5 Claims Excellence Jobs

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1.0 - 4.0 years

1 - 2 Lacs

coimbatore

Work from Office

Review incoming health insurance applications for completeness and accuracy. Extract and validate medical information from application forms and supporting documents. Perform initial risk assessment based on predefined underwriting guidelines. Coordinate with internal teams to obtain missing or additional medical information. Ensure compliance with Hong Kongs Insurance Authority (IA) regulations and data privacy laws. Input and update underwriting decisions in the policy administration system. Refer complex or borderline cases to senior underwriters or medical officers. Maintain accurate documentation of underwriting decisions and rationale. Support the issuance of policy documents post-unde...

Posted 1 month ago

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1.0 - 4.0 years

0 - 0 Lacs

coimbatore

Work from Office

Role & responsibilities Assist in validating and processing health insurance claims in accordance with Hong Kong Insurance Authority (IA) guidelines. - Ensure accurate data entry and documentation of claim details in the claims management system. - Support the review of claims for completeness and compliance with policy terms and conditions. - Coordinate with internal departments to gather missing documentation or information. - Flag potential discrepancies or anomalies for further review. - Maintain confidentiality and data protection standards in handling sensitive health information. - Respond to basic inquiries from policyholders regarding claim status and documentation requirements. - E...

Posted 1 month ago

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3.0 - 7.0 years

0 Lacs

maharashtra

On-site

As an Enterprise Servicing Executive (ESM) at Loop, your primary responsibility is to ensure the smooth and hassle-free delivery of exceptional employee benefits for both HR teams and employees. You will be the day-to-day partner for HR leaders, supporting them in championing Loop's benefits within their organizations. Your success will be measured by the success of your HR partners, making their lives easier and ensuring employees receive world-class benefits. Collaborating closely with Enterprise Account Managers (EAMs), you will work towards achieving 100% logo retention and 150% Net Revenue Retention (NRR) for your assigned accounts. Additionally, you will partner with Dedicated Claims H...

Posted 2 months ago

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5.0 - 10.0 years

5 - 14 Lacs

Coimbatore

Work from Office

Claims Excellence - Health Insurance Processor Role Job Responsibilities and Expectations - Ensure accurate data entry and documentation of claim details in the claims management system. - Support the review of claims for completeness and compliance with policy terms and conditions. - Coordinate with internal departments to gather missing documentation or information. - Flag potential discrepancies or anomalies for further review. - Maintain confidentiality and data protection standards in handling sensitive health information. - Respond to basic inquiries from policyholders regarding claim status and documentation requirements. - Ensure timely processing of claims to meet service level agre...

Posted 2 months ago

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5.0 - 10.0 years

5 - 14 Lacs

Coimbatore

Work from Office

Claims Excellence - Health Insurance (Hong Kong) Processor Role Job Responsibilities and Expectations - Assist in validating and processing health insurance claims in accordance with Hong Kong Insurance Authority (IA) guidelines. - Ensure accurate data entry and documentation of claim details in the claims management system. - Support the review of claims for completeness and compliance with policy terms and conditions. - Coordinate with internal departments to gather missing documentation or information. - Flag potential discrepancies or anomalies for further review. - Maintain confidentiality and data protection standards in handling sensitive health information. - Respond to basic inquiri...

Posted 2 months ago

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