254 Claims Handling Jobs - Page 7

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 ...

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 ...

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 independent...

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...

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 d...

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 dev...

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 i...

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 ...

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 deni...

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 Perf...

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 fast...

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 suita...

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 cont...

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...

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 cons...

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 admissibil...

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 deat...

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 industr...

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 a...

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 d...

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 defi...