254 Claims Handling Jobs - Page 4

Roles & Responsibilities: Manage inbound & outbound calls from US providers, pharmacies, and members regarding benefits or claim denials. Handle US Medical/PBM denied claims and Utilization Management (PA, Appeals, etc.). Manage RCM cycle for patient financial encounters. Evaluate documents to ensure accurate claim information. Resolve customer queries and complaints professionally. Adhere to call center scripts, maintain quality standards, and prepare reports. Requirements: 23 years of US Healthcare voice process experience. Excellent communication skills. Comfortable with rotational shifts (247) and working on Indian holidays. Strong knowledge of claims handling and CRM systems . Customer-...

Roles and Responsibilities * Assist customers in assessing vehicle damage and estimating repairs. * Prepare job cards, process insurance claims, and handle claims from start to finish. * Provide technical knowledge of automobiles and accident repair processes to customers. * Handle customer queries and concerns with empathy and professionalism.

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members. For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Customer Relationship Management Department for Executive Role . Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Handling Major Corporate Group. Solving Customer/Broker's queri...

Job Description Position: Auto Claim Adjuster Job Title: Auto Claims Adjuster Department: Claims Reports to: Claims Manager Location: Bangalore Employment Type: Full-time Roles & Responsibilities : Dealing with Insurance Companies for Auto claims only Dealing with Location Managers for paper formalities Maintaining In-House location, Insurance companies etc. Coordinating with parent company representatives Skills & Qualifications : 1 - 3 years SOLID experience with insurance company Claims Dept or Brokerage dealing with AUTO claims / Auto Insurance only Knowledge of LOCAL Auto insurance regulatory laws Good Communication & Negotiation Skills (writing and speaking) Time flexibility requiremen...

Responsibilities: * Prepare ILAs, survey reports & letters * Maintain claim records * Update CMS follow up with insured & teams to reduce TAT * Manage back-office claim tasks reports preparation efficiently to support smooth claims processing. Health insurance Provident fund

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. CTC – Upto 3.5 LPA

Job Description: 1. Conduct insurance claim & valuation surveys of industrial, commercial & residential properties, prepare reports, handle correspondence, and assess losses as per policy coverage. Education: B.Tech (Civil/Mech/Elec), Freshers. Health insurance Provident fund

As a team member in this role, your primary responsibility will be to meet all Key Performance Indicators (KPIs) and achieve a high closing ratio. You will be required to negotiate with dealers, handle large value claims, and ensure that cost wastage is avoided. Regular workshops and training sessions on claims policies will be conducted to enhance your skills. Faster settlements with a settlement ratio of 97% and an investment ratio of 3% are expected from you. You will also be accountable for the re-open ratio and segmentation of vehicles, ensuring that claims are separated according to vehicles. Conducting team meetings with both internal and external surveyors will be part of your routin...

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

As an IND Sr Manager - Business Service Support at Aon, you will play a crucial role in providing expert advice and high-quality service to clients within the UK retail business. Your responsibilities will include managing a team of Business Service Support to ensure the highest level of service delivery to Client Service Advisors based in the UK. Your strong interpersonal skills, attention to detail, and deep understanding of insurance procedures will be essential for this role. You will be responsible for building effective relationships with Client Service Teams in the UK and India to ensure the best service is provided to each assigned Client Service Advisor. Your experience in team mana...

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

Title: Assistant Vice President Grade: L6 Location: Goregaon East Sub Department: Claims Department Operations Job Description: 1.Claims Investigation management for all category of Claims - Death, Health and Critical illness/Health 2.Analysis and assessment of Investigation report , documents and information received from Investigator and move quality closure within stipulated timelines 3.Responsible for accurate claim assessment and speedy decision 4.Vendor management- maintain good numbers of quality investigator as per requirement , fresh on-boarding, elimination/dis-empanelment of poor performer, monitor timely payment to all vendors (Investigation billing) 5.Monthly Investigator perfor...

Position : AM/Executive Claims Experience: Min 6 – 8 years Industry preferred: FMCG Location: Paradise, Hyderabad Job Summary: We are seeking a detail-oriented Claims Processor to review and process sales claims, tour claims, and travel claims. The successful candidate will ensure accurate and timely processing of claims, adhering to company policies and procedures. Key Responsibilities: - Review and process claims (sales, tour, travel) for accuracy and completeness - Verify claim documentation and supporting materials - Apply company policies and procedures to claims processing - Communicate with claimants, agents, or internal teams to resolve issues or request additional information - Main...

Job Title: AM/Executive Sales Admin Experience: Min 6 plus years Industry preferred: FMCG Location: Secunderabad/ Hyderabad Job Summary: We are seeking a detail-oriented Claims Processor to review and process sales claims, tour claims, and travel claims & Tracking of GPRS location & Settlement of Travelling Expenses for Sales Team, Also candidate will ensure accurate and timely processing of claims, adhering to company policies and procedures. Key Responsibilities: - Review and process of claims related to Sales Department (sales, tour, travel) for accuracy and completeness - Verify claim documentation and supporting materials. - Apply company policies and procedures to claims processing - T...

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

Job Description (Posting). About HCLTech HCLTech is a global technology company, spread across 60 countries, delivering industry-leading capabilities centered around digital, engineering, cloud and AI, powered by a broad portfolio of technology services and products. We work with clients across all major verticals, providing industry solutions for Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, and Public Services. We re powered by our people a global, diverse, multi-generational talent - representing 161 nationalities whose unique spark, perspective and boundless passion drive our culture of proactive value creatio...

Manage the Group business with the Bank employees Liaison with different departments for closure of the cases Champion product and process to drive top line sales through business sales team and maintaining penetration levels of group insurance products with channel partner. Coordinate and train key officials (ASSL, DSA, other bank officials) to enhance their understanding of the business to increase seller activisation Provide market feedback on competition and other products in the market. Manage and strengthen relationship through engagement with Partner s Zonal Leadership team, Ops & Credit Team, DSAs, SMs, Field Sales Staff at all levels and across functions. Values add in key initiativ...

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

Urgent hiring for Team leader operations for claims adjudication from US Healthcare. Looking for immediate joiners or less than 30 days' notice period. Interested folks can reach out to below mentions contact persons. Job Title: Team Leader Claims Adjudication Location: Indore, Coimbatore, Bangalore Department: Claims Operations Reports To: Manager Claims Adjudication Role Overview: The Team Leader Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely adjudication of healthcare/insurance claims in line with policies, compliance requirements, and service-level agreements (SLAs). The role involves performance management, proce...

As a Sales Leader at Loop, you will play a crucial role in driving the growth of our commercial insurance vertical. Your primary responsibility will be to lead the charge in achieving the P&L goals for commercial insurance across Mumbai, Pune, and Bangalore. You will be tasked with building and coaching a high-performing team to serve as top-notch risk advisors in the industry. Your role will involve identifying and capitalizing on cross-sell opportunities within our existing accounts, as well as cultivating new market opportunities. Developing and nurturing long-term relationships with key client decision-makers will be essential in this role. Collaboration with Sales & Customer Success Man...