121 Claim Settlement Jobs - Page 4

Job Profile Summary Delivers specific delegated tasks assigned by a supervisor in the Medical Claims Review job family. Provides medical interpretation and decisions on identified health claims based on contractual benefits and medical circumstances and develops recommendations for resolution of questionable claims requiring further professional or committee review. Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials such as documentation provided by the physician or other supplier. Applies clinical knowledge to assess the medical necessity, level of services, and appropriateness of care in cases requiring prospective, concurrent, or retrospective utilization review. Completes day-to-day Medical Review tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members. Requires an RN.

Job Overview: The Regional Discount Officer plays a critical role in managing all commercial and discount-related operations for the assigned region. This includes discount management, claim settlements, audits, and financial reconciliations while ensuring accuracy and compliance with company policies. The position requires handling a discount budget of approximately 5 million and maintaining crucial MIS reports (DAR, Periscope, Darpan, Distributor Format). The role also supports the sales team by providing variance analysis, CIC reconciliation, gift settlements, and product complaint tracking . Additionally, this position contributes to automotive business discount operations and ensures efficient financial processes. Key Responsibilities: Manage and track discount budgets (~5 million) and financial settlements. Ensure timely claim processing, scheme settlements, and distributor reconciliations. Maintain and update MIS reports (DAR, Periscope, Darpan, Distributor Format). Process credit & debit notes while ensuring financial accuracy and compliance. Support audits, financial reconciliations, and variance reporting for sales teams. Utilize SAP for discount and financial transaction management. Ensure smooth coordination between finance, sales, and distributor s. Requirements: Qualification: B.Com + M.Com / ICWA / CMA Inter (Mandatory) Experience: 3-5 years in a similar role (Preferred: ITC, HUL, or related companies) Skills: Claim & scheme settlement, SAP, credit/debit note processing, financial reporting

Job Purpose The Third Party Motor Claims role is responsible for efficiently managing and resolving third-party motor accident claims, employee compensation cases, and other legal matters. This position ensures adherence to internal processes and regulatory requirements while collaborating with courts, advocates, and internal investigative teams to facilitate fair and timely claim settlements. Job Responsibility Handling and management of litigation pertaining to Motor accident claims, employee compensation cases and other legal related issues. Dealing with Courts, Advocates, and Investigators (internal team) for effective handling of claims. Strategize for effective handling/management of legal claims. Adherence to internal processes and external regulations. Ensure effective implementation of processes set by the company and department. Co-ordinate with internal customers in order to facilitate effective handling of claims and share the court precedents for them to deal with the claims. Ensure timely compliance of the orders passed by courts and other regulatory and administrative bodies. Guiding departments on implementing actionable strategies to minimize litigation. Required Skills Good Written and verbal Communication Planning and organising excellent legal domain in various laws including insurance, consumer, motor accidents, civil, criminal etc. High Result orientation Problem Solving Process Orientation Good computer and presentation skills Relevant Work-experience Required: Minimum 6-8 years of experience with 3-4 years of corporate experience in litigation preferably in the General Insurance Industry. Having experience to handle the TP Claims for state, preferably more than one state would be an added advantage.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be 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. What are we looking for? Ability to manage multiple stakeholders Ability to perform under pressure Agility for quick learning Prioritization of workload Problem-solving skills Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English - Proficient What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be 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. What are we looking for? Adaptable and flexible Detail orientation Ability to establish strong client relationship Strong analytical skills Commitment to quality Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation

Skill required: Reinsurance - Collections Processing Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsThe Collections Operations team focuses on managing collections and disputes such as debt collection, reporting on aged debt, bad debt provisioning, trade promotions, and outperform cash reconciliations. The team is responsible for follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, and ensure compliance to internal controls, standards, and regulations. What are we looking for? Ability to perform under pressure Problem-solving skills Written and verbal communication Commitment to quality Agility for quick learning Knowledge of German Language would be an added advantage. Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Roles & Responsibilities Analyze and process various treaty and facultative premiums statements in the system Ensure cash call refunds are booked on time Maintain adequate trackers for all aspects of SOAs are maintained Analyse and process various types of claims in the system Analyse, Process and track large losses Ensure payment transactions are revied and cash is allocated in timely manner Ensure adequate follow ups are done to ensure to keep unallocated cash to the minimal Ensure outstanding balances are tracked, followed up and reported periodically to the stakeholders. Liaise and work with various stake holders to ensure all queries are addressed on time Taking ownership and be accountable for activities performed Qualifications Any Graduation

Sutherland is hiring for Claim associate role. Please find below details: Education: Minimum Qualification is 12th pass Interview Mode: Face to Face WFO : Candidate should be willing to work in flexible shift timings. | Cabs will be provided for Night shifts Notice Period : Immediate to 15 Days Claims experience candidates with 12 months of minimum experience Job Description Role: Claims Associate - P&C, Insurance, Healthcare, claims processing, claims adjudication Qualification: Graduates only Shifts: 24/7 rotational shifts Week Offs: 2 rotational week offs Night Shift Allowances: 5000+ Transport: Two way cab with 25 km radius (no transport allowance will be provided) Interview Rounds: HR + SHL Test + SD Should have voice or semi voice claims experience, knowledge on property and casualty claims with minimum 12 months experience. Note : Do not attend the interview if you have already attended in last 3 months Disclaimer: Please ignore if not interested or not relevant to your profile. Regards Prachi

Make Cr notes of distribution & settle claims. Communicate for issues make collection reports & MIS. Adjust FIFO basis. Stock Valuation. Balance confirm of Parties.Outstanding payment followup. Commission work on Qrtly basis, int. on security deposit

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

Manage existing contracts with PSU Contract Mgmt, Negotiation, and Execution, Compl., Risk and Claim Mgmt,Performance Monitoring & Reporting,Collaboration & Stakeholder Mgmt, Contract Administration & Documentation,Legal and Regulatory Compl. Required Candidate profile -B.E/Tech + (Contract Management is a value addition OR NICMAR), Minimum of 3 years of exp, exposure with PSU preferred , Prior work exp. in companies viz. L&T, Gammon, SP ,Afcons ,NCC,MEIL,HCC etc+

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

!!HELLO JOB SEEKERS!! !!GREETING FROM SHINING STARS!! INVITING APPLICATIONS FOR CLAIMS PROFILE BANGLORE LOCATION. SO WHO ARE LOOKING FOR A CHANGE INTO THE SAME DOMAIN CAN APPLY. LANGUAGES REQUIRED - English + Kannada LOCATION - Bangalore ( Kundan Halli ) Only Graduates are welcomed. 1 year Experience in voice. PROFILE - CLAIMS ASSOSSIATE. SALARY - UP TO 4.5 LPA 5 days Working Both side Cabs Shifts - 24/7 rotational shifts WORK FROM OFFICE INTERVIEW MODE: WALK-IN Role & responsibilities- Review insurance claims forms and related documents to determine eligibility and coverage. Verify the validity of claims and ensure all necessary documentation is complete. Enter claim data into the insurance company's management system and maintain accurate records. Update claim files and track progress to ensure timely resolution. Preferred candidate profile Only Graduate can apply. Minimum 1year Experience can apply. Should be comfortable in English and Kannada language. Should be comfortable with working from office. INTERESTED CANDIDATES CAN APPLY THROUGH THIS POST, CONNECT VIA CALL OR CAN DROP CV's ON THE NUMBERS MENTIONED BELOW Anushka - 8931017165 Regards, Anushka Mishra Team Lead Shining Stars ITPL #claims #voiceprocess #claimsprocess #claimsassociate #insuranceclaims #healthinsuranceclaims #propertyandcasualty #casualtyinsuranceclaims #usprocess #USCLAIMS #healthcare #bangalore #bangalorelocation #bangalorejobs

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications. Perks and benefits: Mention available facilities and benefits the company is offering with this job.

1. Position details Position: CMO PAN India Preauth Head Department: Operations Location: Bangalore Grade: CMO Reporting to: CEO Position 2. Responsibilities: Preauthorization Operations Lead and manage the Preauthorization process across India, ensuring consistent and efficient approval of medical procedures, treatments, and hospital admissions in alignment with company policies, medical guidelines, and insurance regulations. Oversee the preauthorization team, providing leadership, guidance, and support to medical officers, claims teams, and other stakeholders involved in the preauthorization process. Develop and implement standard operating procedures (SOPs) and medical guidelines for preauthorization, ensuring alignment with industry standards and regulatory requirements. Ensure timely and accurate reviews of medical cases, with a focus on clinical appropriateness, fraud prevention, and cost-effectiveness. Fraud and Abuse Management Lead the development and implementation of strategies to detect, prevent, and manage fraud and abuse within the preauthorization process. Collaborate closely with the claims, legal, and risk management teams to identify and mitigate fraud risks across medical claims and preauthorization. Establish robust fraud detection mechanisms, such as medical audits, claim verifications, and data analytics, to monitor and flag potentially fraudulent activities in preauthorization requests. Provide training and guidance to the preauthorization team on recognizing signs of fraud, abuse, and misuse of insurance policies. Conduct in-depth investigations into potential fraudulent preauthorization requests, ensuring medical and ethical standards are maintained. Regulatory Compliance & Risk Mitigation Ensure that preauthorization processes are compliant with relevant healthcare regulations, insurance guidelines, and medical ethical standards. Monitor and keep up to date with regulatory changes, and adapt the companys preauthorization and fraud prevention strategies as needed to ensure continued compliance. Regularly review and audit preauthorization cases to ensure adherence to regulatory requirements and company policies. Work closely with the legal and compliance teams to address any potential legal risks related to medical reviews, fraud management, or abuse in preauthorization processes. Medical Training & Development Develop and conduct training programs for the medical, claims, and preauthorization teams on clinical guidelines, fraud prevention techniques, and company policies. Educate and engage external healthcare providers, partners, and network hospitals on the importance of proper preauthorization practices and fraud detection. Foster a culture of continuous medical education and ethical decision-making within the organization. Data-Driven Insights & Reporting Utilize data analytics to track preauthorization trends, identify potential fraud patterns, and improve the overall efficiency of the preauthorization process. Regularly report on preauthorization outcomes, fraud management activities, and overall medical claims performance to the CEO and senior leadership team. Provide actionable insights to improve clinical processes, reduce fraud, and enhance customer satisfaction with the preauthorization process. Collaboration with Internal & External Stakeholders Work closely with other departments, including claims, customer service, risk management, and compliance, to ensure a seamless preauthorization workflow. Represent the company in discussions with external stakeholders such as insurance partners, healthcare providers, and regulatory bodies, advocating for high standards in preauthorization, fraud prevention, and medical ethics. Foster strong relationships with healthcare professionals and partners to streamline preauthorization processes and resolve challenges in a timely manner. 3. Qualifications and Experience required for the position MBBS degree with MCI is mandatory. At least 8-10 years of experience in a senior medical role within healthcare, insurance, or TPA sectors. Proven experience leading preauth operations at a PAN India level, or in a large-scale healthcare/insurance organization.

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak Hindi proficiently. CTC – Upto 3.5 LPA.

Job Title: Coal Leader (Sales & Service - Coal Business) Location: Raipur / Nagpur Employment Type: Full-Time Industry: OEM / Dealerships Coal Subsidiary Segment Job Summary: We are looking for an experienced Coal Leader to oversee sales and service operations for our coal business at a PAN KSSPL level . The candidate will be responsible for business generation, revenue growth, service enhancements, and operational excellence across multiple coal units and mining sectors. This is a senior-level role requiring 10+ years of experience in OEM/Dealerships - Coal Subsidiary Segment. Key Responsibilities: Sales & Business Development: Manage all sales and business generation activities for coal units within assigned territories. Identify and develop potential business opportunities in the coal and mining sector. Achieve revenue targets from service activities, AMC contracts, and allied services. Drive innovation in service offerings to enhance customer reach and satisfaction. Operational & Service Excellence: Ensure achievement of quarterly mining scorecards as per predefined parameters. Oversee settlement and submission of claims related to contracts and supplementary agreements. Ensure all service parameters are maintained in the green category across coal branches. Conduct data analysis to enhance mining service performance and operational efficiency. Identify and implement service improvement opportunities to enhance business growth. Coordination & Relationship Management: Act as a key liaison between coal sales, service teams, and Cummins Area Office . Regularly interact with principals and stakeholders to update service enhancements and resolve issues. Ensure smooth communication and information flow across all coal branches. Work closely with Coal Branch Heads and Key Account Managers to ensure service and sales targets are met. Financial & Compliance Management: Ensure timely collection of receivables to meet financial commitments at all coal branches. Monitor financial performance and profitability of coal service and sales operations. Ensure all claims and contracts are settled and submitted within the stipulated timeframe. Required Qualifications & Experience: Bachelor’s/Master’s degree in Business, Engineering, or a related field. Minimum 10+ years of experience in OEM/Dealerships – Coal Subsidiary Segment. Strong background in coal business sales, service management, and contract handling . Proven experience in mining service operations, revenue growth, and business expansion . Expertise in service data analysis, financial management, and process improvement . Key Competencies: Strategic Thinking: Ability to plan and execute long-term business growth strategies. Sales & Revenue Management: Strong skills in business generation and revenue optimization. Operational Excellence: Experience in handling coal service parameters, claim management, and service enhancement. Leadership & Coordination: Ability to lead teams, coordinate with stakeholders, and ensure business success. Problem-Solving: Ability to analyze and resolve complex operational and service challenges. Communication & Relationship Management: Strong skills in interacting with customers, partners, and internal teams. Why Join Us? Leadership role in a reputed OEM/Dealership firm with a strong presence in the coal sector . Competitive salary and performance-based incentives. Opportunity to work with industry leaders and key stakeholders . Growth-oriented work environment with career advancement opportunities . How to Apply: Interested candidates can share their resume at [hr@karmsales.com] or apply directly through Naukri.com.

Key Requirement for the Position Strong Duck Creek Claims Experience with both Technical expertise and product Knowledge, experience with Duck Creek product Engineering in past will be better. Job Description To understand Client requirements and implement that using Duck Creek Claims product. Need to work as a team member to contribute in various technical streams of Duck Creek Claims implementation project. Interface and communicate with the onsite coordinators Completion of assigned tasks on time and regular status reporting to the lead

Hiring Claims Adjuster for our MNC client. Any Graduates with minimum 3 years of claims adjudication in motor ,liability and P&C domain experience can only apply. Salary-Up to 6.5LPA Location-Pune Shifts-Rotational Notice period: 0-30 Days

Role & responsibilities - Having experience in drafting, reviewing, negotiating, and managing contracts to ensure compliance, protect organizational interests, and optimize outcomes. - They also provide expert advice on contractual matters and stay updated on relevant laws and regulations. - Negotiating contract terms and conditions to achieve favorable outcomes for the organization. - - Managing contracts throughout their lifecycle, including amendments, extensions, and terminations. - Ensuring contracts are compliant with relevant laws, regulations, and company policies. - Overseeing contract implementation and monitoring performance. - Candidate must have at least 5 years of experience in transportation tunnel projects.

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 help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.As a Travel Claims Adjuster, you will be responsible for investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process. Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. What are we looking for? Claims Processing Detail orientation Negotiation skills Ability to work well in a team Adaptable and flexible Agility for quick learning Bachelor's degree in Business, Insurance, or related field preferred. Proven experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation

Role & responsibilities Post-Contract Services Verification of site measurements & Bill certification Knowledge on Change management & Claims management Preparing Cost reports, bill trackers etc.

Policy Renewal & Retention Customer Engagement & Relationship Management Conduct follow-ups to ensure customer satisfaction and prevent cancellations. Lapse Prevention & Recovery Cross-Selling & Upselling need LI/ RETENTION exp

Role & responsibilities Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform job-related functions. • Review claims for assigned offices and ensure submission within a timely manner. • Perform quality control checks on patient accounts for accurate billing. • Review and analyze denial queues to identify outstanding claims and unpaid balances. • Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing discrepancies and ensure proper reimbursement. • Investigate and resolve any claim rejections or denials, including appealing or demanding denied claims when necessary. • Collaborate with the Insurance Verification team to ensure eligibility and coverage is uploaded for patients, ensuring accurate billing information is obtained. • Communicate with insurance companies, patients, and healthcare providers to gather additional information required for claim processing. Preferred candidate profile Strong English proficiency skills (verbal & written) required. • Knowledge of medical billing/collection practices. • Knowledge of computer programs. • Ability to operate a computer and basic office equipment. • Ability to operate a multi-line telephone system. • Ability to read, understand and follow oral and written instructions. • Must be well organized and detail oriented.

We are Hiring for Claims Handler !! Qualification :Grad (Min 6m exp in claims) Location: Bangalore Salary:Upto 4.2L Shifts :rotational Virtual interview !! Email: Careers@glympsehr.com Call Manya @ 6364803282 /9606557106 / 6364822002 Required Candidate profile Fixed weekend off Communication skills. Service reps should be pleasant and empathetic while they're interacting with customers. Competent technical knowledge. Ability to multitask.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 6 years What would you do? - Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. What are we looking for? Ability to work well in a team Adaptable and flexible Ability to perform under pressure Ability to meet deadlines Ability to establish strong client relationship Bachelor's degree in Business, Insurance, or related field preferred. Proven experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Roles and Responsibilities: - Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Qualifications Any Graduation