Get alerts for new jobs matching your selected skills, preferred locations, and experience range. Manage Job Alerts
0.0 - 2.0 years
3 - 4 Lacs
Mumbai
Work from Office
POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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 deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies
Posted 3 weeks ago
3.0 - 7.0 years
3 - 7 Lacs
Hyderabad, Bengaluru
Work from Office
Join our dynamic international business team across Bangalore and Hyderabad Job Description Claims Service Support (CSS) - AM/Manager Summary: We at Prudent Insurance Brokers, are seeking an experienced Employee Benefit-Claims Service Support professional for our International Business (IB) vertical. Employee Benefits Practice at Prudent is a strategic business unit dedicated to strengthening Prudent’s global brand in the international market. The individual will be responsible to Serve as primary point of contact for all employee claim queries etc. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senior stakeholders globally and the seamless delivery of these best practices in India. Roles & Responsibilities: • 1) Exceptional Employee Experience Support system by Prudent Serve as primary point of contact for all employee claim queries and own the process of developing strong employee relationships & engagement 2) Facilitating the cashless and reimbursement process: Ensuring employees understand the steps involved in both cashless and reimbursement claims. Offering exceptional support and guidance to employees/HR throughout the entire process to ensure a smooth experience. 3) E-cards/network hospitals: To provide employees e-cards and information about network hospitals. 4) Providing claim-related queries: Addressing questions about claim status, claim deductions, and explanations of queries. 5) TPA Co-ordination: Co-ordinating with TPA daily to ensure the smooth functioning of employee-related queries 6) Employee Engagement & Support SPOC: Daily tracking of claims on status/rejections/deductions and providing the report to MCS Desired profile/who should join: Good listening & communication skills Should have good technical knowledge about Employee health Insurance/ General Insurance products. (Cashless/Reimbursements) Experience in General Insurance/ Insurance Brokers Years of experience: 2 to 5 years Education qualification: Bachelor's Degree, Master's Degree Good knowledge of the TPA/Insurance processes Well-versed in health insurance policy conditions Well-versed with current medical practices & advancements Should know about IRDAI health regulation If the opportunity interests you, kindly share your updated CV with Tanay Srivastava (tanay.srivastava@prudentbrokers.com) or Yogesh Nagar (Yogesh.nagar@prudentbrokers.com) with the subject ‘’Claims role_*Location*’’ Role & responsibilities
Posted 3 weeks ago
0.0 - 2.0 years
3 - 4 Lacs
Mumbai
Work from Office
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 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work From Office only Interested candidates can share their CVs to Dona- 9632777628
Posted 3 weeks ago
5.0 - 8.0 years
10 - 12 Lacs
Goregaon, Mumbai (All Areas)
Work from Office
I am hiring for this position for one of our Life Insurance clients. Role & responsibilities Prudent claim Assessment and management of end-to-end claim settlement /repudiations, including Life, Group claims Coordinate with Reinsurers /sales/customers for closure of claims within the regulatory framework and timelines Direct and oversee the maintenance of complete and accurate claim management records. Managing the claim teams on day-to-day claims transactions, guidance on claims philosophy, regulatory, and audit procedures Ensuring daily claim deliverables are met and claims decisions within prescribed SLA with quality Ensure customer centric approach while delivering sensitive area of death claims. Accuracy and Speed in delivery Customer satisfaction Quality in claims assessment/approvals Preferred candidate profile Graduate with required communication skills, A minimum of five to seven years progressively responsible previous insurance industry experience. Life Insurance domain knowledge Decision-making skills. MIS, MS Excel, Workflows , Group Asia and Life Asia system knowledge
Posted 3 weeks ago
6.0 - 10.0 years
7 - 16 Lacs
Mumbai
Work from Office
Role & responsibilities Seamless processing of Insurance Claims till the closure & recovery of the cost incurred in repair. Co-ordination with third party service providers with respect to timely collection of claim documents, verification of the documents and submission to the insurer for settlement. Ensuring 100% documents are checked and verified to achieve FTR > 98%. Ensuring compliance with all applicable processes, policies & standards and adherence to timelines. Analysis of claims data to identify trends and potential areas for improvements in the claims handling process Propose and assist in the implementation of improvements in the claims handling process to enhance efficiency & accuracy and also help in minimizing losses. Implementation of automation to enhance efficiency and reduce turn around time. Data management & publishing of key dashboards the internal/external stakeholders involved. Maintain and update of various data sets required for the business through various channels Ability to handle team and constantly reviewing the team performance. Ability to manage team by setting clear goals, providing regular feedback and coaching, fostering open communication and collaboration, recognizing and leveraging individual strengths, addressing conflicts constructively Preferred candidate profile 6+ years of experience in processing insurance claims Experience with Affinity product claims is highly preferred
Posted 3 weeks ago
1.0 - 6.0 years
1 - 3 Lacs
Kanpur, Agra, Delhi / NCR
Work from Office
Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Isha Thakur 9056448144 HRD
Posted 3 weeks ago
0.0 - 2.0 years
3 - 4 Lacs
Mumbai
Work from Office
POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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 deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies
Posted 3 weeks ago
0.0 - 2.0 years
3 - 4 Lacs
Noida
Work from Office
POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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 deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies
Posted 3 weeks ago
0.0 - 1.0 years
3 - 3 Lacs
Chennai
Work from Office
POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Chennai Educational Qualification Shift BHMS, , BAMS , BDS, B.Sc Nursing. Rotational Shift (for female employee shift ends at 7:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and 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. • • • Responsibilities 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 deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies
Posted 3 weeks ago
5.0 - 8.0 years
4 - 6 Lacs
Hyderabad
Work from Office
Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously under tight deadlines. Excellent communication skills for effective interaction with customers (patients), providers (hospitals), and insurers. Perks and benefits As per industry
Posted 3 weeks ago
1.0 - 5.0 years
2 - 3 Lacs
Mumbai
Work from Office
Job Title - Executive Service Operations (Settlement) Exp. - 1-5 years Location - Marol, Andheri East (Mumbai) Areas of Responsibility Timely claims submission to insurers with desired accuracy. Discrepancy management and responsible to conduct timely reconciliations Flexible to work in calibration with internal and external stakeholders. Qualification & Experience Required Graduate or Equivalent. Minimum 1 year experience in General Insurance Claims processing in back end operations of insurance/broking industry. Skills Required Excellent knowledge of MS Excel. Good written and verbal communication skills. Familiar with general insurance claims terms and concepts Ability to work in collaboration with multiple stakeholders Strong follow up skills. Flexible to work for extended working hours and in shifts, if required Interested can share CV on given id sangeeta.rajput@techguard.in
Posted 3 weeks ago
0.0 - 5.0 years
0 - 3 Lacs
Kollam, Thiruvananthapuram
Work from Office
Primary Responsibilities: • Responsible for Quotes generation, Policy Issuance, Policy Cancellation / Endorsement issuance / Refunds etc. for all channels / products of respective branch within defined TATs. • Providing support for faster claim settlement in coordination with the respective stakeholders. • Ensuring 100% Policy Issuance through Policy Issuance Portal for respective branch as per defined TAT. • Supporting customers / PoSPs of respective branch in terms of timely resolution of their issues / concerns in coordination with respective stakeholders. • Following up with ICs / IT / HO Operations Team for timely resolution of raised tickets / issues of respective branch. • Establishing strong connect with insurance companies / hospital network / Garages / Mahindra eco system & other respective stakeholders.
Posted 3 weeks ago
0.0 - 5.0 years
2 - 3 Lacs
Mumbai
Work from Office
Job Title - Associate - Repair & Replacement (English & Malayalam Language required) Exp. - 0-5 years Location - Marol, Andheri East (Mumbai) Overall Purpose of the Role Ensuring timely and quality fulfilment of customers service requests Areas of Responsibility Interact/Coordinate with partners to fulfil service requests in defined TAT. Provide superior customer service Preparing different Reports, i.e. Daily/Weekly/Monthly. Validation of documents required for claims approvals & fulfillment. Ensuring regular updates in system Validation/Recon of Vendors Payables Qualification & Experience Required Graduate or Equivalent. Experience of 0-5 years as a Service Coordinator/Executive is desirable, Freshers can also been considered. Malayalam speaking language is mandatory Skills Required Customer orientation Team working skills Quick Learnability skills and adaptability Highly organized and efficient. Ability to prioritize and handle multiple tasks Ability to publish reports Command on MS Excel and basic computer knowledge Proficient in English and Hindi both for written and verbal communication Interested can share CV on given id sangeeta.rajput@techguard.in
Posted 3 weeks ago
15.0 - 21.0 years
40 - 70 Lacs
Mumbai Suburban, Navi Mumbai, Mumbai (All Areas)
Work from Office
Hiring for Contracts Administration and Claims Manager at Kalpataru Projects International Limited. Mumbai- Santacruz. Summary: Overall min. 15+ years. Interested can share their resume on barnali.dey@kalpataruprojects.com Ideal candidate shall have experience of minimum 15+ years in handling contract administration and claims management of Solar PV Projects. Area of responsibilities : Detailed study of Pre BID documents, raising pre BID queries; to identify and analyze the potential risk. To support Tendering Team about the prospective risk, its impact and risk Mitigation plan to identify risk. To prepare the contract appreciation documents (CAD) and interpretation of various contractual provisions upon award of works to monitor the Contract at Project Sites. To monitor contractual correspondence with Clients / PMC / Engineer; Claims identification, valuation and timely submission, Application for Extension of Time & Impacted Schedule. To monitor the adherence to Contract Conditions and interpretation of clauses. Drafting and proof reading of the correspondences, agreements and other important documents to safeguard the interest of organization. To co-ordinate with sites to regularize monthly correspondence with BU and HO. To compile Monthly MIS of all communication between organization and the client for all respective sites. To prepare claim status MIS on various contractual entitlements in compliance of Quarterly Review Meetings. To generate and maintain the record of Correspondence for future usage and reference. Competencies: Adaptability / Flexibility . Qualification : Graduate Engineer Skills: Excellent communication and interpersonal skill
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Tanishaa Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432422 WhatsApp: 7899490271 | | Tanishaa.S@blackwhite.in | www.blackwhite.in
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Sneha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| sneha.v@blackwhite.in | www.blackwhite.in
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432405| deekshitha@blackwhite.in | www.blackwhite.in
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| amala@blackwhite.in | www.blackwhite.in
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Sanjana Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432421| sanjana.b@blackwhite.in | www.blackwhite.in
Posted 4 weeks ago
4.0 - 9.0 years
5 - 11 Lacs
Ahmedabad
Work from Office
Job Overview: We are looking for an experienced Claims Manager to handle non-motor insurance claims (such as Fire, Marine, Liability, Engineering, and other commercial policies ) for our SME clients. The ideal candidate should have a strong technical understanding of policy wordings, loss assessment, and claims lifecycle management, with the ability to coordinate effectively with surveyors, insurers, and internal stakeholders. Location : Ahmedabad Key Responsibilities: End-to-End Claims Management for non-motor SME policies including Fire, Marine, Liability, Engineering, etc. Coordinate with Insurers and Surveyors for timely claim registration, survey appointments, and assessment updates. Verify claim documents and assist clients in claim documentation and submission. Ensure timely follow-up and track the status of pending and approved claims. Resolve claim-related queries or disputes raised by the clients or insurers. Liaise with internal teams (Sales, Operations, etc.) to ensure seamless customer experience. Maintain and update MIS for claims on a regular basis. Analyze claim trends, recommend process improvements, and reduce TAT. Ensure compliance with IRDAI regulations and company protocols. Interested candidates please share your resume on disha.doshi@probusinsurance.com
Posted 4 weeks ago
7.0 - 12.0 years
14 - 16 Lacs
Mumbai, Mumbai Suburban, Mumbai (All Areas)
Work from Office
Manager-Segment Incharge The role is responsible for all tasks related to Processing and Settlement of claims, Monitoring TPA performance for the assigned business. The role includes managing the assigned specialized business handling of any one or more of the following activities: Settlement of Claims, Monitoring TPA performance based on defined KPI, System, Development, UAT, Portfolio Analysis, MIS/Compliance. If this is you, we are looking for you! Key Responsibilities Managing end-to-end claims. Requisitioning detailed information on all reported and settled Claims and monitoring performance of TPAs, evaluating performance of all TPA based on parameters of SLA with Regular Review of defined KPIs. Monitoring and performance evaluation of TPA including timely review of TAT & quality for various process followed in TPAs, daily TAT monitoring, escalation & expectations management for specialized business handling of retail portfolio. Maintaining and updating TPA records on daily basis which help us to know the performance of retail policies and portfolio. Conducting QC of reports and data of TPA shared with us on regular intervals to analysis the data on all benefits as per retail policies. Supporting Actions IT Systems Development System development for uploading and extracting TPA claims and generating reports from the same. Cost containment without losing on customer experience, actionable of feedbacks on claims experience. Educational Qualification: - Preferably MBBS, BHMS, BAMS Doctor Minimum 7-9 years in handling similar role Experience in handling provider management (Hospitals and other vendors) is mandatary. Its a urgent opening please share your resume at aparna@aceconsultants.in
Posted 1 month ago
1.0 - 3.0 years
1 - 3 Lacs
Bengaluru
Hybrid
Key Responsibilities: Review images captured from vehicle inspections to verify and document damages. Document and photograph damages using company systems and ensure accurate record-keeping. Classify damages as wear & tear or chargeable based on company policies. Review and verify images and damage reports to ensure consistency and accuracy. Generate and submit damage reports for review and approval. Review and ensure accuracy of all documentation associated with damage files Night Shit(Allowance would be paid for Night shift) and Weekend shit day off for Weekend shift Need to go to office 3days a week Skill Set: High proficiency in Verbal /Written English. Strong analytical skills MS EXCEL, WORD etc Great attention to detail and accuracy Strong independent decision-making skills Ability to prioritize various requests and handle changing priorities Excellent work ethic; willing to take on multiple tasks Exceptional interpersonal and communication skills required Strong organizational skills with the ability to multi-task Dependable, cooperative, and willing to assist others Knowledge of MS Office software Word and Excel Must be able to work a flexible schedule Having any bachelors degree is mandatory
Posted 1 month ago
4.0 - 9.0 years
7 - 10 Lacs
Bengaluru, Delhi / NCR, Mumbai (All Areas)
Hybrid
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 & Utilize trade scheme. Train and mentor SOs ensuring holistic growth & development. Preferred candidate profile Total Experience: Minimum 4+ years of OTC/ Consumer Healthcare/FMCG sales experience with reputed FMCG/HC companies. Proven success as ASM of continually surpassing sales targets. Computer literacy and efficiency to report online and analyze reports. Should be open to relocation across the country. Excellent interpersonal & stakeholder management skills.
Posted 1 month ago
3.0 - 8.0 years
3 - 5 Lacs
Kolkata
Work from Office
1. Job Details Position title: Accounts Payable Designation: Executive/Sr Executive - Accounts Department: Accounts Location: Kolkata 2. JOB SUMMARY To manage the daily accounting functions Good Concept in Accounting Entries Following up with other support department for booking & payment of invoices for timely payment Tracking of Travel reimbursement process & communication with employees Basic idea in statutory deductions like TDS, GST etc. Assisting in Statutory Audit and Internal Audit 3. Professional Requirements: Good knowledge in general accounting Good knowledge in general accounting. Knowledge in TDS & GST Knowledge in TDS & GSTRole & responsibilities 4. QUALIFICATION and EXPERIENCE Must be a B Com/M Com/CA Inter/CS Experience: 3+ years.
Posted 1 month ago
1.0 - 5.0 years
1 - 3 Lacs
Navi Mumbai
Work from Office
Process: Insurance BPO Designation: Executive & Sr. Executive Job Responsibilities: Efficiently handle and process insurance claims, ensuring accurate documentation, timely initiation, and resolution of claims such as First Notice of Loss (FNOL) and First Report of Injury (FROI). Collaborate with clients, claimants, and internal/external teams to gather necessary information, evaluate claims for coverage and liability, and determine appropriate payment amounts. Maintain detailed and accurate records of claims transactions, ensuring compliance with industry regulations and company policies while safeguarding sensitive client information. Identify potential fraud or discrepancies in claims, escalating issues for further investigation, and resolving claim-related concerns professionally to provide exceptional customer service. Support continuous process improvement initiatives to enhance the efficiency and effectiveness of claims management workflows. Criteria : 1 to 2 years of experience in P&C or Specialty Insurance BPO. Exposure to FNOL and FROI processes. Experience in claim management and payment processing. Willingness to work in US shifts. Week Off: 5 days working Transport: One-way transport provided for candidates within transport boundary Location - LOMA IT PARK, GHANSOLI If Interested share your resume on JuiliD@hexaware.com or 8657971384
Posted 1 month ago
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
We have sent an OTP to your contact. Please enter it below to verify.
Accenture
39581 Jobs | Dublin
Wipro
19070 Jobs | Bengaluru
Accenture in India
14409 Jobs | Dublin 2
EY
14248 Jobs | London
Uplers
10536 Jobs | Ahmedabad
Amazon
10262 Jobs | Seattle,WA
IBM
9120 Jobs | Armonk
Oracle
8925 Jobs | Redwood City
Capgemini
7500 Jobs | Paris,France
Virtusa
7132 Jobs | Southborough