310 Claim Settlement Jobs - Page 7

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 cons...

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 admissibil...

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 deat...

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 & acc...

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...

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 a...

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 d...

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 ...

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 unde...

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 collabor...

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. • Establishin...

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 desirab...

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 pr...

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 Goo...

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 Goo...

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 Goo...

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 Goo...

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 Goo...

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. Ve...

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 defi...

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...

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 ...

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...

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, es...

DEPS Process Compliance Ensure strict adherence to DEPS processes across all Operational Units (OUs). Monitor and ensure: Timely closure of tickets as per the defined SOP. Resolution of shortages following all required process steps. Continuous training and upskilling of DEPS coordinators on company policies and procedures. Claim Settlement Ensure settlement of claims within the defined SLA and policy: SBU & Siemens (COFs): within 3 working days Other clients (Credit Note, RCS, COFs): within 7 working days DEPS Case Closure Timely resolution of DEPS cases including: Unclean PODs Client escalations Cases to be closed within the specified SLA CCTV Compliance Ensure CCTV systems are effectively...