106 Claims Handling Jobs

As an RMrole, you will be responsible for supervising the business delivery under Banca team and Tie Ups, with a primary focus on growing the business profitably. Your role will involve managing Channel Management, Banks, NBFCs, and other Micro Finance companies. It is crucial to liaise with various internal teams including Operations, Product tower, Process Excellence group, Claims, Finance, Legal, Business Intelligence, Marketing, and Human Resource teams to ensure the best services are delivered to clients and banks. Your key accountabilities and responsibilities will include achieving the overall Gross Written Premium, managing team, maintaining channel relationships, visiting branches, conducting meetings, providing regular training to bank employees on TAGIC products, ensuring business renewal, timely client follow-ups, tracking diligently every month, driving bank retention, maintaining hygiene, ensuring proper QC and premium issuance, and being proactive in claims handling. You will interact with various stakeholders both internally and externally. Internally, you will collaborate with Operations for issuance and endorsement, Underwriting Team for quotations, Human Resources for talent pool queries, and Claims Team for claim settlements. Externally, you will engage with Banks, NBFCs, and end customers. To excel in this role, you should have at least 2 years of experience in the Insurance or Financial sector. A graduate of any discipline would be suitable for this position.,

As a Claim Manager at SARGAM Insurance Brokers Pvt. Ltd., you will be tasked with handling and managing insurance claims efficiently and effectively. Your role will be crucial in ensuring prompt claim settlements and providing expert assistance to clients. Based in Delhi, India, this full-time on-site position requires individuals with strong analytical skills and a deep understanding of claims handling and management processes. Your ability to assess risks accurately and navigate insurance complexities will be instrumental in your day-to-day responsibilities. The ideal candidate for this role will possess a background in the insurance industry, along with a proven track record of successful claims management. Additionally, excellent communication and negotiation skills are essential to effectively interact with clients and facilitate claim settlements. If you are passionate about making a meaningful impact in the insurance sector and are adept at analyzing risks and resolving claims efficiently, we encourage you to apply for this exciting opportunity at SARGAM Insurance Brokers Pvt. Ltd.,

Review and analyze denied or underpaid dental claims from insurance companies Ensure all appeals meet timely filing deadlines and are supported by appropriate documentation Follow-up on unpaid and underpaid claim through payer portals calls or email

Job Title: Motor Insurance Claims Handler (Bodily Injury Focus) Location: Bangalore Employment Type: Full-Time Department: Claims / Insurance Operations Reports To: Claims Team Lead / Claims Manager Job Summary: We are seeking a skilled and detail-oriented Motor Insurance Claims Handler with experience in bodily injury claims . The successful candidate will be responsible for managing and processing motor insurance claims efficiently and fairly, with a specific focus on bodily injury liability, third-party damages, and personal injury claims. This role requires strong analytical skills, empathy, and knowledge of motor insurance policies, local legislation, and medical terminology. Key Responsibilities: Handle and manage a portfolio of motor insurance claims, including bodily injury and third-party liability cases. Assess the validity of claims through careful investigation and policy review. Liaise with policyholders, third parties, medical providers, legal professionals, and law enforcement. Obtain and analyze medical reports, police reports, and other relevant documentation. Negotiate settlements in accordance with legal guidelines, policy terms, and internal procedures. Maintain accurate records of claim decisions and supporting documentation in the claims management system. Collaborate with legal and fraud teams where litigation or fraudulent activity is suspected. Keep up to date with changes in legislation and case law relevant to motor and injury claims. Ensure claims are processed within regulatory and internal timeframes. Deliver high-quality customer service during the claims lifecycle. Required Qualifications & Experience: Proven experience (1+ years) handling motor claims , specifically bodily injury or third-party personal injury . Familiarity with local insurance regulations and liability assessment. Experience working with medical terminology and understanding of injury classification. Knowledge of claims management systems and insurance software. Excellent verbal and written communication skills. Strong negotiation, analytical, and decision-making skills. Ability to manage multiple claims with attention to detail and urgency. Preferred Qualifications: Degree in Law, Insurance, Risk Management, or a related field. Insurance certifications. Experience with litigation claims or working with external legal counsel. Soft Skills: Empathy and tact when dealing with injured parties or sensitive situations. Integrity and professionalism. Resilience and ability to work under pressure. Collaborative mindset and team orientation. Contact Point : Deepanshu - 9900024811 / 9686682465 / 7259027282 / 7259027295 / 7760984460

Key Responsibilities : After Sales Service (OE+Rep), Product Development & OEM Approvals: Enhance safety in field activity. Zero injury in the field Enhance customer satisfaction as per Organization vision & Mission. Manage customer issues and ensure effective and long-term problem resolution; analyze and handle complex problems and resolve escalated customer service situations. Need to manage PAN India after sales service team supported by Tech managers & need to provide training, motivation & provide solution for critical complaints. Dealer & Customer satisfaction by providing right product to right customer logic. Training program & planning for Dealers & big fleets Campaign for Dealers & Big fleets to build Brand & establish Product performance. Raise early warning information, in case any product issue in the market & work & coordinate until product improved. Critical Claim handling & Coordination Market QA / EWI, Survey Campaign & training to improve product performance & maintain good relations with OEMs. On-time completion of tyre development test OEM approvals New product development to sustain Commercial business . New product approval in OEM & after service to sustain OEM business. market intelligence. Competitive bench marking Prepare & conduct Survey to understand market Product performance Develop and maintain the relationship with OEM to develop various products through a collaborative approach. Existing product (Post OE Approval) performance monitoring. Field test for new OE approach & new tyre development New Tyre Technology validation Monthly submission for tyre development test & achieve target completion timing. Technical data submission (DVP) for approval to OE without delay (100% vs plan) Respond to the critical quality issue immediately. Ensure Zero ppm level for all OE supply. Provide periodical reporting to OE (Quarterly) No escalation for pending issues in OEM/Rep. Respond to OE/OE dealer complaint without delay (within 24 hours) Performance monitoring Testimonials from OE fleets, +VOV generation Tool box input OE/OE Dealer support activity (eg. Training, campaign)

Job Title: Insurance Desk Executive TPA Coordination / Claims Specialist Location Options: Cloudnine hospital Sarjapura branch (BLR) BBMP Khata No: 1907/Sy No: 26/1, 26, 2nd Main Rd, Kaikondrahalli, Haralur, Bengaluru, Karnataka 560035 - Sarjapur Cloudnine hospital Thanisandra branch (BLR) Address: Sy No: 86/2 and 86/3, Thanisandra Village, Thanisandra Main Rd, RK Hegde Nagar, Bengaluru, Karnataka 560077 Organization: Ayu Health Hospitals Experience Required: 02 years (Freshers are welcome to apply) Preferred Gender: Male Candidates Preferred Location: Candidates residing near hospital locations will be given preference About Ayu Health: Ayu Health is one of Indias fastest-growing healthcare networks, dedicated to making high-quality healthcare accessible and affordable for all. With a focus on technology-driven solutions, Ayu Health partners with reputed hospitals and clinics across the country to deliver standardized care, transparent pricing, and a seamless patient experience. We are on a mission to build Indias most trusted healthcare brand. Key Responsibilities: Handle insurance/TPA desk operations at the hospital premises Coordinate with TPA and insurance representatives for claim submission and follow-up Manage and organize patient insurance documentation accurately Track approvals, follow up on pending claims, and address rejections effectively Communicate professionally with patients, hospital staff, and insurance partners Support hospital administrative needs and maintain documentation records Multi-task and work collaboratively within the hospital environment Candidate Requirements: 02 years of experience in TPA coordination, insurance desk, or claims processing in hospitals (Freshers with good communication skills can apply) Strong interpersonal and communication skills Basic understanding of hospital processes is a plus Ability to manage documents and work efficiently under pressure Must be reliable, punctual, and a team player Preference will be given to candidates living nearby the hospital location Male Candidates only Immediate Joiners will be preferred

Job Title: Service Executive Location: Alampur Bus Stand Salary: Up to 15,000 (In-Hand) + ESI + PF Qualification: Graduate Working Hours: 10:30 AM to 7:30 PM Experience: 1 to 2 years (Preferred) in a customer service-oriented role Job Role: We are hiring a Service Executive to join our team and manage service-related coordination and customer support tasks. The ideal candidate should have prior experience in a customer service-oriented role and be proficient in Excel and Google Sheets. Key Responsibilities: Coordinate and track service requests, ensuring timely resolution Maintain and update service data in Excel/Google Sheets Assist the service team in daily operational tasks Communicate with customers to provide service updates and support Generate daily/weekly reports and follow up on pending issues Support internal documentation and MIS work Skills Required: Proficient in Microsoft Excel & Google Sheets Prior experience in service or customer-facing roles (1 to 2 years preferred) Good communication skills (verbal & written) Attention to detail and ability to multitask Problem-solving attitude To Apply / Share CV: Contact: 93309 00499 (Mention Service Executive)

Job Responsibilities: ***ONLY BHMS GRADUATES CAN APPLY.*** Having experience (at least 5 yrs) in TPA claim processing. Having a Good relationship with Hospitals under the East Zone. Financial Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in minimum time During processing of claim analyse the following and communicate to underwriters: adequacy of sum insured anomalies in the policy scope of additional policies other related information Control expenses Business Process Facilitate proper settlement of the claim in the shortest possible time to the satisfaction of the client by ensuring the following: Obtain complete information on the loss from the client after initial intimation Submit intimation to the insurance company for Registration of claim Allocation of a surveyor Obtain LOR (List of Requirements) from the Surveyor Match LOR with the Salasar requirement already taken from the client and take rest of the documents Once documents are received, check exclusions in fine print and prepare the draft reply from client submitted to insurance company Follow up with client for repair and reinstatement for early completion and help in documentation of estimate, contractor details, expenses etc. so that surveyor gets structured inputs for preparation of the survey report Follow up with surveyor for completion of assessment Communicate surveyors comments to client in terms of estimate and exclusion and arrange meeting between surveyor and client to resolve differences to obtain client assessment Ensure surveyors report is submitted at the earliest Follow up with insurance company for early settlement of claim Obtain settlement voucher from insurance company and forward to client Get discharge of client (signoff) and submit to insurance company for disbursement Update each step in SAIBA on real time basis and ensure due IRDA compliance Ensure resolution of all complex technical issues in claims and timely escalation of the same for quick disposal of the claim Customer Support the marketing department in obtaining new business and ensuring best possible coverage for client, talk to technical dept of client to understand which risks need to be covered, type of production (continuous/ batch) Reopen claims in case of new businesses and follow up to obtain claims after reopening of file by insurance company if repudiation is not time-barred Participate in fortnightly meetings to give updates to the business development and client servicing teams on the status of claims in order that they are updated about the same before meeting client for renewals Interface with clients to reinforce relationship with existing clients Prepare and submit daily / monthly reports on status of claims People Growth Acquire product knowledge and always keep self updated with latest variations in product offerings Attend training sessions (external/ internal) and working on on-job assignments to implement new learning Conduct training sessions for marketing team as well underwriting and claims teams to build product knowledge across functions Set objectives, review and evaluate performance periodically and give feedback Review pending work and initiate action Perform all such duties which are required to be performed by this position in an insurance broking house in general course and to perform all such duties and carry out all such responsibilities so delegated or asked to be performed by the Designated Authority from time to time External Interface: Internal interface: Existing clients Prospective clients Insurance companies Employees Preferred Competencies of Incumbent a) Functional Competencies Demonstrates domain knowledge in own area of operation Understands product offerings Understands service standards as per the Organization's ethos Learns continuously and keeps self-updated b ) Leadership Competencies : Relationship Building Networks effectively with both external and internal customers Focuses on building long-term, sustainable relationships Delivers on commitment every time Creative & Analytical Problem Solving Understands the strategic objectives of the Organization, unit, and function Collates data and analyses them objectively Takes objective decisions based on data to achieve the strategic objective of the Organization Goes the extra mile to achieve creative solutions Customer Focus Designs solutions that meet the requirements of the customer (external/ internal) Demonstrates a sense of urgency to resolve all external and internal customer concerns and responds to queries and requests within defined timelines and processes Educates customers (external/ internal) about changes in processes, policies and offerings Creates long term relationships with customers (external/ internal) through continuous interface Obtains customer (external/ internal) feedback to improve processes Promotes loyalty and converts customers to brand ambassadors Achieves customer delight concerning both internal and external customers Is sensitive to the code of conduct in the office and customer establishments Perseverance Makes every possible effort to understand the viewpoints of external and internal customers Takes all possible steps to resolve issues Understands the importance of deadlines, proactively removes roadblocks, and delivers as per requirement Tries alternatives to achieve the target Does not give up in the face of adversity Explains own point of view assertively to get necessary support and approval Is patient and persistent towards follow-up on all leads and prospects generated during the past, towards new client acquisition Achievement Orientation Understands the strategic objectives of the Organisation, unit, and function Aligns individual and team targets with strategic goals Plan and deploy appropriate resources to meet targets in the short and long term Goes the extra mile to achieve targets as per committed timelines and enables the team to do so Achieves and motivates excellence irrespective of circumstances Shares best practices across businesses Benchmarks with the best and continuously raise the bar Upgrades competencies of self and team to achieve excellence Interested candidate can share their CVs at susweta@salasarserviecs.com

Role & responsibilities Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in the minimum time. During the processing of the claim analyze the following and communicate to underwriters: adequacy of coverage wrt. location specifications e.g.. Earthquake /flood etc. adequacy of the sum insured anomalies in the policy scope of additional policies other related information Control expenses Business Process Facilitate proper settlement of the claim in the shortest possible time to the satisfaction of the client by ensuring the following: Obtain complete information of loss from the client after initial intimation Submit intimation to the insurance company for Registration of claim, Allocation of surveyor. Follow up for deputation of surveyor In case of big losses, ensure Salasar representative accompanies the surveyor to understand the nature and extent of loss and give the client an indication of documents required. Intimate documents requirement for the client. Obtain LOR (List of requirements) from Surveyor Match LOR with Salasar's requirement already taken from the client and take the rest of the documents. Once documents are received, check exclusions in fine print and prepare the draft reply from the client submitted to the insurance company Follow up with a client for repair and reinstatement for early completion and help in documentation of estimate, contractor details, expenses, etc. so that the surveyor gets structured inputs for preparation of the survey report Follow up with surveyor for completion of assessment Communicate surveyor comments to the client in terms of estimate and exclusion and arrange a meeting between the surveyor and client to resolve differences to obtain client assessment Ensure surveyors report is submitted at the earliest Follow up with insurance company for early settlement of claim Obtain settlement voucher from insurance company and forward to client Get discharge of client (signoff) and submit to the insurance company for disbursement Update each step in SAIBA on real time basis and ensure due IRDA compliance Ensure resolution of all complex technical issues in claims and timely escalation of the same for quick disposal of the claim Customer Support the marketing department in obtaining new business and ensuring the best possible coverage for clients, talk to the technical dept of the client to understand which risks need to be covered, type of production (continuous/ batch) Reopen claims in case of new businesses and follow up to obtain claims after reopening of the file by the insurance company if the repudiation is not time-barred. Participate in fortnightly meetings to give updates to the business development and client servicing teams on the status of claims in order that they are updated about the same before meeting clients for renewals Interface with clients to reinforce relationships with existing clients Prepare and submit daily/monthly reports on the status of claims. People Growth Acquire product knowledge and always keep yourself updated with the latest variations in product offerings Attend training sessions (external/ internal) and work on on-job assignments to implement new learning Conduct training sessions for the marketing team as well as underwriting and claims teams to build product knowledge across functions Set objectives, review and evaluate performance periodically, and give feedback Review pending work and initiate action Perform all such duties which are required to be performed by this position in an insurance broking house in general course and to perform all such duties and carry out all such responsibilities so delegated or asked to be performed by the Designated Authority from time to time External Interface: Internal interface: Existing clients Prospective clients Insurance companies Surveyors Employees Preferred candidate profile a) Functional Competencies Demonstrates domain knowledge in own area of operation Understands product offerings Understands service standards as per Organisation ethos Learns continuously and keeps self-updated b ) Leadership Competencies: Relationship Building Networks effectively with both external and internal customers Focuses on building long-term sustainable relationships Delivers on commitment every time Creative & Analytical Problem Solving Understands the strategic objectives of the Organisation, unit, function Collates data and analyses them objectively Takes objective decisions based on data to achieve the strategic objective of the Organisation Goes the extra mile to achieve creative solutions Customer Focus Designs solutions that meet the requirements of the customer (external/ internal) Demonstrates a sense of urgency to resolve all external and internal customer concerns and responds to queries and requests within defined timelines and processes Educates customers (external/ internal) about changes in processes, policies, and offerings Creates long-term relationships with customers (external/ internal) through continuous interface Obtains customer (external/ internal) feedback to improve processes Promotes loyalty and converts customers to brand ambassadors Achieves customer delight with respect to both internal and external customers Is sensitive to code of conduct in office and customer establishments Perseverance Makes all possible efforts to understand the viewpoints of external and internal customers Takes all possible steps to resolve issues Understands the importance of deadlines, proactively removes roadblocks, and delivers as per requirement Tries alternatives to achieve the target Does not give up in the face of adversity Explains own point of view assertively to get necessary support and approval Is patient and persistent towards following up on all leads and prospects generated during the past towards new client acquisition Achievement Orientation Understands the strategic objectives of the Organisation, unit, function Aligns individual and team targets with strategic goals Plans and deploy appropriate resources to meet targets in the short and long term Goes the extra mile to achieve targets as per committed timelines and enable the team to do so Achieves and motivates excellence irrespective of circumstances Shares best practices across businesses Benchmarks with the best and continuously raises the bar Upgrades competencies of self and team to achieve excellence. Share your resume at susweta@salasarservices.com

You will be responsible for managing the entire claims process for clients, from reporting to settlement. This includes providing expert advice and guidance to clients throughout the claims process and serving as a liaison between clients and insurance companies to ensure prompt and accurate processing of claims. Your role will involve submitting all necessary documentation in a timely and accurate manner, reviewing and analyzing claims with insurers, and resolving disputes. It is essential to keep track of ongoing claims, provide updates to clients, and address any outstanding issues. Building and maintaining strong relationships with both clients and insurance companies will be a key aspect of your job. To excel in this role, you should have a diploma or equivalent qualification, with a degree or professional qualification in insurance or business being preferred. A minimum of 4-6 years of experience in claims handling, insurance broking, or a related field is required. You must have a strong understanding of insurance products, policies, and claims processes, along with excellent attention to detail to ensure accurate documentation. Strong customer service skills are essential to manage client expectations and maintain positive relationships. The benefits of this full-time, permanent position include food provided, health insurance, leave encashment, and provident fund. The work location is in person.,

The role of Claims Coordinator at Genins India Insurance TPA Limited, based in New Delhi, is a full-time on-site position that involves managing insurance claims from initiation to completion. As a Claims Coordinator, your primary responsibility will be to ensure the efficient processing and resolution of insurance claims within specified timeframes. This includes tasks such as verifying claim details, coordinating with insurance providers, maintaining accurate documentation, and engaging with clients to provide updates on their claims status. To excel in this role, you must possess strong analytical skills and keen attention to detail. Expertise in insurance and claims management is essential, along with the ability to effectively handle various types of claims. Your role will also require you to have excellent communication skills to interact with insurance providers, clients, and internal stakeholders. Proficiency in relevant software and claims processing tools is necessary to streamline the claims management process effectively. Ideally, you should hold a Bachelor's degree in Insurance, Business Administration, or a related field. Previous experience in a similar role would be advantageous. The ability to work both independently and collaboratively as part of a team is crucial for success in this position. By demonstrating efficient claims management practices and adherence to company policies, you will contribute to ensuring client satisfaction and organizational efficiency.,

Responsibilities: Prepare ILAs, Final Survey Reports, and requirement letters Maintain records of claim intimation, surveyor visits, documents, and reports Follow up with insured/internal teams to reduce TAT Enter claims data into CMS software Provident fund Health insurance

Job Summary As a Clinikk Healthcare Executive, you will be a trusted go-to resource who helps our subscribers with any issues related to their health or health benefits. Youll have the opportunity to help subscribers get the right care at the right time. Responsibilities and Duties Engage with subscribers - Take a holistic approach to subscriber interaction, understanding their needs & provide resolution through relevant communication channels such as Inbound/Outbound calls & Chat Deliver interventions - Support subscribers to navigate the complex and confusing health care system and help them make smarter medical choices, by connecting with the right clinical resource. Leverage technology & internal resources to help understand the subscribers path, actions needed & next step Drive better subscriber outcomes - Assist with improved financial outcomes by helping subscribers with appropriate health care usage; optimize their benefit packages & third party vendors Delight subscribers - Create a personalized & memorable experience with Clinikk, build relationships through active listening, honesty & empathy. Health Insurance Claims Handling: Possess working knowledge of health insurance terminology and standard claims procedures. Handle both cashless and reimbursement claim processes , including form filling, document verification, submission, and timely follow-up with insurers and TPAs. Act as a liaison between the customer and insurer: effectively communicate and relay any queries or requirements raised by the insurer to the subscriber in a clear, timely, and accurate manner. Ensure complete documentation and follow-up for claim approval, track claim status, and escalate cases where needed to ensure swift resolution. Support in guiding subscribers through pre-authorization, discharge processes, and post-hospitalization claims. Maintain and update claim records accurately for internal reporting and audits. Required Experience, Skills and Qualifications What we are looking for: Language Proficiency in Kannada,English and Hindi is a must. Strong command over written and verbal English with a focus on clarity and professionalism. Ability to quickly understand and implement new processes and guidelines. Bachelors Degree/Diploma or Experience in Hospital/Healthcare/Insurance environment Ability to thrive in a performance based environment Demonstrate high level of personal accountability Demonstrated ability to use Microsoft Office (Word, XL,Google sheets,email) Previous experience in a chat-based customer support role (minimum 1 year ). Familiarity with ticketing systems and CRM tools is an advantage. Desired Personal Characteristics: Strong self-management Excellent English written and verbal communication skills with proven ability to communicate with individuals at various levels within the organization Ability to perform well under pressure, adapt to change, and meet deadlines in a fast-paced, dynamic, evolving environment Change champion and adapt to change quickly Data-driven and fact-based: focused on getting to best answer for clients Detail-oriented, inquisitive, problem-solving in nature, Thrive in a team environment. A team player capable of collaborating with individuals throughout the organization. We find joy and purpose in serving others. Making a difference in our members and customers’ lives is what we do. Even when it’s hard, we do the right thing for the right reason.

As a Claims Service Manager at Sriyah Insurance Brokers, you will play a crucial role in ensuring the efficient and accurate processing of insurance claims. Located in Tiruchirappalli, this full-time on-site position requires a skilled individual with a minimum of 1 year experience in the insurance industry or TPA. Your responsibilities will include assessing claims, evaluating documentation, and acting as a liaison between clients and insurance companies. Your expertise in claims handling and management will be essential in providing analytical insights to streamline the claims processing workflow. To excel in this role, you must possess proficiency in English, Tamil, and Hindi, along with strong analytical skills and experience in insurance claims. Your problem-solving abilities and attention to detail will be key in managing claims effectively. Effective communication and interpersonal skills are essential as you will be interacting with clients, insurance companies, and internal teams on a daily basis. A Bachelor's degree in a related field or relevant professional experience will be advantageous for this position. If you are looking to join a dynamic team at a leading insurance broker in South India and have a passion for claims management, then this role at Sriyah Insurance Brokers is the perfect opportunity for you.,

Job Description: GarageWa is an automotive service company committed to providing 24/7 mobile mechanic services for car owners, ensuring a hassle-free experience. The company's mission is to establish the most convenient and trustworthy car repair service, prioritizing customer support, total trust, and transparency. With a vision to become the leading provider of car repair services in India, GarageWa focuses on delivering quality workmanship, fair pricing, and friendly customer service. The company offers doorstep service and complimentary pick-up and drop-off for major works within the city, aiming to make car repair services reliable and affordable for customers. As an Executive - Motor Claims, you will be responsible for managing relationships with insurance companies, handling insurance claims, and coordinating with insurance providers to bring in accidental vehicles for repair. Your key responsibilities will include facilitating claims processing, building strong relationships with insurance companies, and driving business growth. You will play a crucial role in ensuring smooth claims processing, obtaining approval for repairs and settlements, and maintaining compliance with company policies and regulatory requirements. To excel in this role, you must have relevant experience in motor insurance claims handling and managing insurance company relationships. A strong understanding of insurance policies, procedures, and regulatory requirements is essential, along with excellent communication, negotiation, and interpersonal skills. The ability to work both independently and collaboratively, strong analytical and problem-solving skills, and proficiency in MS Office and relevant software applications are key requirements. Desired skills for this position include knowledge and experience within the insurance industry, expertise in claims handling and settlement, strong networking and relationship-building abilities, and the capacity to thrive in a fast-paced environment. Qualifications: - Preferred: BE/B.Tech in Automobile or Mechanical Engineering - Diploma in Automobile or Mechanical Engineering,

As a Complaints & Escalated Claims Specialist at Assurant-India, you will report to the Outsource Vendor Manager, CL and serve as the primary point of contact for complaints and (escalated) claim inquiries. Your responsibilities will include resolving formal complaints, tracking escalation data for operational and reporting purposes, proposing settlement agreements, and overseeing the Complaints Claims Assessment system and processes. This position is based in our Mumbai, India office. Your duties and responsibilities will involve overseeing the Complaints Claims Assessment system and processes, managing multiple cases simultaneously, assessing and reviewing claims and complaints independently and fairly, identifying and escalating urgent cases, suggesting process improvements for enhancing customer experience and operational efficiency, communicating with medical advisors as needed, ensuring compliance with Service Level Agreements and regulatory timelines, logging and tracking each issue in multiple systems for reporting purposes, and maintaining high levels of complaint-handling skills in alignment with service level agreements, contracts, and policy conditions. To qualify for this position, you should have a minimum of 7 years of experience in composing responses to external contacts, a background in claim handling and complaint resolution, work experience in the insurance industry, and a history of customer-focused roles.,

About the Team The Motor Claims team is a critical function within our Insurance Business team, dedicated to providing efficient and customer-centric claims services for all motor insurance policyholders. About the Role As Claims Manager, you will play a critical role in building and managing our motor garage and surveyor network. Must Haves Experience: At least 5 years of experience in Motor Insurance Claims Technical Skills: Strong understanding of vehicle mechanics, automobile parts, repair processes, vehicle damage assessment, and repair cost estimation. Proven experience in negotiating with and managing vendors, workshops, and surveyors. Communication Excellence: Good command of written and spoken English and Hindi. Multilingual ability is an added advantage. Soft Skills: Strong interpersonal, strategic thinking, and negotiation abilities. Flexible and adaptable to a changing and digital-first work environment. What We Expect From You Own the end-to-end partner ecosystemidentify, vet, and empanel top-quality garages and surveyors. Lead commercial negotiations, define competitive rate cards and SLAs, and build strong, long-term partner relationships. Oversee the coordination between customers, surveyors, and garages, ensuring the team delivers a seamless and rapid claims process. Monitor key metrics (TAT, quality, cost) and drive service excellence Guide teams in negotiating repair costs with garages to minimize loss while upholding quality standards and partner relationships. Inside Navi We are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal & Home Loans to UPI, Insurance, Mutual Funds, and Gold we’re building tech-first solutions that work at scale, with a strong customer-first approach. Founded by Sachin Bansal & Ankit Agarwal in 2018, we are one of India’s fastest-growing financial services organisations. But we’re just getting started! Our Culture The Navi DNA Ambition. Perseverance. Self-awareness. Ownership. Integrity. We’re looking for people who dream big when it comes to innovation. At Navi, you’ll be empowered with the right mechanisms to work in a dynamic team that builds and improves innovative solutions. If you’re driven to deliver real value to customers, no matter the challenge, this is the place for you. We chase excellence by uplifting each other—and that starts with every one of us. Why You'll Thrive at Navi At Navi, it’s about how you think, build, and grow. You’ll thrive here if: You’re impact-driven You take ownership, build boldly, and care about making a real difference. You strive for excellence Good isn’t good enough. You bring focus, precision, and a passion for quality. You embrace change You adapt quickly, move fast, and always put the customer first.

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

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 develop innovative ideas break through advancements and innovative solutions to problems Should be aware of all the Corporate Tariffs as agreed and ensure an error free billing from our end Should be able to prepare a complete billing kit and transfer the same to the submissions department as per the TAT Liaisoning Responsible to have regular interaction with consultants in regard to the bills and their payments. Responsible to coordinate and maintain good relations with corporate clients, patients, doctors, and public. Feedback to the Management Responsible for providing feedback to the management on customer/ patient requirements/expectations by maintaining constant relation with patients, visiting operational environment; conducting surveys etc.

The TPA Cashless Claims Executive position offers a full-time opportunity with on-site responsibilities in Bengaluru. As a TPA Cashless Claims Executive, you will manage cashless claims, oversee the claims process, deliver top-notch customer service, and maintain effective communication with clients and partners. Your role will entail analytical duties focused on verifying and processing claims with precision and efficiency. To excel in this role, you should possess strong skills in claims handling and claims management. Additionally, exceptional customer service and communication abilities are crucial. Proficiency in analytical skills is required, and prior experience in the healthcare or insurance sector would be advantageous. The position calls for the capacity to work autonomously while also collaborating effectively with the team. While not mandatory, a Bachelor's degree in a relevant field is preferred. Salary for this position can go up to 5.5lpa, and a minimum of 1 year of experience is required to be considered for this role.,

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

Responsible for overseeing and managing the claims process and ensures all claims are handled efficiently. Act as the main point of contact for customer inquiries,work to resolve issues promptly and Prepare regular reports on claims status.

The ideal candidate for this role will be responsible for meeting all Key Performance Indicators (KPIs) of the team and yourself, ensuring a high closing ratio. You will be required to negotiate with dealers, handle large value claims efficiently, and minimize cost wastage. Conducting workshops and providing regular training on claims policies will be crucial aspects of this position to ensure faster settlements with a high settlement ratio of 97% and an investment ratio of 3%. Key Accountabilities/Responsibilities: - Achieving team KPIs and personal targets for closing ratio - Negotiating effectively with dealers to ensure favorable outcomes - Handling large value claims with precision and attention to detail - Implementing cost-saving measures to avoid unnecessary wastage - Conducting workshops and training sessions on claims policies - Facilitating faster and efficient settlements to maintain a high settlement ratio of 97% - Maintaining an investment ratio of 3% to support business growth Experience: The ideal candidate should have 3-5 years of experience in Motor Claims and Body Paint Workshop, demonstrating a strong understanding of the industry and proven track record of successful claims management. Education: - Preferably holds a Diploma in Automobile Engineering - Graduated in Mechanical Engineering - Graduated in any discipline with prior experience in claims management If you meet the above requirements and are looking to advance your career in the field of claims management, we encourage you to apply for this exciting opportunity.,

Job description You are a graduate who likes to work in a structured environment You will be verifying the detailed benefits information of the patients using the insurance websites, phone calls to the insurance companies and capturing the same information in the practice management system You will also work on claims that are pending from the Insurance companies Preferred candidate profile Graduate in any discipline Good oral and written communication skills (English) Ability to multi-task Behavioural Attributes Required Team Player Logical thinking Problem solving Customer focus

Job Responsibilities : Ensure that the quality and production are met as per expectations Responsible for calling insurance companies in the US and following-up on outstanding accounts receivable Knowledge of HIPAA, Insurances and their Plans, Workers Comp, No-Fault Good oral and written communication skills (English) Ability to multi-task Understanding of appeals, denials and denial reasons and obtain resolution from carriers Claim submission Electronic, Paper or Direct Data Entry (DDE) Behavioural Attributes Required Team Player Logical thinking Problem solving Customer focus Domain/Functional Attributes Denial management Knowledge of US healthcare domain Knowledge of AR follow-up and denial management Calling etiquettes Educational Requirements: Undergraduate or any Graduate or Postgraduate degree