310 Claim Settlement Jobs - Page 6

Department: Contracts & Legal Location: Gurugram Reporting To: Head - Legal & Contracts Industry: EPC / Infrastructure / Energy/ Renewables / Oil & Gas / Power Job Purpose: To manage and oversee contract administration, handle claims (from preparation to resolution), and lead arbitration or dispute resolution proceedings in alignment with business interests and legal compliance. Key Responsibilities: Contracts Management: Draft, review, negotiate, and finalize various types of contracts (EPC, turnkey, subcontract, JV, consultancy, etc.). Ensure risk mitigation through robust contractual clauses and compliance with legal and company policies. Support pre-bid and post-award contract review and...

Key Roles : Ensure accurate documentation and timely claim settlement Follow up with TPA and Govt. bodies for approvals/payments Strong knowledge of Govt. healthcare panels (ECHS, CGHS, ESIC, etc.) Experience in hospital billing & claim processing Annual bonus Provident fund Health insurance

Managing CGHS, ECHS, CAPF and Ayushman Bharat Government Portals: Claim Processing Audit Uploading Query Management Reconciliation and Recovery Management. Annual bonus Provident fund Health insurance

The Lead FP&A will be responsible for overseeing the financial planning, analysis, and reporting for a large and complex project. You will collaborate with various departments to provide financial insights, forecasts, and strategic recommendations to ensure the successful execution and financial performance of the project. Additionally, you will ensure continuous variance monitoring and related analytics to management for a seamless and cost-efficient delivery of the project. Your key responsibilities will include developing and maintaining detailed financial models and forecasts for the project, cost estimates, and capital expenditure requirements. You will create and manage the project bud...

Responsible to ensure quality of service given is equivalent to the set standards. Responsible to maintain payable status at its minimum; close follow up on critical issues. Random checking of bills in terms of their accuracy and make sure the corporate bills are prepared as per the agreements and prompt dispatch of the same with the help of credit cell. Responsible to record department MIS reports and submission of the same to higher authority Responsible to monitor the surgical package limits in terms of material consumption and professional charges. Systems & Procedures: Responsible to design, implement and refine systems to manage processes and to optimize performance. Responsible to dev...

Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Insurance Co-ordinator Role & responsibilities: List out the total Number Of credit patients (All Insurance). To send the Pre- Authorization form to the concern insurance company. Explain the Admission & Discharge procedure to the patient & attenders also. All data's and activities should be computerized. Watch the approval status and query reply to be update shortly. To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process. The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, includ...

Role & responsibilities - Adhere to cash counter timings - Cash & Cheque Collections policy premium, Reporting, Lodgments and reconciliation, Bounced Cheque management - Petty Cash Management - Support Distribution channels in policy issuance - Service walk-in customer and attend to their service requirements - Service to Sales Generate NB opportunity from walk-in customers and assigned outcall campaigns - Customer retention Preferred candidate profile Must have relevant experience in same Life insurance branch operation role, min 2 years.

We are seeking a dynamic and detail-oriented Insurance Professional for the Legal Department to manage end-to-end insurance policy administration, claims processing, and risk management across multiple sites. The ideal candidate will have experience in insurance handling, preferably in the solar sector, and the ability to manage and coordinate across teams and insurance partners. COMPENSATION & BENEFITS: Medical Insurance Performance Incentives Cool Work Environment Travel Reimbursement (as per company policy) Exposure to challenging legal and insurance portfolios Supportive team and professional development ABOUT SADBHAV FUTURETECH LIMITED: Company Size - ~100 employees Headquarters - Gurga...

DEPARTMENT Micro Banking REPORTS TO Branch Manager ROLE PURPOSE & OBJECTIVE This profile is directly responsible for business generation, customer acquisition and customer servicing for Deposit Products, Digital channels and Third Party Insurance products The profile role includes cross-selling to existing customers as well as acquisition of new customers through referral and family banking Offer and onboard customers on CASA and Term deposit products to customer, their family members and their references. Offer and onboard customers on Digital platforms including Mobile banking, UPI, UPI QR and download of Hello Ujjivan. Deliver prompt customer services; be accessible to customers at all ti...

Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

As a diligent individual within the role, you will be responsible for verifying TPA documents before submission. It will be essential to maintain accurate records of all TPA cases, including approvals and rejections, to facilitate audits and follow-up procedures effectively. Effective communication with insurance companies and TPA coordinators will be crucial in addressing queries and ensuring all necessary information is provided. Furthermore, you will play a key role in preparing and submitting final discharge summaries, bills, and other essential documents required for claim settlement. Monitoring the approval status and handling enhancement requests will also be part of your responsibili...

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

Job Description: Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

Role & responsibilities i) Health Check-Ups Annual medical health check-ups for all employees are planned and scheduled on time, and reports for critical illness are to be shared within 1 hour from the incident reported. ii) Claim Reimbursement Employee claim reimbursement is to be processed and paid out within defined timeline from the final bill submission iii) Employee Connect Ensuring employees who are unwell/hospitalised are met/spoken to and tracking records of such employees are maintained every week. Providing on-time information to employees related to the ESIC / Mediclaim process and generating unique code from ICICI iv) Process Information Annual Health Check-ups as per schedule O...

TPA Empanelment's Corporate Tie- ups

Job Description (JD) - CRM Job Title: CRM - Auto Claims, Voice Process Location: ACKO Building, Confident Pride, Near Silk Board Junction, Bangalore Employment Type: Full-Time, Rotational Shift Job Summary : We are seeking a dynamic and customer-focused Auto Insurance Claims Executive to join our front-end operations team. The ideal candidate will have a Bachelor's degree in Automobile /Mechanical Engineering (BE/B.Tech Automobile/Mechanical ) or a Diploma in Automobile/Mechanical Engineering (DAE), coupled with 3 years of customer service experience . The role involves direct interaction with customers, handling auto insurance claims, addressing inquiries, and providing timely and empatheti...

• 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...

Roles and Responsibilities Handle claims from receipt to settlement, ensuring timely and accurate processing. Verify claim documents, including medical records, bills, and reports. Coordinate with hospitals, doctors, and other stakeholders for necessary documentation. Conduct thorough investigations into complex cases to resolve disputes efficiently. Ensure compliance with regulatory requirements and company policies.

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents & processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer Education - Diploma, BE -Mechanical/Automobile

The main responsibility of this role is to recruit, engage, and train Branch Managers (BMs) and PFAs regularly to help them achieve their business targets. You will be conducting regular meetings with BMs and PFAs to update them on new earning opportunities and enablement initiatives. It is crucial to ensure that BMs and PFAs receive periodic training with the support of the Training Team. You will also be meeting prospective customers with the team to sell product solutions and ensuring the quality of business and persistency, especially in terms of premium renewals. Another key aspect of this role is to enable the team to utilize the latest digital platforms effectively. Moreover, you will...

Job Title: Sr Manager Health Insurance Claims Location: Bangalore (Hybrid) Company: Pazcare Type: Full-time About Pazcare Pazcare is transforming employee healthcare and wellness for 2000+ companies including Mamaearth, Chaayos, Mindtickle, and more. We simplify health insurance and wellness benefits, giving HR teams superpowers through real-time claim tracking, analytics, and stellar employee experiences. Role Overview As a Claims Manager, you will be the frontline owner of ensuring claims are settled within the agreed turnaround time (TAT) across TPAs. You will play a critical role in driving TPA performance, resolving escalations, and advocating on behalf of our clients to ensure no valid...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

As a Sales Relationship Manager, your primary responsibility will be to establish and nurture strong relationships with the sales team of our channel partners. You will be expected to achieve your sales targets in alignment with the channel strategy set by the organization. Collaborating closely with the channel sales team, you will engage with potential customers to promote and sell our insurance solutions. Additionally, you will be required to provide both pre and post-sales support, including assisting with claim settlements. Maintaining the quality of business and ensuring persistency, particularly in terms of premium renewals, will be a key aspect of your role. You will also play a vita...

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 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 ...

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 th...