310 Claim Settlement Jobs - Page 12

We Have Urgent Requirement of TPA Manager

Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepar...

Designation - Claim Support Consultant Location - Teynampet Education - Any Graduate Experience - Advanced Excel & Team Handling Contact - Priskila -7825845773

Role & responsibilities Oversee and manage the end-to-end claims process, ensuring timely processing and adherence to internal policies Analyze claims data to identify trends, assess process gaps, and evaluate financial impact Prepare and present reports including claim status, pending settlements, and loss projections to senior management Collaborate with internal teams and external partners to resolve operational challenges and enhance efficiency Act as the primary point of contact for claim-related insights, fostering clear communication among stakeholders Identify and implement best practices to improve claim management accuracy and efficiency

Department - Claims Auto Role & responsibilities Closing Ratio/Minimize cost : Negotiate with dealers ; Avoid cost wastage in workshops; Regular training of claims policies ; Faster settlements Re-open ratio/Segmentation of vehicles: Separating the Claims according to Vehicles and minimizing the expenses Repair claims: Timely follow up with agent; visit the workshop within 48hrs of receiving the claim and follow up within 2days. Maintain the Hygiene/TAT(Total Around Time) : Proper evaluation on customer claims ; Claims should be closed within defined TAT (i.e.; Approval or rejection) Sort out claims related issues according to Regulations. Policy Compliance : Ensure that the claims process a...

Understand the insurance terms and condition Understand the Underwriting of policy Understand the different insurance risk and policy ,Assets insurance , Liability policy Employee related policy and other product of insurance Handling insurance claim Required Candidate profile Good in communication with Different Insurance company and different Insurance brokers . Preferable work in Manufacturing company or EPC company Engg Back ground and Insurance degree MBA or equivalent

NOTE- Looking for candidates with 12+ years of experience in Property & Casualty insurance- delivery and transformations. Hiring for- Leading services based MNC Client Work Location- Bangalore (work from office) Role - Senior Manager (equivalent to AVP as per market gravity) Responsibilities include- -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. -Ensure delivery to exceed SLAs across multiple regions in portfolio UK, EMEA, US, Canada. -Lead and strengthen an existing ...

CVminimizationrisk Join Hella Infra Market Limited as an Insurance Specialist Are you an expert in handling trade credit and corporate insurance policies? We're looking for a skilled professional to manage end-to-end insurance operations and ensure minimised across our diverse business operations. Key Responsibilities: Manage and oversee Trade Credit Insurance and ensure full compliance. Handle a broad range of corporate insurance products such as Fire, Electronic Equipment, PII, Machinery Breakdown, Liability, Contractor's Plant and Machinery, Transit, and D&O policies. Process claims and coordinate with insurers and brokers to ensure timely settlements. Draft, renew, and manage proposals, ...

Role: Executive / Sr Executive - Account Management (CRM) Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Candidates must have TPA experience Interested candidates can reach out via email at ...

Investigate health insurance claims, verify medical records, detect fraud, conduct field visits, and prepare detailed reports. Coordinate with hospitals and ensure compliance with TPA policies and IRDAI guidelines. Medical background preferred.

Department - Claims Auto Role & responsibilities Closing Ratio/Minimize cost : Negotiate with dealers ; Avoid cost wastage in workshops; Regular training of claims policies ; Faster settlements Re-open ratio/Segmentation of vehicles: Separating the Claims according to Vehicles and minimizing the expenses Repair claims: Timely follow up with agent; visit the workshop within 48hrs of receiving the claim and follow up within 2days. Maintain the Hygiene/TAT(Total Around Time) : Proper evaluation on customer claims ; Claims should be closed within defined TAT (i.e.; Approval or rejection) Sort out claims related issues according to Regulations. Policy Compliance : Ensure that the claims process a...

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 c...

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...

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-:2yrs- 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 determini...

Roles and Responsibilities : Conduct thorough investigations into property damage claims to determine validity and extent of damage. Manage the entire claims process from intake to settlement, ensuring timely resolution and customer satisfaction. Collaborate with adjusters, contractors, and other stakeholders to gather evidence and resolve complex claims issues. Analyze policy coverage, state laws, and regulations to ensure accurate assessment of damages. Job Requirements : 3-8 years of experience in claims handling or adjudication (property & casualty). Strong understanding of travel insurance policies, including coverage options and limitations. Proficiency in claims processing software sy...

Roles and Responsibilities Manage billing processes for OPD (Outpatient) claims, ensuring timely and accurate processing. Generate invoices for patients based on medical services rendered, adhering to TPA / Ayushman guidelines. Coordinate with healthcare providers to resolve any discrepancies or issues related to claim settlement. Ensure compliance with regulatory requirements and maintain accurate records of all transactions. Provide excellent customer service by responding promptly to patient queries regarding billing and claims.

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Role & responsibilities I. JOB DETAILS Job Title TPA Reporting Supervisor Head Front Office II. JOB PURPOSE To generate and maintain systems, to efficiently manage Front Office responsibilities and to achieve high standards of efficiency and customer satisfaction. III. KEY RESPONSIBILITIES Patient/ Customer Care 1. To resolve day to day patients / visitors complaints and manage the total Customer Experience Questionnaires dissemination process. 2. To be able to handle Patients, their Attendants and Families including VVIPs 3. To efficiently run departmental operations with maximum degree of Patient Centricity. 4. To be available at functional areas for Patient contact at all duty hours Proce...

Role & responsibilities 1. Retail and BF Quality Control (QC): Support retail QC reports and address related issues effectively. Analyze QC reports to identify areas of improvement and pinpoint defaulters. Streamline the Re-QC process to ensure smooth operations and timely deliveries. Generate reports for QCed CNs and communicate variations to clients proactively. Inform the ground team about missed CNs to ensure corrective actions. 2. Corporate Quality Control (QC): Identify corporate clients for targeted QC activities. Enable and conduct QC processes, analyzing reports for insights. Implement VMeasure for improved quality control tracking and analysis. 3. Prevention of Revenue Leakage (Ret...

Hiring for: Senior Analyst – Marine Claims Location: Pune Experience: 3 Years + Domain: Marine Insurance Claims AIC, AINS, Cert CII preferred Apply today or share with someone who fits! Contact: 8308769531

Locations- Delhi, Hyderabad, Indore, Mumbai, Kolkata, Ghaziabad, Lucknow, Chennai, Surat, Kolkata , Pune, Bangalore. Role & responsibilities Supervise and guide Sales Officers (SOs) in the area, driving primary & secondary sales targets, activation & assigned tasks for the region. Effective Pharma Rx products detailing to chemist outlets. Ensure targeted brand wise coverage and penetration. Implement & monitor trade activations & schemes. Focus on Frontline rep training and development of team. Develop and maintain healthy trade relations. Timely processing and forwarding the claims. Manage end-to-end loyalty program/CRM in the market and relay feedback to managers. Implement BTL activities ...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

The Insurance Advisor Executive is responsible for reviewing, verifying, and processing insurance claims in a timely and accurate manner. The role ensures that all claim settlements comply with company policies, contractual terms, and regulatory guidelines while delivering excellent customer service. Key Responsibilities Claims Processing & Verification Review and validate claim documents, forms, and supporting evidence. Ensure compliance with policy terms, conditions, and coverage limits. Investigate discrepancies and request additional documentation if required. Settlement & Approval Calculate claim amounts and process settlements accurately. Coordinate with underwriters, surveyors, and ot...