10 Claim Settlements Jobs

To efficiently and compassionately process death claims by verifying documentation, ensuring compliance with policies and regulations, and providing timely support to beneficiaries during a sensitive time Claims processed within defined turnaround time (TAT) Zero non-compliance issues in adherence of regulatory compliance Identification and escalation of suspicious claims Timely and accurate collaboration with the legal team on disputed or complex cases Effective coordination with underwriting, finance, and customer service teams High accuracy in verifying and recording claim details with minimal rework Timely and accurate claim settlements to avoid interest penalties Detection and prevention of fraudulent claims to reduce financial loss Accurate payout calculations aligned with policy terms Reduction in claim rework or overpayments Minimal customer complaints or escalations Timely and empathetic communication with beneficiaries Clear guidance provided throughout the claim process Claims processed within defined turnaround time (TAT) 100% compliance with regulatory and internal audit standard Effective coordination with legal and other departments Accurate and complete documentation for each claim Contributions to process improvement initiatives

Role Summary Business Mix of Commercial and Consumer Lines GPW/Non Motor GPW growth Maintaining Hygiene - Cheque Bounce & Receivables Retention Recruitment Activation Manage the daily activity of producers to ensure strong pipeline. Coach & guide agents to cross sell and grow their business Make individual agents grow Year On Year Ensuring IRDA compliance regarding licensing & commission payments to agents Responsible for ensuring quality of applications Support/guide the producer in all activities related policy services To recruit and appoint agents for Gen Ins business Train agents on products, process and USP's of Co. Key Accountabilities/ Responsibilities To achieve the overall budget assigned for the fiscal Multi line budget achievement Achieve 100% of Budget- periodically and annually. Service Excellence Goal 1: Service excellence standards to be met Measure 1: Issuance of policies within 7 days Measure 2: Refunds within 10 days Measure 3: Quotes 48 hours within branch authority Goal 2: Ensuring & monitoring claim settlements with agreed TAT Measure 1: Within 7 days of receipt of all documentation Stakeholder interfaces Experience Total 3-6 years of experience Preferably general insurance industry. This will vary with size and volume of office. Education Graduation , Any Professional degree Insurance certification -Associate level ( Desirable)

Role Summary Business Mix of Commercial and Consumer Lines GPW/Non Motor GPW growth Maintaining Hygiene - Cheque Bounce & Receivables Retention Recruitment Activation Manage the daily activity of producers to ensure strong pipeline. Coach & guide agents to cross sell and grow their business Make individual agents grow Year On Year Ensuring IRDA compliance regarding licensing & commission payments to agents Responsible for ensuring quality of applications Support/guide the producer in all activities related policy services To recruit and appoint agents for Gen Ins business Train agents on products, process and USP's of Co. Key Accountabilities/ Responsibilities To achieve the overall budget assigned for the fiscal Multi line budget achievement Achieve 100% of Budget- periodically and annually. Service Excellence Goal 1: Service excellence standards to be met Measure 1: Issuance of policies within 7 days Measure 2: Refunds within 10 days Measure 3: Quotes 48 hours within branch authority Goal 2: Ensuring & monitoring claim settlements with agreed TAT Measure 1: Within 7 days of receipt of all documentation Stakeholder interfaces Experience Total 3-6 years of experience Preferably general insurance industry. This will vary with size and volume of office. Education Graduation , Any Professional degree Insurance certification -Associate level ( Desirable)

The ideal candidate should have experience in TPA billing and counseling. This includes submitting insurance claims accurately and on time, verifying the completeness of claim documents, and maintaining relationships with TPAs and insurance companies. As part of the role, you will be required to negotiate service agreements, monitor performance, and address any issues related to claim settlements or delays. It will also be important to confirm patient insurance coverage, obtain pre-authorizations for treatments and procedures, and coordinate with medical staff and insurers for approval. A key aspect of the position will involve tracking reimbursement trends, optimizing revenue, reducing claim denials, and improving approval rates. Collaborating with the accounts team for appeals and adjustments, generating reports on claims status and TPA performance, and ensuring compliance with healthcare insurance regulations will be essential responsibilities. Additionally, updating internal policies to reflect regulatory changes, handling patient inquiries about insurance and billing, and providing support for denied claims and billing disputes will be part of the daily tasks. This is a full-time position with benefits including Provident Fund. The work location is in person.,

We are looking for a talented individual to join our Insurance Broking team at our company in Pune. This hybrid role requires working at least three days a week in the office. As part of the team, you will assist the onshore broking team in various aspects of client service, administration, technical support, and business development throughout the insurance life cycle. Your responsibilities will include assisting in the development, implementation, and management of risk management and insurance programs to address client needs. You will also help maintain relationships with key client decision makers, understand client businesses and insurance needs, and implement renewal and broking strategies. Additionally, you will support in developing new business opportunities, negotiating claim settlements, and ensuring accurate documentation production. In terms of account management, you will collaborate with the onshore broking team to enhance client relationships, implement retention strategies, and monitor operational outputs. You will also participate in client/insurer meetings, utilize IT applications for compliance and workload management, and ensure timely processing of client transactions. To be successful in this role, you should have a Graduate degree with at least 6 years of relevant experience, meet Tier 1 FSRA Compliance training requirements, and preferably have prior experience in general insurance or financial lines. A degree in Insurance or Financial Services Diploma is also preferred. Key competencies for this role include collaboration, initiative, productivity & efficiency, technology proficiency, organization, effective communication, and innovation. You should be comfortable working independently and as part of a team, with a focus on meeting client needs efficiently and effectively. This full-time position requires working from 6:30 am to 3:30 pm. The ideal candidate will have 4 to 10 years of experience with a salary range of 13 to 18 lacs plus variable components. Joining our team offers professional development opportunities, interesting work assignments, and supportive leadership. We promote a diverse and inclusive work culture where you can collaborate with talented colleagues to create innovative solutions and make a positive impact on clients and communities. Our company's scale provides various career growth opportunities, benefits, and rewards to support your well-being. If you meet the training requirements, have relevant experience, and are looking for a rewarding career in the insurance broking industry, we encourage you to apply and be part of our dynamic team.,

As a Primary Sales Coordinator at Incredibleindriya Beauty Essentials Pvt. Ltd., Mumbai, you will play a crucial role in coordinating sales activities and backend operations. With 23 years of relevant experience in sales coordination, this is an exciting opportunity to be part of a growing direct-to-consumer beauty and fragrance company that is revolutionizing the industry. Your key responsibilities will include coordinating and processing purchase orders from the sales and distribution network, overseeing invoice generation, managing effective coordination with the factory for timely dispatches, ensuring prompt claim settlements with distributors, tracking POP material requirements and distribution, maintaining and updating distributor/sub-distributor records, and communicating schemes, offers, and updates to field teams. Additionally, you will collaborate with the field force for sales data, dispatches, and issue resolution, as well as handle professional and timely email communication across stakeholders. Proficiency in MS Excel, Google Sheets, and email communication is essential for this role, along with strong organizational and multitasking skills. You should be comfortable working with cross-functional teams, and experience in FMCG, beauty, or consumer goods industries will be a plus. Join us at Incredibleindriya Beauty Essentials Pvt. Ltd. and be part of a dynamic team dedicated to delivering exceptional products and services to our customers.,

As a General Insurance Specialist at Finvestera Insurance Marketing Firm (IMF) Pvt. Ltd., you will be responsible for providing expert advice on insurance, efficient client servicing, and ensuring smooth claim settlements. Your main duties will include handling end-to-end sales and service for general insurance products, specializing in Motor and SME Commercial Insurance, coordinating claims settlement, attending product trainings, and staying updated on insurer offerings. You will also be required to travel across India for client servicing, inspections, and renewals, provide 24x7 client assistance during emergencies, and build strong relationships with clients through regular visits. To be successful in this role, you should have a minimum of 5 years of experience in general insurance, a strong background in claim management, and a good understanding of Motor, Fire, Marine, and Workmen Compensation products. You must possess excellent communication and interpersonal skills, be able to independently handle complex claims, and ensure timely closure. Fluency in English, Hindi, and Marathi is required, and willingness to travel extensively to locations like Jalgaon, Pune, and others as needed is essential. Joining Finvestera IMF Pvt. Ltd. will offer you the opportunity to be part of a rapidly growing insurance firm with a client-first approach, work closely with senior professionals and industry leaders, and have the potential for long-term career growth and leadership.,

To lead and manage the claims operations by ensuring timely, fair, and compliant claim settlements, optimizing processes for efficiency, and supporting strategic goals through data-driven decision-making and cross-functional collaboration Ensure timely and accurate settlement of claims within defined turnaround times (TATs) Maintain adherence to IRDAI regulations and internal claims policies Identify and mitigate fraudulent claims through effective investigation and controls Enhance claimant experience through transparent communication and service excellence Lead, mentor, and upskill the claims team to improve performance and accountability Optimize claim payouts and reduce leakage through data-driven decision-making Collaborate with cross functional teams for complex claim resolutions Timely and accurate claim settlements to avoid interest penalties Detection and prevention of fraudulent claims to reduce financial loss Accurate payout calculations aligned with policy terms Reduction in claim rework or overpayments Minimal customer complaints or escalations Timely and empathetic communication with beneficiaries Clear guidance provided throughout the claim process Claims processed within defined turnaround time (TAT) 100% compliance with regulatory and internal audit standard Effective coordination with legal and other departments Accurate and complete documentation for each claim Contributions to process improvement initiatives

As a Supply Chain Professional at ib vogt GmbH, your main responsibilities will revolve around post-contract logistics and delivery management, as well as providing support to the procurement and contract management functions. Located in Gurgaon, India, you will be an integral part of our India team. Your role will encompass various tasks including Supply Chain Management (SCM) and Logistics functions such as design and manufacturing clearances, inspection scheduling, coordination, contract management, vendor relationship management, work procedure preparation, monitoring of supply/service activities, material control planning, inspection coordination, expediting, preparation of work orders/purchase orders, tracking dispatched material and vehicles, management information system preparation, vendor data maintenance, contract negotiation, contract preparation, contractor management, bid request analysis, and more. To excel in this role, you should hold a Bachelor's or Master's degree in a related field, preferably in electrical engineering or an MBA in Supply Chain Management. Experience in supply chain management within the Energy Industry, particularly in the solar sector, is highly preferred. Joining ib vogt GmbH will offer you an engaging and challenging work environment, where you will collaborate with colleagues from diverse backgrounds across the globe. You can expect opportunities for both professional and personal growth, competitive remuneration based on your experience, and the chance to work within an open-minded, friendly, and highly motivated team.,

As a healthcare insurance coordinator, your responsibilities will include handling patient admission and discharge formalities related to insurance claims. You will be required to coordinate with Third Party Administrators (TPAs) and insurance companies for pre-authorization approvals and final settlements. It will be part of your role to verify and maintain insurance documents, ID cards, and policy details of patients while ensuring accuracy and compliance with regulatory norms. Your duties will also involve following up with TPAs for approvals, queries, and claim settlements, as well as ensuring the accurate and timely submission of medical records, bills, and discharge summaries to insurers. You will be expected to educate patients about the insurance process, coverage limits, and exclusions, providing them with necessary information and support. Maintaining TPA Management Information System (MIS) reports, tracking claim statuses, and resolving any discrepancies or rejections related to claims in coordination with doctors and insurers are essential aspects of this role. Additionally, you will assist the billing team in generating and auditing insurance-related invoices, contributing to the smooth functioning of the billing process. Building and maintaining strong relationships with TPA representatives for seamless coordination will be crucial for success in this position. You will be required to ensure compliance with Insurance Regulatory and Development Authority of India (IRDAI) norms and hospital protocols, upholding high standards of service delivery and efficiency. If you are a detail-oriented individual with a background in insurance verification and a keen interest in healthcare administration, we encourage you to apply for this full-time, permanent position based in Chennai, Tamil Nadu. A Bachelor's degree is preferred, along with at least 1 year of experience in insurance verification. Join our team and enjoy benefits such as health insurance, paid sick time, and Provident Fund contributions. You will work day shifts with the opportunity for a quarterly bonus, contributing to a rewarding and fulfilling work experience. Should you have any further queries or wish to apply for this role, please contact Karthik HR at 7338777993. We look forward to welcoming you to our team and working together to provide exceptional healthcare services to our patients.,