461 Claim Settlement Jobs

careers@manavatacancercentre.com ---------------------------------------------------------------------------------------------------- WALK IN INTERVIEW: 12 NOON - 6 PM WHATSAPP HR BOT: +91 93094 59794 ---------------------------------------------------------------------------------------------------- I.] THE SUCCESSFUL CANDIDATE SHOULD KNOW THE PROCESS OF: II.] CLAIM PRE AUTHORISATION / QUERY REPLY / FINAL AUTHORISATION III.] DOCUMENTATION OF FILES / DISPATCH OF FILES / FOLLOW UP WITH INSURANCE COMPANIES. IV.] TRACKING OF CLAIMS / MS EXCEL / MS OFFICE ---------------------------------------------------------------------------------------------------- 1. WE ARE THE LARGEST CHAIN OF CANCER HOS...

Job Purpose The incumbent will be on customer contact, garage contact, claim survey pick up and survey arrangement (within in-house limit), assessment and processing of auto claims), queries on claim flow, admissibility. Liability and status of claims. Manage & take decisions on process and settlement of auto claims over the call based on photographs shared by the customer using technological passement tools available in the claims function. Technical explanation of claim decision, type of settlement and assessments to the customer during the conversation. Transfer and reassign major and complex claims to region based on defined allocation parameters in consultation with team leaders and sen...

Dear Candidate, We are looking for experienced TPA Manager for our unit Rama Hospital at Noida sector 61, UP location . Eligibility: Must have proven experience in TPA related work end to end processing till the payment recovery and settlement. Should have good experience in TPA empanelment of various companies. Only candidates from same profile will be considered. Should have strong exposure in depth and experience of managing whole TPA department of any big hospital. What We Offer . Opportunity to work with one of the leading healthcare groups in the region with attractive salary package. How to Apply: Email your CV to: arshadhasan.hr@ramahospital.com WhatsApp your details to: 7275254108 R...

Welspun Enterprises Ltd. Job Description : Manager/Engineer Contracts, WEL Role Title: Manager/Engineer Contracts, WEL Reporting to: Project Manager, WEL Purpose: Lead the contract execution, administration and management process at the site. Ensure adherence to contract guidelines and swift resolution of contract related disputes. Key Responsibilities: A. To study the Contract conditions of the Contract Documents and prepare the CAD in consultation with Project Manager and Contract Head. B. To ensure proper and timely drafting of correspondences at Site level in consultation with the Project Manager and Contract Head. C. To ensure the correctness and sufficiency of Contractual provisions/ i...

Oversee all general and group medical insurance policies, timely renewals, and prompt premium payments. Work closely with HR, Finance, and insurance providers for employee coverage updates, premium settlements, and receipt of policy documents. Required Candidate profile Graduate with experience in handling General Insurance policies in large corporates are preferred. Must have very good relation with service provider for competitive quotations. Age : 34-46 yrs .

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

JrExecutiveTPA Billing is overall responsible for providing expert coordination service between insurance company&patient to help them availcashlessservice at the hospitalThe job also involves preparing bill as per insurance TPAs Schedule of Charges

Role Overview: You will be responsible for collecting documents from client locations on a daily basis. Your role will also involve providing information to customers, responding to their claim-related queries, and coordinating with customers/agents for cashless claim settlement. Additionally, you will be required to coordinate with internal stakeholders such as enrolment, account management, claims, investigation, and support teams to settle claims efficiently. Key Responsibilities: - Collecting documents from client locations - Providing information to customers and responding to their claim-related queries - Coordinating with customers/agents for cashless claim settlement - Coordinating w...

In this role, you will be responsible for building a strong relationship with the sales team of the channel partners. Your key responsibilities will include achieving sales targets as per the channel strategy, meeting prospective customers with the channel sales team to sell insurance solutions, providing pre and post-sales support (e.g. claim settlement), ensuring the quality of business and persistency (renewals of premium), and enabling the channel sales team to use the latest digital platforms. Qualifications required for this position include: - Graduation is a must - Minimum 1-2 years of experience in life insurance - A pleasant personality, good communication skills, and a go-getter a...

Fortis Hospital Mohali is hiring Head TPA, Interested candidates can contact at 7015298971 for more details or share resume at baljinder.singh@fortishealthcare.com

Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS). Liaising with Claim handlers onshore, brokers, and underwriters. Manage all administration aspects of the claim Attention to detail you will need to make sure that all conditions of a claim are met to make sure that the claim can be processed and validated. Performing quality checks on tasks performed by colleagues. Constantly elaborating existing processes and looking for improvement opportunities. Getting involved in testing and sharing results. Looking to engage in projects and opportuniti...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

Department: Contracts & Legal Location: Ahmedabad Industry: EPC / Infrastructure / Energy/ Renewables / Oil & Gas / Power Job Purpose: To manage and oversee contract administration, handle claims (from preparation to resolution), and lead arbitration or dispute resolution proceedings in alignment with business interests and legal compliance. Key Responsibilities: Contracts Management: Draft, review, negotiate, and finalise various types of contracts (EPC, turnkey, subcontract, JV, consultancy, etc.). Ensure risk mitigation through robust contractual clauses and compliance with legal and company policies. Support pre-bid and post-award contract review and risk evaluation. Coordinate with inte...

Dear Candidate, We are looking for Senior Manager/Chief Manager- Insurance for Jaipur location. Key Responsibilities: Handle IRDAI reporting, regulatory compliance, and internal audits. Oversee nomination, examination, and certification of Specified Persons as per IRDAI guidelines. Manage medical underwriting cases and ensure closure within defined TATs. Prepare commission statements, reconcile invoices, and ensure timely settlements. Coordinate with insurance partners for issuance, renewals, and policy management. Lead a small team, drive productivity, and ensure customer satisfaction. Track and resolve claims, complaints, and service requests. Implement process improvements and support dig...

Job Description Urgent Hiring for Deputy Manager Min 8+Years of Experience in Deputy Manager - Claims end to end. Min 2.0Years experience on Papers. Location: Pune/ Mumbai/ Bangalore Work Mode: Work from Office Shifts Timings: US Night Shifts Important Note: We are only looking for candidates with experience in the US/UK markets. Note : Strong knowledge of insurance claims (General Liabilities, Auto/Motor & Direct) Deputy Manager - Claims End to End Requirements : Excellent communication skills with 8+ years of work experience. Must currently be working as a Deputy Manager (DM) on paper for at least 2 years. Individual contributor roles are acceptable. Strong knowledge of insurance claims (G...

Job Description Summary: - Customer Support; Hub Operations; Account Creation; Basic Process Onboarding; Bookings; Inquiry; Providing Quotes; Complaint Handling; Issue Resolution; Case Management; Service Recovery; Pro-active Prevention; Claims Handling; Escalated Issue Resolution; Enquiry; Enquiries (Ad Hoc); Basic Complaint Handling; Basic Issue Resolution Responsible for the completion of defined processes and procedures to deadline, ensuring accuracy, completeness, and compliance with relevant internal and external standards. Identifies anomalies as they arise and uses judgement based on rules and procedures to resolve. For complex issues, may escalate to senior team members. Interperson...

Role Overview: KR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India. Team KR is dedicated to providing complete healthcare solutions as a third-party administrator (TPA) with a specialized TPA department in a hospital. We offer empanelment consulting, quality accreditations (NABH/NABL/ISO), cashless/reimbursement claim settlement, and hospital planning and development. The company has been established for 16 years and is committed to delivering comprehensive TPA (medical) solutions. Key Responsibilities: - Making outbound calls to potential customers - Answering inc...

AN AUTOMOBILE DEALER DEALS WITH 4 WHEELER PASSENGER CAR BRANCH AT BARASAT NEAR KOLKATA WEST BENGAL WANT ACCOUNTS MANAGER WHO ALSO KNOW WARRANTY AND CLAIM SETTLEMENT WITH GOOD ACCOUNTS KNOWLEDGE. OFFICE AT BARASAT AND MUST FROM AUTOMOBILE BACKGROUND.

Seeking a male candidate with TPA/investigation agency experience, expertise in Mediclaim investigation/verification, team handling, client communication, and TAT management. Focus on reimbursement and cashless claims. Strong leadership required.

Role Overview: You will meet Jewellery Shop owners to sell them Mediclaim and Motor Insurance. Additionally, you will be responsible for leading and mentoring a team of CROs executives to achieve sales and revenue targets. Developing and maintaining strong business relationships with Clients/jewellers will also be a key aspect of your role. Key Responsibilities: - Understand the unique needs and risk concerns of jewellers and recommend suitable insurance solutions. - Support clients in claim settlement and after-sales service to ensure customer satisfaction. - Coordinate with insurance companies for competitive quotes, customized group mediclaim policies, and smooth policy issuance. Qualific...

health insurance context primarily managesclaims processingclient servicing, and coordination with insurers and hospitals, while an AyushmanMitra is a frontline rolein theAyushman Bharat scheme, responsibleforidentifying andverifying beneficiaries,

Receive and review insurance claims and related documents. - Enter claim information into the claims management system. - Acknowledge receipt of claims and communicate with claimants regarding the status of their claims. Role & responsibilities Conduct a thorough survey to determine the validity of claims. - Collect and analyze evidence, including photographs, witness statements, and other relevant documentation. - Coordinate with surveyors and other professionals to assess damage and determine the extent of loss. Preferred candidate profile

Excellent communication skills with 8+ years of work exp Should be working as an AM / DM on paper for min 2 years. Team handling exp is mandatory. Strong knowledge of insurance claims (General Liabilities, Auto/Motor, Direct & Property & Casualty) Required Candidate profile Should be flexible with US Shifts Prefer Immediate joiners or max 1 month of notice period

Designation: Senior Medical Officer Function: Claims PA/RI Approver Reporting to: Assistant Manager/Manager Location: Andheri East, Mumbai Educational Qualification: BAMS, BHMS, BPT, MBBS, BSc. Nursing Additional Qualification: None Specialization: General Medicine Related courses attended: None Management Level: Junior Management Level Industry Type: Hospital/TPA/Healthcare/Insurance Roles and Responsibilities : Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy. Handle escalations, customer queries and responding to mails accordingly Effectively manage the team so that the targets are met while reducing the no. of ...