121 Claim Settlement Jobs - Page 3

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 prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) 25 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

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 adheres to the insurance company's policies and guidelines. Customer Service : Communicate with policyholders, repair shops, and other relevant stakeholders to provide updates, explain assessment findings, and address any queries or concerns. Compliance with Regulations : Ensure compliance with local, state, and national regulations regarding motor vehicle assessments, repairs, and insurance claim processes. Negotiation Skills : Engage in negotiations with repair shops, policyholders, and other involved parties to reach mutually agreeable settlements. Fraud Detection : Detect and report any suspected cases of fraud or misrepresentation during the assessment process and work closely with the investigation team to gather evidence if necessary. Preferred candidate profile - Diploma in Automobile/Mechanical (10+2+3) or BE in Automobile/Mechanical - 2-4 years experince in any of the automobile workshop specially in body shop or in an insurance company in motor claims dept.

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 Claims set up and grow the site as India hub for claims -Drive claims transformation in delivery to cost out 25% efficiency working with business transformation -Manage claims delivery from India end to end, and drive operational profitability while building capability talent across claims adjusting, and not just operations. -Build claims capability of adjusting and UK, EMEA market -Manage and build claims talent with improved skill across value chain and reduced attrition. -Develop claims capability in adjusting and UK/EMEA market talent management

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, endorsements, and policy modifications . Communicate effectively with internal and external stakeholders. Negotiate coverage, premiums, and discounts to secure optimal insurance terms. Prepare and manage insurance MIS and reports for leadership review. Key Skills & Competencies: Strong understanding of corporate/general insurance and claims processing . Effective negotiation and analytical skills . Excellent verbal and written communication . Proficient in MIS/reporting . Ability to juggle multiple policies and ensure seamless execution. Share your cv at sahil.sangurdekar@infra.market Why Hella Infra Market Limited? Join one of the leading names in infrastructure, known for innovation, scale, and impact. If you thrive in high-performance environments and are ready to take ownership of critical insurance functions, this is the place for you.

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 sarika.pallap@mediassist.in or WhatsApp their CVs to 8951865563

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 adheres to the insurance company's policies and guidelines. Customer Service : Communicate with policyholders, repair shops, and other relevant stakeholders to provide updates, explain assessment findings, and address any queries or concerns. Compliance with Regulations : Ensure compliance with local, state, and national regulations regarding motor vehicle assessments, repairs, and insurance claim processes. Negotiation Skills : Engage in negotiations with repair shops, policyholders, and other involved parties to reach mutually agreeable settlements. Fraud Detection : Detect and report any suspected cases of fraud or misrepresentation during the assessment process and work closely with the investigation team to gather evidence if necessary. Preferred candidate profile - BE in Automobile/Mechanical - 4-6 years experience in any of the automobile workshop specially in body shop or in an insurance company in motor claims dept.

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 .

Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Executive - Credit Recovery Role & responsibilities: Marking Despatch details & updating claim details in KMH Internals Combinedly doing OS reconciliations as required with TPA/Corporates Sending out monthly OS statements / letters to TPA. / Corporates as may be agreed from timeline Marking Despatch details & updating claim details in KMH Internals Delivering Doctor's cheque with in time line Receiving acknowledgements for cheques submission from doctor & closing the entry in KMH DERN Collecting our Hospital other unit bills & submitting at agreed corporates. Follow up with TPA/Corporates for refund of collectible disallowance Regular follow up for renewing for MOU with TPA/Corporates Submitting Hospital Revised Tariff list to TPA / Insurance Reporting to Senior Officer - Credit Recovery Preferred candidate profile: Any Degree Holder (UG/PG Arts & Science) A minimum of 2 to 10 years of experience in Insurance. Working knowledge of Insurance standards Proficient in Microsoft Office. Strong attention to details. Perks and benefits: ESI/EPF Gratuity Contact person: Naveenkumar - HR - omrhr@drkmh.com

It is a field job. You will have to travel within the assigned geography to meet Financial Consultant and customers. Your ability to build strong and sustainable distribution network will define your success. Your business targets will include the no. of active, successful Financial Consultants, distribution build up and overall premium. As a team manager, you will accompany the team of Financial Consultant on pre and post sales such as claim settlement. Life believes in technology driven sales and you will learn new technology/Mobility enhancements, to comply with the Sales Management Process. As a business professional you will be uphold organizational values in every action and ensure business ethics and integrity. You are expected to be compliant to regulatory and statutory regulations Locations:- Chennai, Coimbatore, Dindigul, Hosur, Kancheepuram, Nagercooil, Madurai, Pondicherry, Salem, Tanjavur, Tirunelveli, Trichi, Vellore,

It is a field job. You will have to travel within the assigned geography to meet Financial Consultant and customers. Your ability to build strong and sustainable distribution network will define your success. Your business targets will include the no. of active, successful Financial Consultants, distribution build up and overall premium. As a team manager, you will accompany the team of Financial Consultant on pre and post sales such as claim settlement. Life believes in technology driven sales and you will learn new technology/Mobility enhancements, to comply with the Sales Management Process. As a business professional you will be uphold organizational values in every action and ensure business ethics and integrity. You are expected to be compliant to regulatory and statutory regulations Locations:- Alappuzha, Calicut, Kannur, Kochin, Kollam, Kasaragod, Kottayam, Kottarakkara, Kodungalloor, Malappuram, Muvattupuzha, Palakkad, Pathanamthitta, Thalassery, Thiruvalla, Thrissur, Trivandrum

Hello Jobseekers!! Greetings from Apex Services!! We are inviting applications for the profile of Warranty claim processor in a Multinational company!! Qualification - Graduate in B.E / B.tech in Mechanical & Automobile Experience - 1 to 3 years of experience with good communication skills are eligible CTC - 30k CTC monthly(Experienced) shift timings - Rotational shifts Work location - Mumbai 5 days working Work mode - Work from office Night shift, cab facility Immediate Joiners Interested candidates can apply or share their resumes on - recruit.corp6@apexservices.in

Oversee and manage the claim settlement process, ensuring prompt and claims processing Coordination of insurance team with branches to maximise renewal of insurance Ensure expiring insurance of customers are renewed on time

Looking for a candidate as a Claims Reconciliation Manager for a Insurance & Claims Company based in Pune Exp. in End to End Reconciliation from Insurance Sector is must Fixed night Shift -6PM to 3AM Interested Candidate revert Back Required Candidate profile Demonstrates knowledge of insurance and claims industry Claims Management Risk Management Insurance Programs Reconciliation Understanding of Banking and services.

Major Responsibilities - Service Call attending and Registration - ASC Service Claim Management - Spares Management - Claim Documentation - Site Visits if required - Spares Booking and Dispatch Key Result Areas - Service Documentation - Insurance Claim Settlement - ASC Coordination - Claim Documentation

Greetings from Medi Assist!! Urgent Job requirement for Assistant Manager in Bangalore & Noida for CRM Job description: Assistant Manager-Account Management Location : Bangalore & Noida Roles and Responsibilities Maintain relationship with insurers. Manage their queries and resolve them satisfactorily. Meet important clients regularly. Check status of clients, work with internal team members to clear outstanding and pending claims Interact with internal & external stake holders to ensure customer queries are addressed in a timely manner Encourage clients to submit the required pending documents to reprocess the claims. Resolve customer queries and grievances with reasonable explanation. Handling inbound and outbound calls, managing escalations Relevant Experience : 5-6 years in a customer facing/customer support role which involves finding solutions. Health Insurance/TPA background preferred Thanks & Regards Hariprasad Email id : hariprasad.m@mediassist.in

Look After all the Body shop work... Like Job Card opening, Claim intimation, claim settlement, Capability to settle all major and stuck cases, Complete knowledge of insurance company and related process

Location :- Vadodara / Kerela / Ahmadabad Post : Technical Surveyor Plant :- Service Provider Qualification :- Diploma/ BE Mechanical / Electrical /EC / IC MO NO : +91 90816 99600 / +91 90816 99300 / +91 90816 99400 Required Candidate profile Job Time :- 9am-6pm Salary :- 35 CTC Facility :- Travel Expense Post :- Surveyor ( 50% office work , 50 % site work ) Mo no : +91 90816 99700 / +91 90816 99400

Job Responsibilities: Computation and timely settlement of Trade Channel Schemes including Price Drop settlement Timely processing of the Channel Scheme Exceptions Drive reconciliation with Channel partners and ensure closure of all recon items Ensure the collection of the No Dues Certificate (NDC) from Chanel partners on Quarterly basis Provide support to External customers (Channel partners) and Internal customers (Regional Sales teams, business teams & finance team) through coordinating actions on Claims process improvements and Claims Settlement Handle timely communication of monthly channel schemes through SMS system. Ensure accurate monthly provisioning of Channel spends and closure of books of accounts Handle automation initiatives/projects that help drive productivity and simplify Commercial processes. Audit Coordination with HQ auditors, Internal Auditors and statutory auditors Review of internal controls and ensure no surprises/leakages in controls. Co-ordination with the BI team for issues in data through DMS Next, GMCS etc. Execute Market visits to get the feedbacks from the Channel Partners on Scheme payout settlements & related issues. Key Competencies required- Working Knowledge of relevant commercial laws / statutes Business Acumen and excellent relationship management skills Positive attitude and strong desire to automate processes Knowledge of SAP, ERP system, Excel . Communication skills both with internal teams and external customers

Job Title: Medical Claims Specialist Reports to: Mediclaim Job Type: Full-time Role & responsibilities : Review and analyze medical claims for accuracy, completeness, and compliance with insurance policies and regulations Verify patient and policyholder information, including eligibility and coverage details Examine medical records, procedures, diagnoses, and treatment codes to determine the validity of claims Investigate and resolve claim discrepancies, errors, or fraudulent activities Communicate with healthcare providers, policyholders, and other stakeholders to gather additional information and clarify claim details Evaluate medical necessity and appropriateness of treatments, procedures, and services Adjudicate claims according to established guidelines and procedures Process claim payments accurately and in a timely manner Document claim decisions, actions taken, and communication with stakeholders Stay updated on changes in medical billing codes, regulations, and industry trends

Job Opening: Claims Associate International Voice Process Location: Bangalore Salary: 2 LPA to 4.5 LPA Working Days: 5 days a week Week Off: 2 rotational offs Key Skills: Excellent English communication Ability to handle customer queries professionally Good problem-solving skills Willingness to work in night shifts & rotational offs Prior experience in international voice process preferred (optional) How to Apply: Contact HR Aradhna 8209505273

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.