part of a team. Exhibit a strong understanding of industry regulations and compliance requirements. Possess a customer-centric approach and a commitment to providing exceptional service. Have a proactive attitude and the ability to adapt to changing priorities. Show dedication to achieving high performance standards. Certifications Required Certified Insurance Service Representative (CISR) Certified Claims Professional (CCP)
Posted 4 days ago
0.0 - 1.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureNA Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 4 days ago
10.0 - 14.0 years
5 - 9 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years Language - Ability: English(Domestic) - Advanced About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProblem-solving skillsHands-on experience with trouble-shootingStrong analytical skillsWritten and verbal communicationClaims Administration Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 week ago
2.0 - 5.0 years
4 - 4 Lacs
Bengaluru
Work from Office
Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606557106 / 9606553811 !!!Thanks & Regards HR TEAM!!!
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Jaipur
Work from Office
Urgent requirement for BHMS,BDS,BAMS -Rajasthan(Jaipur) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BHMS,BDS,BAMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd Naval Tower, J.L.N. Marg, 4 & 6th Floor, Near Fortis Hospital, Jaipur 302017 .
Posted 1 week ago
0.0 - 1.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Written Communication Claims Processing Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 week ago
2.0 - 7.0 years
1 - 2 Lacs
Kolkata
Work from Office
Responsibilities: * Manage health & motor claims from intake to settlement * Investigate claims, gather evidence & negotiate settlements * Ensure compliance with regulatory requirements
Posted 1 week ago
3.0 - 7.0 years
2 - 5 Lacs
Siliguri, Katihar
Work from Office
Handling TPA related all process from billing to co-ordinate with TPA companies. Maintaining & uploading patient's files on the portal. Handling billing Department, Implants bill updating & reconciliation.
Posted 2 weeks ago
0.0 - 1.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 2 weeks ago
2.0 - 7.0 years
3 - 8 Lacs
Mohali
Work from Office
Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498
Posted 2 weeks ago
1.0 - 6.0 years
1 - 6 Lacs
Mohali
Work from Office
Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498
Posted 2 weeks ago
0.0 - 1.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 2 weeks ago
0.0 - 1.0 years
0 - 1 Lacs
Chennai
Work from Office
Urgent requirement for BDS/MBBS-Chennai( Kilpauk ) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS / BDS graduate. MBBS Candidate Should be MCI Registered BDS Candidate Should be DCI Registered Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd. No: 226 , OM Sakthi Towers Kilpauk Garden road, Kilpauk, Chennai-600010.
Posted 3 weeks ago
2.0 - 7.0 years
2 - 5 Lacs
Ameerpet
Work from Office
Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM Responsibilities: Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and Identifying the fraudulent claims. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hospital and medical procedures Understanding of Treatment Protocol Understanding of Diagnostic Protocol Ready to work from Office, No Work from Home, open on rotational shifts/ rotational week offs Office Address: Tata AIG GIC Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad, Telangana (State)
Posted 3 weeks ago
2.0 - 3.0 years
0 - 0 Lacs
Ranchi
Work from Office
Health Investigator Field Investigator Claim Investigator Medical Claim Investigator
Posted 3 weeks ago
1 - 2 years
2 - 5 Lacs
Jaipur
Work from Office
Urgent requirement for MBBS,BHMS,BDS,BAMS -Rajasthan(Jaipur) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS ,BHMS,BDS,BAMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd Naval Tower, J.L.N. Marg, 4 & 6th Floor, Near Fortis Hospital, Jaipur 302017 .
Posted 1 month ago
0 - 1 years
1 - 5 Lacs
Mumbai
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Ability to establish strong client relationship Ability to handle disputes Ability to manage multiple stakeholders Ability to meet deadlines Ability to perform under pressure Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation
Posted 2 months ago
2 - 5 years
3 - 6 Lacs
Gurgaon
Work from Office
1. Reviewing the cases processed by medical adjudicator 2. Analysing financial error occurring at medical level 3. Auditing the queries and requirements raised in cashless and reimbursement cases 4. Feedback sharing and training for the frequent errors happening at processing level 6 Week offs in a month. Normal shift(9-6/10-7) Education- Doctors(BHMS/BUMS/BAMS/BPT) Experience- Min 1-2 years of Non-clinical experience Budget- 3.5 LPA to 5.5 LPA
Posted 2 months ago
7 - 12 years
11 - 16 Lacs
Mumbai
Work from Office
Job Profile - To Analyze the risk-based performance and strategize the premium flow to the Insurers with a goal to meet the desired bottom line of the organization. Role & responsibilities Claim ratio calculation, monitoring and publishing the claim ratio dashboard. Holding primary discussions with key stakeholders (internally) along with Insurers, Reinsurers and Brokers for sharing findings, way ahead for programs/policies and settlement. Providing insights on loss ratios, risk dynamics and their impact on business performance. Calculating in depth analysis of any anomalies observed in claim/loss ratios trends. Providing key findings for product/category in terms of data requirement from risk. Discussions with insurers/Reinsurers and brokers for regular renewal management and placement of new business. Preparing Program notes for Insurers to quote. Maintaining cordial relationships with Insurers, Reinsurers, and brokers To drive tech enabled automations with an intent for process excellence. Education & Experience Graduation required & MBA will be an added advantage 8-10 years of experience in Claims/ Underwriting. Should be working for a general insurance company or Insurance broker Skills, Abilities and Competencies Ability to engage with Employees across levels Ability to handle conflicts and grievance handling Effective Negotiation skills High level of empathy with good listening skills Strong people skills to assess behavioral & values alignment Highly skilled in process management with eye for detailing Behavioral Attributes Go-Getter, self starter Bias for action, Execution & speed Open to ideas and eager to experiment Collaborative approach with ease in dealing with multiple stakeholders and teams Task focused with Interested can share CV on given id sangeeta.rajput@techguard.in
Posted 2 months ago
0 - 2 years
1 - 3 Lacs
Warangal, Hyderabad
Work from Office
We are currently hiring Medical Officers to handle the processing of cashless requests and health insurance claims for TPAs/Insurance companies and Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.
Posted 2 months ago
2 - 3 years
3 - 6 Lacs
Delhi NCR, Gurgaon
Work from Office
Process Improvement: Develop and implement strategies to improve claims processing efficiency and customer satisfaction. Monitor service provider KPIs and ensure adherence to company policies. Assist with process reviews and improvements. Team Management: Supervise and mentor a team of claims adjusters, providing guidance on complex claims. Conduct regular training sessions to enhance team skills and knowledge. Conduct employee performance reviews. Claims Management: Handle commercial claims of various sizes, from intimation to settlement. Ensure timely and accurate processing of claims, adhering to turnaround times. Conduct regular claims reviews and identify areas for improvement. Coordinate with salvage/investigation teams and accounts for high-value claims. Analyze commercial line claims data (intimated, paid, closed, repudiated, outstanding). Stakeholder Management: Develop and maintain strong relationships with brokers, insureds, and service providers. Provide regular updates and feedback on claims activity and trends to underwriters/risk assessors. Address employee and customer concerns. Interested candidates can mail their resume- mitashi.gupta4@universalsompo.com Education & Experience: Bachelors degree in Business, Marketing, Insurance, or a related field. 2-3 years of experience in commercial claims. Compensation & Benefits: Competitive salary with performance-based incentives. Opportunities for career growth within the organization. Health insurance and other employee benefits. Training and development programs.
Posted 2 months ago
0 - 3 years
2 - 5 Lacs
Vadodara, Noida, Mumbai (All Areas)
Work from Office
Role & responsibilities Claims adjudication, fraud and leakage control, client/provider feedback, team training and retention, Investigation MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Preferred candidate profile Preferably 6 Months - 1 year of experience in investigation Health Insurance, TPA, Hospitals, Healthcare
Posted 2 months ago
1 - 6 years
4 Lacs
Bengaluru
Work from Office
We are Hiring for Claims Handler !! Qualification :Grad (Min 6m exp in claims) Location: Bangalore Salary:Upto 4.2L Shifts :rotational Virtual interview !! Email: Careers@glympsehr.com Call Manya @ 6364803282 /9606557106 / 6364822002 Required Candidate profile Fixed weekend off Communication skills. Service reps should be pleasant and empathetic while they're interacting with customers. Competent technical knowledge. Ability to multitask.
Posted 3 months ago
0 - 1 years
2 - 3 Lacs
Gurgaon
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 - 1 Year What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty InsuranceWriten & Verbal Communication Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation
Posted 3 months ago
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