254 Claims Handling Jobs - Page 3

As an Insurance Coordinator, your role involves efficiently processing and managing insurance claims with proper documentation and follow-up. You will be responsible for maintaining accurate records of liabilities, assets, and policy information. Acting as a point of contact for insurance companies, internal teams, and clients will be crucial in resolving queries and expediting processes. Monitoring policy compliance and ensuring timely renewals, endorsements, and cancellations are met are also key responsibilities. Additionally, you will assist customers in understanding policy coverage, documentation requirements, and claim status. Collaboration with finance and operations departments for ...

Role Overview The Senior Associate/Specialist - Home Insurance Claims Handler will manage and process claims filed by group/retail customers under home insurance policies. The role involves handling claims for both self-owned and leveraged properties, ensuring accurate assessments, compliance with policy terms, and exceptional customer service. The claims handled may arise from various insured events, as outlined below. This position demands expertise in Property and Casualty (P&C) insurance, strong analytical abilities, and a customer-centric approach to ensure timely and accurate claims resolution. Claims Handling Manage end-to-end claims processes for home insurance policies, covering bot...

Greetings from Black and White business solutions !!! About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler/Claims handling /Risk and Quality management -US P&C Insurance process Relevant Experience : 0-5 years of exp (open to freshers with good analytical and communication skills) Department : Reinsurance Servicing Division : GGB Reinsurance Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare...

As an Accident-sito Investigator, your role will involve being located in Sagar and focusing on claims resolution, handling, management, insurance, and on-site investigation of claims. You will be responsible for handling hospital administration and cooperating with police agencies. Key Responsibilities: - Resolve claims efficiently - Handle and manage claims effectively - Conduct thorough investigations into claims - Collaborate with hospital administration - Work closely with police agencies Qualifications Required: - Proficiency in claims resolution, handling, and management - Strong skills in insurance and claim investigation - Excellent analytical and problem-solving abilities - Excepti...

As a Cashless Claims Specialist in the healthcare industry, your main responsibility will be to manage and handle claims efficiently. Your daily tasks will include verifying and processing claims accurately, as well as coordinating with insurance companies. Your role will also involve analyzing claims thoroughly and communicating with clients and other stakeholders to resolve any issues related to claims. Key Responsibilities: - Manage and handle cashless claims in the healthcare sector - Ensure accurate and efficient processing of claims - Liaise with insurance companies for claim settlements - Analyze claims for proper evaluation - Maintain communication with clients and stakeholders to re...

Our client is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy,our Client value proposition of Welcome Change focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero paperwork, instant renewal, same-day claim settlements, and app-based updates on claims,our Client is a 'Welcome Change' from traditional insurers. Having said that, we are not just another conventional insurance firm, or the people consulted solely for "claims! Anchored in a tech-centric philosophy, our Client approach fuels innovation, empowering us t...

Greetings from Black and White business solutions !!! About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Premium Handler/Claims handling /Risk and Quality management -US P&C Insurance process Relevant Experience : 0-5 years of exp (open to freshers with good analytical and communication skills) Department : Reinsurance Servicing Division : GGB Reinsurance Primary Responsibilities : Process multi-currency premiums (PPC & PPW) within SLA Prepare LPANS , perform market submissions , and handle LORS splits Resolve bureau queries Communicate proactively with stakeholders Handle internal and external inquiries Assist team members in query resolution Prepare...

Job Description Associate Claims (Non-Medical) Job Title: Associate Claims Non-Medical Location: Bangalore 5 Days working Role Overview We are seeking a dedicated and empathetic Associate Claims Executive (Non-Medical) to join our health insurance team. The role involves evaluating claims, reviewing documentation, determining coverage, and ensuring smooth and transparent claim settlement. The ideal candidate should have strong analytical skills, attention to detail, and excellent communication abilities to deliver a positive experience for policyholders. Key Responsibilities Claims Evaluation: Review and assess insurance claims to determine validity and payment eligibility. Documentation Rev...

Role & responsibilities We are seeking an experienced and dynamic professional to lead our Claims Operations team for US Healthcare. Will be responsible for managing end-to-end claims processing operations, driving service excellence, ensuring compliance with client SLAs and regulatory standards, and leading high-performing teams in a fast-paced BPO environment. Manage day-to-day operations of the claims processing department, including adjudication, adjustments, rework, and quality control. Serve as the primary point of contact for client operations teams. Conduct regular client calls, business reviews, and performance reporting. Must Have Skillset Looking for candidates with good experienc...

Role Overview: You will be joining our brokerage firm in Lagos as an Underwriter/Marketer. Your main responsibilities will include securing competitive rates from insurers, underwriting insurance proposals, managing the claims process, building client and insurance partner relationships, providing expert advice, and driving marketing initiatives to expand business opportunities. Key Responsibilities: - Source and negotiate competitive rates with insurers. - Assess and underwrite insurance proposals in compliance with industry standards. - Manage the full claims process from notification to settlement. - Build and maintain strong relationships with clients and insurance partners. - Provide ex...

Role & responsibilities Short Paid Claim Contesting Executive-Drive timely and accurate contesting of short-paid claims across hospital-insurer interfaces, ensuring recovery yield and SOP compliance. Analyze short-paid claims and categorize by deduction type, insurer, and RCA triggers. Draft and submit contest letters with supporting documentation via IHX and insurer portals. Track contesting outcomes and escalate unresolved cases per SLA timelines. Collaborate with unit credit cells and central recovery team for RCA discipline and documentation hygiene. Maintain dashboards for contesting status, win-loss ratios, and financial impact. Ensure adherence to SOPs and flag deviation trends for go...

Role & responsibilities Maximize recovery of outstanding claims from TPAs and insurers through disciplined follow-up, documentation, and stakeholder coordination. Monitor aging reports and follow up on pending claims across TPAs and insurers. Coordinate with internal billing, credit cell, and finance teams for claim documentation and query resolution. Engage with insurer/TPA representatives to expedite settlements and resolve disputes. Maintain tracker for recovery status, escalations, and financial realization. Support RCA documentation and contesting for short-paid or denied claims. Prepare weekly MIS and recovery dashboards for leadership review. Preferred candidate profile Familiarity wi...

Mercer is seeking candidates to join our Claims Service team based in the Pune/Mumbai office. This is a hybrid role that requires working in the office at least three days a week. Specialist Claims Service (Grade C1) What can you expect: Excellent exposure to complex & diverse claims handling. Opportunity to enhance Claims knowledge and understanding & build on client management skills. As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role. Within the first 30 days, we expect you to gain good understanding of the role and requirement that ...

As an Executive - Motor Claims at GarageWa, 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 - 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 co...

Role Overview: As a member of the team, your primary focus will be on meeting all key performance indicators set for both the team and yourself. Your responsibilities will include negotiating with dealers, handling large value claims, and minimizing cost wastage. Additionally, you will be conducting workshops and providing regular training on claims policies to ensure efficient operations. Your ultimate goal will be to achieve faster settlements with a settlement ratio of 97% and an investment ratio of 3%. Key Responsibilities: - Meeting team and personal KPIs - Negotiating with dealers - Handling large value claims - Minimizing cost wastage - Conducting workshops - Providing regular trainin...

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English and Hindi CTC – Upto 3.5 LPA

About the Role: Contact hospitals, claims, and police departments to collect essential records and TCRs. Prepare and send request letters for medical records, claims, and TCRs. Follow-up on pending records and ensure timely updates in CRM tools. Required Candidate profile Fluent in English (oral & written). Experience in customer service or claims is a plus. US Shift: Available to work night shift (8 PM - 5 AM PST). Tech-savvy with basic CRM and MS Office skills.

Calling Insurance companies (in US) and follow up on outstanding Accounts Receivable. Calls to insurances for claim status and eligibility verification Denial documentation and taking further action Required Candidate profile Get the status of the unpaid claims 1+ year experience in USA AR calling experience /US healthcare Ready to work in night shift Completes targets with speed and accuracy as per client SLAs

Role Summary Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross 2% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

Role Summary Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Re-open ratio/Segmentation of vehicles Separating the Claims according to Vehicles Conducting Team Meeting with internal and external survey. Re-open of claims should not be cross 2% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise with insurers to expedite claims approvals and settlements. 2. Coordination & Communication Serve as the single point of contact for all internal and external stakeholders regarding claims. Coordinate with RMs, Partners, and clients to gather necessary claim documents and information. Work closely with the Product and Insurance Operations teams to resolve claim queries. 3. Process Excellence Monitor claim progress and proactively follow up with insurers to avoid delays. Maintain and upda...

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

Position: Record Retriever Location - Ahmedabad Fluent English Required US: Night shift 5 Days working Sat Sunday fixed off Increments after 3 months Some Additional Bonuses Freshers are welcome

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

Role & responsibilities We are looking for an accomplished Doctors with significant ICU experience and a strong ability to manage both clinical and non-clinical responsibilities. The ideal candidate will excel in patient care, clinical documentation, and possess in-depth knowledge of medical documentation essential for insurance claims processing. Key Responsibilities: Patient Documentation: Manage patient medical history and progress notes with precision. Claims Processing: Handle preauthorization and reimbursement claims, including validation and processing. Clinical Records: Maintain accurate clinical documentation in compliance with healthcare standards. Collaboration: Work closely with ...