106 Claims Handling Jobs - Page 2

Customize and configure Guidewire applications (Policy Center, Billing Center, Claim Center) based on client needs. Design and implement business rules, workflows, and UI modifications using Gosu (Guidewire’s proprietary programming language).

We are hiring for a Senior Process Associate in Insurance Claims with 37 years of relevant experience. This is an excellent opportunity to join a reputed financial services firm and play a key role in managing claims, ensuring operational accuracy, and supporting risk management initiatives. Your Future Employer - A globally respected organization in the financial services space, known for its strong commitment to process excellence, innovation, and employee growth. Responsibilities - Manage end-to-end claims processes within the insurance domain Demonstrate strong understanding of banking and insurance services Communicate clearly and effectively with internal and external stakeholders Perform risk management activities and support insurance programs Execute reconciliation tasks and ensure accurate documentation Prioritize tasks and meet deadlines in a fast-paced environment Collaborate with product and process experts to stay updated on workflows Requirements - 3-7 years of relevant experience in insurance claims Any graduate (Finance qualification preferred) Excellent written and verbal communication skills Proficiency in Microsoft Excel Comfortable working in a 6 PM - 3 AM shift (Hybrid work model, Pune) What is in it for you - A hybrid work environment providing flexibility and structure Opportunity to be a part of a high-performing, growth-focused team Exposure to end-to-end insurance operations with a global client base Continuous learning and career advancement in a leading firm Reach us: If you think this role aligns with your career aspirations, kindly send your updated CV to vasu.joshi@crescendogroup.in for a confidential discussion on the opportunity. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging, memorable job search and leadership hiring experience. Crescendo Global does not discriminate based on race, religion, color, origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Note: Due to the high volume of applications, if you do not hear back within 1 week, please assume your profile was not shortlisted. Your patience is appreciated. Scam Alert: Crescendo Global never asks for money, purchases, or system upgrades. Verify all opportunities at www.crescendo-global.com and report any fraud immediately. Stay alert! Profile Keywords - Claims Management Jobs, Insurance Jobs, Finance Operations, Reconciliation, Claims Analyst, Risk Management, Hybrid Jobs Pune, Excel Insurance Jobs, SPA Jobs Pune, Insurance Claims Processing, Banking and Insurance Careers.

The role requires you to meet all key performance indicators of the team and yourself, ensuring a high closing ratio. You will be responsible for negotiating with dealers, handling large value claims, and minimizing cost wastage. Conducting workshops and providing regular training on claims policies will also be part of your responsibilities. Your focus will be on achieving faster settlements with a settlement ratio of 97% and an investment ratio of 3%. Key Accountabilities/Responsibilities: - Meeting team and personal KPIs - Negotiating with dealers - Handling large value claims - Minimizing cost wastage - Conducting workshops - Providing regular training on claims policies - Achieving faster settlements with a settlement ratio of 97% and an investment ratio of 3% Experience: You should have 3-5 years of experience in Motor Claims and Body Paint Workshop. Education: Preferably hold a Diploma in Automobile, be a graduate in Mechanical Engineering, or have a graduate degree in any discipline with prior experience in claims.,

As an insurance agent, your main responsibility will involve selling and managing insurance policies for individuals or businesses. This includes tailoring coverage to meet their specific needs and providing ongoing support. You will be required to assess risks, provide advice on appropriate plans, and handle claims processing efficiently. This role demands strong communication skills, sales acumen, and the ability to build and maintain relationships effectively. Additionally, you should have a comprehensive understanding of various insurance products and regulations. Your key responsibilities will include identifying potential clients and understanding their requirements to offer them suitable insurance options. You will need to analyze clients" financial situations and risk profiles to recommend the most appropriate coverage. Furthermore, you will assist clients with policy selection, enrollment, and ensure smooth ongoing maintenance. Guiding clients through the claims process and ensuring they receive their entitled benefits will also be part of your duties. Building and nurturing strong client relationships through regular communication and delivering exceptional customer service are essential aspects of this role. Staying updated on new insurance products, industry trends, and regulatory changes is crucial. You must also adhere to ethical guidelines and legal requirements related to insurance sales and service. This job is available in both full-time and part-time capacities. The benefits include Provident Fund, and the work schedule is during the day shift at an in-person location.,

More then 8 years of experience in Order to cash with minimum 3 yrs in Cash Apps, 3 yrs in collections & claims handling Minimum 3 years of team handling experience on papers Minimum 6 years of experience with SAP Should have prepared SOPs/DPMs Should have driven minimum one project in OTC other than excel Macros. Same needs to be explained with quantification of benefit realized (FTE Or Value) Should be aware of current SLAs and KPIs of the process, with targets in % and how they are calculated Excellent verbal and written communication skills are mandatory Good understanding of Accounting principles and practices and has complete understanding of his / her process fits into the client context Intense focus on SLAs, VoC, governance, client engagement and service delivery Continuosly drive process and quality improvements across the team Plays a critical role in recruitment, process training, talent management, talent engagement, etc Shift- UK Shift (WFO Only) Job Location- Pune (Viman Nagar) Qualifications a) Commerce / Accounts Graduate b) Semi qualified accountants Job Location

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 claim is wrongly repudiated. Key Responsibilities Ensure all reimbursement and cashless claims are processed within the committed TAT across clients. Track, analyze, and manage TAT performance of multiple TPAs; escalate and hold them accountable for delays or service gaps. Reopen wrongly repudiated claims with TPAs/insurers and fight for fair resolution on behalf of clients. Collaborate closely with the customer success and insurance teams to address claim escalations proactively. Drive continuous process improvement in claims handling and communication workflows. Maintain internal dashboards and reports to track SLAs and spot trends. Requirements 3+ years of experience in health insurance claims (TPA/insurance broker/insurer preferred). Strong understanding of reimbursement, cashless claim processes, and IRDAI guidelines. Assertive communicator with negotiation skills to handle TPAs and insurers. Analytical mindset with ability to identify patterns in delays or rejections. Empathy for the end user the employee or HR dealing with a health issue. Why Join Pazcare? Work with a mission-driven, fast-growing team redefining how India experiences employee health benefits. Ownership of high-impact outcomes and the opportunity to shape the future of claims at scale. Be part of a culture that values transparency, speed, and customer-first thinking.

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 consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senior stakeholders globally and the seamless delivery of these best practices in India. Roles & Responsibilities: • 1) Exceptional Employee Experience Support system by Prudent Serve as primary point of contact for all employee claim queries and own the process of developing strong employee relationships & engagement 2) Facilitating the cashless and reimbursement process: Ensuring employees understand the steps involved in both cashless and reimbursement claims. Offering exceptional support and guidance to employees/HR throughout the entire process to ensure a smooth experience. 3) E-cards/network hospitals: To provide employees e-cards and information about network hospitals. 4) Providing claim-related queries: Addressing questions about claim status, claim deductions, and explanations of queries. 5) TPA Co-ordination: Co-ordinating with TPA daily to ensure the smooth functioning of employee-related queries 6) Employee Engagement & Support SPOC: Daily tracking of claims on status/rejections/deductions and providing the report to MCS Desired profile/who should join: Good listening & communication skills Should have good technical knowledge about Employee health Insurance/ General Insurance products. (Cashless/Reimbursements) Experience in General Insurance/ Insurance Brokers Years of experience: 2 to 5 years Education qualification: Bachelor's Degree, Master's Degree Good knowledge of the TPA/Insurance processes Well-versed in health insurance policy conditions Well-versed with current medical practices & advancements Should know about IRDAI health regulation If the opportunity interests you, kindly share your updated CV with Tanay Srivastava (tanay.srivastava@prudentbrokers.com) or Yogesh Nagar (Yogesh.nagar@prudentbrokers.com) with the subject ‘’Claims role_*Location*’’ Role & responsibilities

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 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 as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work From Office only Interested candidates can share their CVs to Dona- 9632777628

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 death claims. Accuracy and Speed in delivery Customer satisfaction Quality in claims assessment/approvals Preferred candidate profile Graduate with required communication skills, A minimum of five to seven years progressively responsible previous insurance industry experience. Life Insurance domain knowledge Decision-making skills. MIS, MS Excel, Workflows , Group Asia and Life Asia system knowledge

Roles and Responsibilities Manage accounts receivable calls to resolve customer queries related to medical billing, claims processing, and revenue cycle management. Handle denial management by identifying and resolving issues with insurance companies, patients, or other stakeholders. Process patient statements, verify demographic information, and update records as needed. Collaborate with internal teams to resolve complex billing issues and ensure timely resolution of customer complaints. Maintain accurate records of all interactions with customers using our CRM system. Desired Candidate Profile 1-5 years of experience in AR calling, denial handling, or similar roles in US healthcare industry. Strong knowledge of medical billing processes, including claims handling and revenue cycle management. Excellent communication skills for effective interaction with customers over phone calls. Ability to work independently in a fast-paced environment while maintaining attention to detail. Interested relevant experienced candidates can share your updated resume to 7339474094 or Vaibavalakshmi.Balaji@Calpion.com

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 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. • • • Responsibilities 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 as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

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 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. • • • Responsibilities 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 as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

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 defined KPIs. Monitoring and performance evaluation of TPA including timely review of TAT & quality for various process followed in TPAs, daily TAT monitoring, escalation & expectations management for specialized business handling of retail portfolio. Maintaining and updating TPA records on daily basis which help us to know the performance of retail policies and portfolio. Conducting QC of reports and data of TPA shared with us on regular intervals to analysis the data on all benefits as per retail policies. Supporting Actions IT Systems Development System development for uploading and extracting TPA claims and generating reports from the same. Cost containment without losing on customer experience, actionable of feedbacks on claims experience. Educational Qualification: - Preferably MBBS, BHMS, BAMS Doctor Minimum 7-9 years in handling similar role Experience in handling provider management (Hospitals and other vendors) is mandatary. Its a urgent opening please share your resume at aparna@aceconsultants.in

Skill required: Insurance Services - Property and Casualty Insurance Designation: Risk Engineering Associate Qualifications: BTech Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Risk Engineering Team provides guidance on risk mitigation for multiple disciplines and occupancies. The objective is to enable global property and casualty underwriters to make more informed underwriting decisions. Our team consisting of people from various industrial background and specialities are dedicated to support the underwriting functions with profound expertise and risk knowledge.To supplement and further strengthen our capabilities we are looking for an Analyst with a broad-based knowledge and skills to join the Casualty Risk Engineering division. This division supports underwriters for Environmental and Primary Casualty, with Primary Casualty focused on Workers Compensation (worker safety) and Automobile Liability (fleet safety). Assist in reviewing environmental, worker safety, and fleet safety data submitted by clients to help identify risk trends, gaps, and potential areas of improvement Support in preparing and analysing risk reports using Microsoft Excel and Power BI, providing valuable insights for underwriting and operations. Perform structured online research to gather relevant Environmental, Health & Safety (EHS) information that supports desktop assessments and underwriting review Maintain digital records by organizing and updating information in a clear and accessible format for internal teams. Understanding and management of property and casualty insurance companies that provide insurance against the loss of real property, tangible assets and/or income. What are we looking for Ability to establish strong client relationshipAgility for quick learningAdaptable and flexibleAbility to work well in a teamDetail orientationA degree engineer (B.Tech minimum), preferably within one of the following Engineering disciplines (Chemical, Environmental, Industrial, Safety or Civil) The candidate ideally should have up to 1-3 years of relevant experience, including internships or early-career roles in engineering, insurance, risk consulting, or safety functions. A strong interest in risk assessment, environmental management, and workplace safety, with a desire to build a career in casualty risk engineering. Outstanding analytical, organisational and communication skills and who possesses a blend of technical knowledge, attention to detail, problem solving and adaptive communication and listening skills. Candidate must be organized, self-motivated and willing to learn about the concepts of desktop risk assessment, Occupancy, Hazard and Loss estimation. Demonstrable understanding of liability risk management and a strong background in another relevant discipline, for example health and safety consultancy, underwriting, broking, claims handling or loss adjusting Working knowledge of Microsoft Office tools, especially Excel and PowerPoint. Exposure to Power BI and Salesforce is a plus. Roles and Responsibilities: Provide support to senior risk engineers in conducting desktop assessments of product liability, environmental exposures, workplace safety practices, and automobile risks in line with internal technical guidelines Help compile and format key risk information for underwriters, ensuring clarity and consistency across submissions. Oversee the delivery and quality of outsourced survey programs related to workers compensation, fleet safety, and environmental liability, while maintaining and updating associated online Health & Safety resources. Track and validate corrective actions related to product safety, worker safety and auto liability improvements identified during surveys, ensuring timely and effective implementation by clients. Qualification BTech

We are hiring for Automobile claim settlement process. - Helping customer through email and voice for settlement of claim - Skills Required: Knowledge of warranty claim process in automobile industry / Service Advisor in workshop. HR - 75488 27248 Required Candidate profile Qualification: Diploma in Automobile / Diploma in Mechanical Experience: Experience in Automobile / Internship experience in Automobile Language - Tamil or Hindi or Telugu and English Day shift

Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to get to the heart of customer issues, diagnose problem areas, design innovative solutions and facilitate deployment resulting in client delight. You will develop a proposal by owning parts of the proposal document and by giving inputs in solution design based on areas of expertise. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization’s financial guidelines Actively lead small projects and contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Ability to develop value-creating strategies and models that enable clients to innovate, drive growth and increase their business profitability Good knowledge on software configuration management systems Awareness of latest technologies and Industry trends Logical thinking and problem solving skills along with an ability to collaborate Understanding of the financial processes for various types of projects and the various pricing models available Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Client Interfacing skills Project and Team management Technical and Professional : 5+ Years of SAP Insurance with multi-module expertise 3+ years of SAP Claims Management with excellent understanding of Key processes of claim handling and standards in insurance industries is must. 5+ Years of ABAP development with focus on ABAP OOPS Should have in depth knowledge of master data and different claims process like notification, processing, payments, closure and reserves Should have in depth knowledge of ABAP, ABAP OOPS, BRF+, BDTs, ODATA and workflow. Should be familiar with integration of FS-CM with key SAP insurance modules (FS-CD, FS-PM, FS-RI and FS-ICM) Experience with ECC GL and any finance Sub ledger experience relating to SAP insurance / banking products is added advantage 1 full lifecycle implementation of SAP Claims Management as a lead will be added advantage Preferred Skills: Technology-SAP Functional-SAP FSCM

6-7+ years of experience in P&C Insurance, Claims handling process. Determine operational objectives by understanding the business function, scope of the product or request. change required, deliverables and outcome expected by closely working with the business and operation stakeholders. Construct workflow charts and diagrams; studying system capabilities; writing specifications Define project requirements by identifying project milestones, phases and elements; forming project team; establishing project budget Discover new opportunities to deliver deep and actionable business insights to key stakeholders Prepare technical reports by collecting, analyzing and summarizing information and trends Closely work with Business, Underwriter, Finance and Actuarial department to define data requirements, map data elements across systems and define output expected. Write clear and well-structured business requirements/documents Coordinate with different departmental teams to produce better business outcomes Support testing on system changes made to ensure its as per requirements provided. Convert roadmap features into smaller user stories Communicate to validate requirements and seek approval from relevant stakeholders

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : Knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606553811 / 9606557106 !!!Thanks & Regards HR TEAM!!!

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Aneesha HR Analyst Black and White Business Solutions Pvt Ltd Direct Number : 08067432440| Whats app : 9035128021|aneesha.g@blackwhite.in

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489/WhatsApp @7892150019 Lakshmi.p@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

We are hiring for a Senior Process Associate in Insurance Claims with 37 years of relevant experience. This is an excellent opportunity to join a reputed financial services firm and play a key role in managing claims, ensuring operational accuracy, and supporting risk management initiatives. Your Future Employer - A globally respected organization in the financial services space, known for its strong commitment to process excellence, innovation, and employee growth. Responsibilities - Manage end-to-end claims processes within the insurance domain Demonstrate strong understanding of banking and insurance services Communicate clearly and effectively with internal and external stakeholders Perform risk management activities and support insurance programs Execute reconciliation tasks and ensure accurate documentation Prioritize tasks and meet deadlines in a fast-paced environment Collaborate with product and process experts to stay updated on workflows Requirements - 3-7 years of relevant experience in insurance claims Any graduate (Finance qualification preferred) Excellent written and verbal communication skills Proficiency in Microsoft Excel Comfortable working in a 6 PM - 3 AM shift (Hybrid work model, Pune) What is in it for you - A hybrid work environment providing flexibility and structure Opportunity to be a part of a high-performing, growth-focused team Exposure to end-to-end insurance operations with a global client base Continuous learning and career advancement in a leading firm Reach us: If you think this role aligns with your career aspirations, kindly send your updated CV to vasu.joshi@crescendogroup.in for a confidential discussion on the opportunity. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging, memorable job search and leadership hiring experience. Crescendo Global does not discriminate based on race, religion, color, origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Note: Due to the high volume of applications, if you do not hear back within 1 week, please assume your profile was not shortlisted. Your patience is appreciated. Scam Alert: Crescendo Global never asks for money, purchases, or system upgrades. Verify all opportunities at www.crescendo-global.com and report any fraud immediately. Stay alert! Profile Keywords - Claims Management Jobs, Insurance Jobs, Finance Operations, Reconciliation, Claims Analyst, Risk Management, Hybrid Jobs Pune, Excel Insurance Jobs, SPA Jobs Pune, Insurance Claims Processing, Banking and Insurance Careers.

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432432/WhatsApp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment. Good Have Skills : knowledge and expertise in FNOL (First Notice of Loss) or FROI (First Report of Injury) Roles and Responsibilities : 1.Manage end-to-end claims processing for Property & Casualty lines including auto, home, general liability, and workers compensation. 2.Perform FNOL/FROI intake, assess coverage, and initiate claim setup using internal systems. 3.Verify policy information, document incidents accurately, and identify subrogation opportunities. 4.Maintain consistent communication with policyholders, claimants, vendors, and internal teams. 5.Support claims adjudication by gathering and reviewing supporting documentation, police reports, medical records, etc. 6.Ensure compliance with applicable state regulations and client-specific SLAs. 7.Coordinate with adjusters, underwriters, and legal teams where necessary. 8.Generate and maintain accurate records for audit and reporting purposes. 9.Continuously identify and escalate potential fraud or misrepresentation concerns. 10.Participate in process improvement initiatives and training sessions. Location : Mumbai CTC Range : 3.5 to 6 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Monika HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432490/Whatsapp @9916116145 monika.j@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Role Name :North America - Finex Claims Shift Time : 6.30 pm to 3.30 am - evening shift Work mode: Hybrid Work Location: Vikhroli Experience required: 1 - 4 years Qualification: Graduation Interview Venue: WTW iTHINK Techno Campus, 7th Floor, A&B Wing, Off Pokhran Road No. 2, Close to Eastern Express Highway, Thane (West) 400 607. India (Candidate's Address should fall withing WTW's transport boundary).