461 Claim Settlement Jobs - Page 2

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon work from Office only Timings: 9:30am to 5:30pm (Monday-Saturday) Contact No-9971006988 through whats app ch...

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

Urgent requirement for BHMS/BAMS/BDS -Chennai(Annasalai) 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: BAMS / BHMS / BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can als...

Role & responsibilities Conduct timely follow-up on outstanding payments with customers, corporates, insurance companies, and third-party administrators (TPAs). Manage part-payment and short-payment reconciliations, ensuring accurate tracking and proper accounting entries. Prepare and maintain outstanding reports (daily, weekly, and monthly) for management review. Monitor aging analysis and escalate long-pending dues for resolution. Coordinate with billing, finance, and customer service teams to ensure smooth payment flow and dispute resolution. Maintain accurate documentation and communication records related to payment follow-ups. Assist in month-end closing activities, ensuring proper pos...

Greetings from Edelweiss Life Insurance !! We are hiring operations experienced candidate for the post of Branch Operation Execitive for Kozhikode branch. Role & responsibilities 1. Handling branch operations. 2. Customer servicing, Policy servicing & issuance 3. Upselling LI products. Preferred candidate profile 1. Any graduate with minimum 1 year of experience in operations/Customer service/ Back end/ in BFSI/Insurance/NBFC/Financial services industry. CTC max up to 3 LPA + Incentives Job Location : Mavoor Road junction, Kozhikode Interested candidates can share the CV to suprabha.p@edelweisslife.in (or) 9995803702 Thanks, Suprabha TA Partner Human Resource

Job description Job purpose To manage the end-to-end claims reimbursement process efficiently and accuratelyensuring timely claim submission, verification, adjudication, and resolutionwhile maintaining compliance, improving customer satisfaction, and contributing to the organization’s operational excellence. Duties and responsibilities 1. Claim Submission Initiation: The insured individual or the service provider submits a claim to the insurance company for reimbursement. Required Documentation: Policy details (policy number, coverage specifics). Proof of service or expense (invoices, bills, or receipts). Supporting documents (e.g., medical reports, repair estimates, or loss reports). Submis...

As an Insurance Sales Manager at a Renewed Insurance Broking Company based in Marine Lines, Mumbai, your role will involve meeting Jewellery Shop owners to offer them Mediclaim and Motor Insurance. Key Responsibilities: - Meet Jewellery Shop owners and sell them Mediclaim and Motor Insurance. - Lead and mentor a team of CROs executives to achieve sales and revenue targets. - Develop and maintain strong business relationships with Clients / jewellers. - 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 com...

Job Description Summary Job Description Job Summary To achieve sales target & profitability in assigned territory by executing marketing strategies through personal contacts with key users, influencers and through education. To ensure timely collection of outstanding payments. Responsibility Achieve sales target & profitability in assigned territory by executing marketing strategies through personal contacts with key users, influencers and through education. To plan and execute marketing programs to meet customer needs and BD objectives. To maintain a detailed record of customer accounts (incl. key opinion leaders, Key Accounts, Key HCP's) as per defined norms or requirements. Achievement of...

As a Sales Development Executive (SDE), your primary responsibilities include: - Optimising route of Retail Service Providers (RSP) to ensure regular visits to Secondary Urban Distributors (SUBD) - Classifying SUBDs based on value sales and weighing the frequency of visits accordingly - Identifying and finalizing prospects for RSP and SUBD - Ensuring creation of backups for existing Sales Supervisors (SS) - Developing a funnel of backup Salesmen/Distributors and refreshing it periodically - Tracking absenteeism and monitoring man-days closely to ensure productivity consistency - Checking and monitoring RSPs in alignment with infrastructure budgets - Keeping Field Force (FF) attrition in chec...

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Hiring For US Healthcare Voice Any graduate 3+ Yrs exp in CTC: Upto 10 LPA Location: Pune. (hybrid) NP: 0-30 Days 9049866622 | shweta@talentams.com Required Candidate profile 3 + yrs exp in healthcare voice P&C Voice EXCELLENT COMMUNICATIONS ONLY Perks and benefits Both way cabs Hybrid after 6 months Joining.

As a Civil Engineer specializing in Contract Administration and Claim Settlement, you will be expected to be well-versed with FIDIC Conditions and the Claim Settlement Process. Your responsibilities will include: - Administering contracts effectively - Settling claims in accordance with FIDIC Conditions You should have 5 to 15 years of experience in the field.,

Position : Manager - Motor Claims Company : Cholamandalam General Insurance Location : Pune CTC Range : Upto 4.50 LPA Age Criteria : Upto 30 years Key responsibilities include ensuring compliance, providing excellent customer service, managing a portfolio of claims, and making fair and accurate settlements according to policy wordings and company guidelines. Key responsibilities Claims handling: Manage a portfolio of motor theft claims from start to finish, ensuring all claims are processed efficiently and within service levels. Investigation and validation: Gather and review claim details, documents, and information. This includes working with police to follow up on investigation progress a...

Job Description: 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 IRs raised. Ensure that the claims are approved or denied as per the terms and conditions within the TAT. Provide supportive and positive experience to the new joiners and train them. Gather inputs from various sources and keep up-to-date on the new policies or changes in existing policies and intimate the Configuration team and the CRM team Manage a group of claim processors, guide and coach them...

HELLO JOB SEEKERS!! GREETINGS FROM SHININGSTARS!! ONLY GRADUATE FRESHERS AND GRADUATE EXPERIENCED CAN APPLY IMMEDIATE JOINERS ONLY. Are you ready to kickstart an exciting career with a dynamic multinational BPO in BANGALORE ? ShiningStars is on the lookout for enthusiastic individuals to join our team, and it could be YOU! PROFILE- CLAIMS ASSOCIATE PROCESS- BLENDED PROCESS LOCATION- BANGALORE ( KUNDANHALLI ). ROLES AND RESPONSIBILITIES- ELIGIBILITY- *Graduate Freshers / Experienced can only apply. *Minimum 2 years of experience is mandatory in Claims. *Freshers Must be from Commerce background. *Experience in voice or blended process is mandatory. *Communication Skills: Brilliant presentatio...

Mysore Shift: US Shift / Night Shift-Work from Office CTC: Up to 4 LPA Notice Period: 0–15 Days Min. 1 year in US Healthcare Claims B.Sc. (Science) background preferred Based in or willing to relocate to *Mysore* sravani.asarla@liveconnections.in

Responsibilities: Register insurance claims with complete, accurate details Update claims tracker regularly Collect and follow up on required documents Prepare monthly & quarterly MIS reports Coordinate with teams for data accuracy & issue resolution

The role involves recruiting, engaging, and training Business Managers (BMs) and Personal Financial Advisors (PFAs) regularly to help them achieve the desired business targets. You will conduct regular meetings with BMs and PFAs to update them on new earning opportunities and enablement initiatives. It is essential to ensure that BMs and PFAs receive periodic training with the support of the Training Team. - Conduct regular meetings with BMs and PFAs - Update them on new earning opportunities and enablement initiatives - Ensure periodic training for BMs and PFAs with the support of the Training Team You will be responsible for meeting prospective customers with the team to sell product solut...

Job Summary: We are seeking a qualified and experienced medical professional with a strong background in health insurance claim settlement and customer service . The ideal candidate will leverage their clinical knowledge to evaluate and process health insurance claims efficiently while ensuring a high level of customer satisfaction. This hybrid role bridges the gap between medical accuracy , regulatory compliance , and empathetic customer support . Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Co...

Role & responsibilities Handle claim submission, follow-up, and settlement with TPAs and government panels. Track outstanding payments and prepare periodic reconciliation reports. Coordinate with TPAs, insurance companies, and internal departments for claim clarifications. Maintain records of claims, payments, and rejections in both Excel and Tally. Post settlement entries, adjustments, and payment receipts in Tally. Prepare monthly outstanding and collection status reports for management review. Ensure timely submission of required documents for pending claims. Follow up on delayed or short payments and resolve discrepancies. Maintain communication logs and documentation for all settlement ...

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we're having opening in Cashless Department for Medical Officer Profile. Role & Responsibilities: Cashless Claim Management: Review and process pre-authorization requests for cashless hospitalization, ensuring all required documentation is complete and accurate. Medical Scrutiny: Analyze medical records and reports to validate claims ...

Were Hiring for Insurance Claims Associate! Interested candidates can drop your resume to the mentioned contact - 7569452008 Are you detail-oriented and passionate about maintaining a safe and respectful online space? Join our team as a claims associate in Bangalore! WE ARE HIRING FOR: *Immediate joiner required *Excellent Verbal communication skills Position: Insurance Claims Associate Minimum Qualification: Non-Technical education background required (Eg.BA,B.com,BBA) Experience: Minimum in between 1 year experience into claims processing. Shifts: Rotational Shifts. Week Offs: Rotational offs. 2-way transportation will be provided. Candidate must stay in the 20kms from the work location Lo...

POSITIONDESCRIPTION JOBTITLE FinancialInclusion Officer GRADE AM-I DEPARTMENT MicroBanking LOCATION BRANCH SUB-DEPARTMENT TYPEOF POSITION Full-time REPORTSTO BranchManager REPORTINGINTO NA ROLEPURPOSE & OBJECTIVE Thisprofile is directly responsible for business generation, customeracquisition and customer servicing for Deposit Products, Digitalchannels and Third Party Insurance products Theprofile role includes cross-selling to existing customers as wellas acquisition of new customers through referral and familybanking Offerand onboard customers on CASA and Term deposit products tocustomer, their family members and their references. Offerand onboard customers on Digital platforms including M...

As the Lead FP&A, you will be responsible for overseeing the financial planning, analysis, and reporting for a large and complex project. Collaborating with various departments, you will provide financial insights, forecasts, and strategic recommendations to ensure the successful execution and financial performance of the project. Additionally, you will ensure continuous variance monitoring and related analytics to management for a seamless and cost-efficient delivery of the project. Your key responsibilities will include: - Financial Planning & Forecasting: Developing and maintaining detailed financial models and forecasts for the project, cost estimates, and capital expenditure requirement...

Key Responsibilities: Handle and process cashless claims efficiently and within timelines. Coordinate with TPAs , insurance companies , and internal departments for smooth processing of patient admissions and discharges. Manage pre-authorisation, enhancement, and final approval processes for all cashless patients. Ensure accurate and timely documentation for CGHS , GIPSA , and private insurance claims. Track claim status, follow up on pending claims, and ensure timely reimbursements. Maintain up-to-date records and MIS reports. Coordinate with patients regarding insurance queries and documentation needs. Ensure compliance with standard protocols and hospital policies. Requirements: Minimum 2...