181 Claims Handling Jobs - Page 7

Skill required: Insurance Services - Property and Casualty Insurance Designation: Risk Engineering Associate Qualifications: BTech Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.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

Claims Specialist Exp- 2+ Years Loc- Pune Skills- Claims, Dispute, Claims Mgt, Reason Codes, SAP, etc Pkg- 5.5 LPA Aparupa 9311697179 Aparupa.imaginators@gmail.com

Responsible for handling cargo claims. Responsible for the management and administration of all claims filed Globally. Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for the Group. Provide technical expertise and advice related to incidents, claims matter and loss prevention initiatives. Key Responsibilities Claims - Handling cargo Claims as per the set guidelines. Having a customer centric approach at the same time keeping in mind the legal requirement and closing claim within legal ambit Establish appropriate claims handling relationship in respective management area. Assess and document factual background of claims matters; establish and update claims file. Safeguard rights of recovery and drive recovery actions. Liaise with internal and external stakeholders, such as claimants (customer, recovery agents, lawyer, under writer and P&I) third party claims administrators etc. Enter and update data in the claims data base (case management) according to corporate guideline. Manage and settle claims matters in accordance with corporate guideline. Provide advice and support to Local claim desk related to any claims matters. Keeping data quality at top level. Formulate, drive and/or support loss prevention initiatives. Decision Making Authority As per Organization guidelines Function Market & Industry Knowledge / Domain Knowledge / Process working / Education: Graduate from recognized university LLB / LLM or MBA degree would be preferable. Experience: Minimum of 2 years of working experience within Shipping, Logistics, Marine surveyor, or insurance Industry. Exposure to shipping operations preferable. Experience in core claims handling (which includes independent claim settlement) will be an added advantage. Special Skills (Functional/Technical): Good Analytical skills. The knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. The knowledge of local maritime laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the political process directly impacting claims handling of the region. Good Comprehension skills Excellent team player Well organized to carry out multi-tasks Flexible with changes Take ownership and responsibility of the job assigned Eye for the details.

Full Time Opportunity Location: Goa/Kolkata/Patna/Assam/Jharkhand/Jamshedpur Job Description: - As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing.

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 to 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster Roles and Responsibilities : 1. Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2. Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3. Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. 4. Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5. Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6. Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune, Mumbai CTC Range : Upto 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid 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 ****************************** DO REFER YOUR FRIENDS**********************************

Responsible for handling cargo claims. Responsible for the management and administration of all claims filed Globally. Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for the Group. Provide technical expertise and advice related to incidents, claims matter and loss prevention initiatives. Key Responsibilities Claims - Handling cargo Claims as per the set guidelines. Having a customer centric approach at the same time keeping in mind the legal requirement and closing claim within legal ambit Establish appropriate claims handling relationship in respective management area. Assess and document factual background of claims matters; establish and update claims file. Safeguard rights of recovery and drive recovery actions. Liaise with internal and external stakeholders, such as claimants (customer, recovery agents, lawyer, under writer and P&I) third party claims administrators etc. Enter and update data in the claims data base (case management) according to corporate guideline. Manage and settle claims matters in accordance with corporate guideline. Provide advice and support to Local claim desk related to any claims matters. Keeping data quality at top level. Formulate, drive and/or support loss prevention initiatives. Decision Making Authority As per Organization guidelines Function Market & Industry Knowledge / Domain Knowledge / Process working Education: Graduate from recognized university LLB / LLM or MBA degree would be preferable. Experience: Minimum of 2 years of working experience within Shipping, Logistics, Marine surveyor, or insurance Industry. Exposure to shipping operations preferable. Experience in core claims handling (which includes independent claim settlement) will be an added advantage. Special Skills (Functional/Technical): Good Analytical skills. The knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. The knowledge of local maritime laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the political process directly impacting claims handling of the region. Good Comprehension skills Excellent team player Well organized to carry out multi-tasks Flexible with changes Take ownership and responsibility of the job assigned Eye for the details

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

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad

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 Hindi & Malayalam. CTC – Upto 3.5 LPA.

Job Title : Marine | End-to-end Claims Insurance Qualification : Any Graduate and Above Relevant Experience : 3 7 years Must Have Skills : 1.Insurance regulations and laws 2.Claims handling procedures 3.Risk management principles 4.Industry standards 5.Maritime law and regulations 6.Investigate and analyze claims documentation 7.Determine coverage and liability 8.Negotiate settlements and resolve disputes 9.Communicate effectively with insureds, claimants, suppliers and brokers 10.Apply industry-standard claims handling procedures. 11.Collaboration and teamwork Good Have Skills : Experience in Marine Adjuster Roles and Responsibilities : 1.Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2.Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3.Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. 4.Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. 5.Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. 6.Mitigate organizational risk, maintaining compliance and reputation Location : Kochi, Pune CTC Range : 4.5 7.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Hybrid Thanks & Regards, Amulya G Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way, The Community You Will Join The AirCover team is charged with ideating, building, launching, and managing the AirCover business inside of Airbnb We have a huge responsibility to our community of Hosts and guests to be there when things dont go exactly as planned with their reservations We have a lot of work to do in the coming years and we are looking for someone who will help us manage all of the things that need to be done to deliver best-in-class services to our community, The Claims Experience team is responsible for providing Community Delight to our users by tailoring the experience and services we offer to their own specific needs so that everyone can host and travel with confidence We will develop a deep empathy and understanding of each of our customers desires, and will go above and beyond to ensure we create personalized interactions that leave lasting impressions throughout the end-to-end claims process, The team will drive operational success across each of the Aircover products, delivering Seamless Execution through the quality and speed of our interactions, whilst focusing on customer retention and the continued growth of our Airbnb community, The Difference You Will Make As the Claims Operations Manager, you will lead a team that helps drive the success of our vision to deliver unmatched products and services so everyone can host and travel with confidence, Deliver community delight to our users by tailoring experiences and the services we offer to their unique and specific needs In this role, youll help create and influence the direction we wish to take the AirCover organization, You will touch all three areas of our AirCover brand; AirCover for Hosts, AirCover for Guests and Guest Travel Insurance, You will also develop a deep understanding of each of our customers desires, and will go above and beyond to ensure we create personalized interactions that leave a lasting impression, By leading a team of Claims Specialists you will be responsible for overseeing the end-to-end claims processes at a strategic level, making fast data driven decisions and ensuring we create a deep and ongoing empathy for our customers whilst providing clear guidance on helping them navigate the claims process You'll also advance team engagement through people and culture initiatives, and focus on their growth to nurture and develop world class talent, You will work as part of a cross-functional team to drive the success of the company's products and services You will be responsible for driving and executing strategies that also improve community engagement, and community protection, while ensuring operational excellence across the Aircover suite of products and services, A Typical Day Bring and share strategic vision for the end-to-end customer claims handling experience, including dispute resolution and feedback management Collaborate on the development and implementation of new policies and procedures to ensure our service delivery is effective and delivers a seamless experience for our community Manage and lead the Claims operations team in ACC Gurgaon, ensuring optimal delivery of performance and productivity Support and work with senior leadership to develop and execute on our one-company roadmap and Aircover strategic pillars, Develop and maintain relationships with external partners, such as insurance carriers and claims adjusters, to ensure that claims are handled efficiently and effectively, Inform the business on team performance metrics and quality, identifying opportunities to improve the customer experience, and driving upstream changes with operations and product leaders, Partner closely with cross-functional teams to deliver a scale-first organization by aligning on key metrics, goals & deliverables Strive for the continuous improvement of our operational workflows and processes Analyze performance data to identify opportunities for process improvements and optimization of the customer experience Collaborate to design strategies to improve customer engagement, community building, and community protection Ensure the operations team is fully aligned with the company's mission, values and roadmap Drive key initiatives to improve growth, engagement and belonging within the team You will be responsible for reporting at Weekly, Monthly, Quarterly and Annual Business Reviews for your area, You will build, foster and support your team, while holding team members accountable to expectations and performance, You will serve as a thought leader with stakeholders such as Trust, Legal, Privacy, CS Safety, Product Management, Policy, and understand how the policy/product roadmap impacts risk mitigation of emerging threats, Your Expertise 10+ yearsexperience in customer experience management and operational excellence, preferably in high tech and/or insurance organizations, Strong track record (> 5 years) of leading, recruiting, and coaching high performing teams at a global level, Insurance experience preferred In depth understanding of claims handling processes and regulations, Knowledge of customer experience best practices and trends Open, collaborative style with a Airbnb-first mentality, Proven track record of developing and executing successful strategies tailored to specific customer experience groups Ability to operate within a constantly changing environment with strong bias for action, including the ability to juggle multiple priorities and effectively deliver in a fast-paced, dynamic environment, Demonstrated ability to identify and resolve issues through effective problem solving skills, Proven ability to negotiate skilfully in difficult situations with both internal and external groups, Hybrid Work Requirements & Expectations: To support productivity and maintain a professional hybrid work environment, employees are expected to adhere to the following: Workspace: A dedicated, quiet, and private workspace free from interruptions and external noise Internet Connectivity: During the working hours, maintain a minimum and consistent internet speed of 10 Mbps on your official devices to ensure reliability for work-related tasks, including calls and virtual meetings Professionalism: Employees must remain fully engaged, respectful, and maintain a professional presence during virtual meetings, with video participation required unless otherwise approved, Confidentiality & Security: Employees are responsible for protecting Airbnbs Intellectual Property and Confidential Information Work-related activities, including calls and meetings, must not be conducted in public places, while traveling, or in any setting that may compromise confidentiality or work quality, Our Commitment To Inclusion & Belonging Airbnb is committed to working with the broadest talent pool possible We believe diverse ideas foster innovation and engagement, and allow us to attract creatively-led people, and to develop the best products, services and solutions All qualified individuals are encouraged to apply,

Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) Minimum 2 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

Preferred candidate profile Candidate should be from Property and Casualty Claims Process Immediate Joiners Only Good English Communications

Role & responsibilities Impact the Bottom Line: Drive the performance of a team of Consultants, meeting and exceeding all KPI targets. Strengthen Relationships: Manage attrition, shrinkage, and other critical metrics of the team. Influence the Lives of Others: Coach and mentor Consultants, providing feedback and performance management. Keep Management Updated: Inform leadership on the latest trends of end-user customers and provide feedback to Ops Managers. Define Sutherland's Reputation: Drive organizational initiatives within the team from time to time. Preferred candidate profile Minimum 5 years experience in the field of Property & Casualty Insurance, specifically handling claims. Minimum 2 years experience in team handling. Open to rotational shifts and working from office 5 days a week.

Job Title: MBBS Medical expert- Claim & Insurance (Claim Adjudication & Medical Auditor) Location: Delhi/NCR Key Responsibilities Review and adjudicate medical claims for accuracy, completeness, and compliance with established guidelines and protocols. Evaluate clinical documentation and medical necessity to ensure appropriate utilization and minimize fraudulent claims. Support the development and implementation of medical audit frameworks and tools. Collaborate with internal teams, insurers, and government stakeholders for scheme design and policy formulation. Analyze claim trends, identify irregularities, and propose corrective and preventive actions. Provide expert insights and recommendations on complex medical claims and health benefits adjudication. Contribute to the design and delivery of training programs related to claims processing, auditing, and compliance. Assist in drafting SOPs, process manuals, and operational guidelines for public health insurance schemes. Participate in healthcare policy evaluation, scheme monitoring, and audit assignments for state and national-level projects. Required Qualifications & Skills Essential: MBBS from a recognized university. Minimum 3 years and 7 years of post-qualification experience in the healthcare or health insurance sector. Health insurance or underwriting. Healthcare practice or claim processing/medical insurance services. Healthcare schemes or claims management/medical auditing. Strong analytical skills with an investigative approach to claim validation. Knowledge of ICD codes, medical billing, and healthcare regulations. Desirable: MD from a recognized university or institute. Proven experience in health insurance, medical underwriting, claims adjudication, or medical audit. Familiarity with government-sponsored health schemes (e.g., PM-JAY, state insurance programs). Strong analytical mindset with attention to detail and a structured investigative approach. Proficiency in using health claims management systems and audit tools. Excellent written and verbal communication skills. KPMG India has a policy of providing equal opportunity for all applicants and employees regardless of their color, caste, religion, age, sex or gender, national origin, citizenship, sexual orientation, gender identity or expression, disability, or other legally protected status. As an equal opportunity employer, KPMG is committed to fostering a culture where everyone feels welcomed and is treated fairly. If you have any reasonable accessibility or accommodation requirement that will make you more comfortable during the assessment and recruitment process, please let us know and our Talent Acquisition colleague will connect with you

Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) 25 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

About Navi Navi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is dedicated to building delightful customer experiences. Founders: Sachin Bansal & Ankit Agarwal Know what makes you a Navi ite : 1. Perseverance, Passion and Commitment Passionate about Navis mission and vision Demonstrates dedication, perseverance, and high ownership Goes above and beyond by taking on additional responsibilities 2. Obsession with high-quality results Consistently creates value for the customers and stakeholders through high-quality outcomes Ensuring excellence in all aspects of work Efficiently manages time, prioritizes tasks, and achieves higher standards 3. Resilience and Adaptability Adapts quickly to new roles, responsibilities, and changing circumstances, showing resilience and agility Key Responsibilities: Review submitted health claims for accuracy, completeness, and compliance with insurance policies and applicable regulations. Identify any inconsistencies, overbilling, or discrepancies between services provided and the claims submitted Detect potential fraudulent claims by analyzing patterns and identifying suspicious activities or behaviors Providing detailed reports on audit findings, Decision accuracy, including identifying overpayments, underpayments, or fraudulent activities Recommend actions based on findings, such as denying, reducing, or adjusting claims Communicate audit results and findings to management and external stakeholders Suggest process improvements to enhance the efficiency and accuracy of the claims audit process. Stay updated with industry trends, regulations, and changes in healthcare policies that may impact claims auditing Provide guidance and training to claims team members or other related stakeholders Investigating medical claims to identify fraud Automate system and bring in improvements on claims processes Team Management- Build and manage the team of doctors supporting the function The role involves identifying discrepancies, fraud, or errors in claims to ensure compliance with health insurance policies and regulatory requirements What are some of the good to have skills for this role? Medical Graduate in any stream (MBBS/BHMS/BAMS/BUMS/BDS) Experience in handling audit Background in claims processing with clinical experience in a hospital setting Data analytics experience would be an added advantage Knowledge of different languages would be an added advantage. Proficiency in Hindi and English is mandatory. Knowledge of health insurance policies and regulations, IRDAI circulars is must Strong analytical and problem-solving skills. Excellent attention to detail and ability to spot discrepancies Ability to anticipate potential problems and take appropriate corrective action Effective communication skills for working with different stakeholders Time management skills to meet deadlines. Should have a broad understanding of Claims Practice Sharp business acumen to understand health insurance claim servicing needs Excellent communication skills, including writing reports and presentations

Primary Responsibilities Team Handling Handle a team of 3050-member team, including SMEs and leads Effectively monitor the team's performance Track team's performance through intelligent reporting Conduct one-o-ones with team in timely manner Resolve team’s issues in a timely manner and motivate team to deliver in a highly complex and dynamic environment Should be able to convey leadership messaging Able to work in complex environments and should be able to multitask Prepare weekly and monthly reports/dashboards Be able to prepare and run client weekly/monthly presentations Track and report Risk and Compliance matters promptly Excellent understanding of P&C Auto Insurance processes Good skills and knowledge of leadership, facilitation, conflict resolution Excellent in logical and reasoning skills, ability to analyse the requirements Be innovative, open minded and progressive in thinking Can coordinate and do follow ups with stakeholders Excellent communication skills, both written and verbal - should be able to interact with client partners independently. Be open to work with other peers and team members as required by the Management Should be a competent user of MS Office including Word, Excel, PowerPoint, SharePoint, Teams and Outlook

Role & responsibilities: Handle and process insurance claims (Property, Casualty, Motor, Liability, or Employee Benefits) as assigned. Serve as the primary point of contact for clients, insurers, and third parties regarding claim status and inquiries. Perform claim intakes , document claim details, and validate policy coverage. Work independently (or with the AM / CSA) to manage and resolve queries from Clients and Claims adjusters / Reinsurers, seeking assistance as required ensuring escalation where necessary and resolution with minimum delay. Evaluate and negotiate settlements , ensuring fair and timely resolution. Maintain accurate and up-to-date claim records in the system. Prepare claim reports, summaries , and assist with trend analysis. Ensure compliance with regulatory standards , internal policies, and service level agreements (SLAs) . Escalate complex or fraudulent claims appropriately. Contribute to process improvements and client retention efforts. Preferred candidate profile: Minimum 5 years of experience in claims handling , insurance operations, or related fields (freshers with strong internships may be considered for junior roles). Understanding of insurance products and claims procedures . Excellent communication and customer service skills. Strong attention to detail, organizational, and time-management abilities. Proficiency with claims management software (e.g., Guidewire, Claim Center, or similar) and MS Office tools. Interested candidates can share their cv on below mentioned mail id: sonaly.sharma@crescendogroup.in References are highly appreciated.

CVminimizationrisk Join Hella Infra Market Limited as an Insurance Specialist Are you an expert in handling trade credit and corporate insurance policies? We're looking for a skilled professional to manage end-to-end insurance operations and ensure minimised across our diverse business operations. Key Responsibilities: Manage and oversee Trade Credit Insurance and ensure full compliance. Handle a broad range of corporate insurance products such as Fire, Electronic Equipment, PII, Machinery Breakdown, Liability, Contractor's Plant and Machinery, Transit, and D&O policies. Process claims and coordinate with insurers and brokers to ensure timely settlements. Draft, renew, and manage proposals, endorsements, and policy modifications . Communicate effectively with internal and external stakeholders. Negotiate coverage, premiums, and discounts to secure optimal insurance terms. Prepare and manage insurance MIS and reports for leadership review. Key Skills & Competencies: Strong understanding of corporate/general insurance and claims processing . Effective negotiation and analytical skills . Excellent verbal and written communication . Proficient in MIS/reporting . Ability to juggle multiple policies and ensure seamless execution. Share your cv at sahil.sangurdekar@infra.market Why Hella Infra Market Limited? Join one of the leading names in infrastructure, known for innovation, scale, and impact. If you thrive in high-performance environments and are ready to take ownership of critical insurance functions, this is the place for you.

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-:2yrs- 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 @ 9606556306 / 9606523804 !!!Thanks & Regards HR TEAM!!!

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 nandini.narula@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.

Roles and Responsibilities : Conduct thorough investigations into property damage claims to determine validity and extent of damage. Manage the entire claims process from intake to settlement, ensuring timely resolution and customer satisfaction. Collaborate with adjusters, contractors, and other stakeholders to gather evidence and resolve complex claims issues. Analyze policy coverage, state laws, and regulations to ensure accurate assessment of damages. Job Requirements : 3-8 years of experience in claims handling or adjudication (property & casualty). Strong understanding of travel insurance policies, including coverage options and limitations. Proficiency in claims processing software systems; ability to learn new systems quickly. Excellent analytical skills for evaluating complex data sets related to property damage. Interested candidate can share updated resume to brindha@gojobs.biz

Producer Assistant / Client Relationship Manager Location: Banjara Hills, Hyderabad Shift: Night Shift (US CST) Work Days: 5 Days (Saturday & Sunday Off) Office Timings: 7:30 PM 4:30 AM Interview Timings: 3:00 PM 10:00 PM (Afternoon) Number of Positions: 20 Producer Assistant Responsibilities: Support Producers/CRMs with quoting & underwriting submissions. Obtain & analyze competitive quotes from carriers. Handle policy renewals, endorsements, cancellations & reinstatements. Maintain client records & ensure compliance. Provide excellent client service and administrative support. Requirements: 1–2 years experience (Insurance industry preferred). Knowledge of P&C Insurance (Property, Home, Auto, Liability, Flood & Wind). Strong communication skills ( English & Hindi bilingual required ). Proficiency in Agency Management Systems. Bachelor’s degree preferred. Client Relationship Manager (CRM) Responsibilities: Manage client relationships, renewals & retention. Conduct risk assessments and recommend insurance solutions. Negotiate with carriers for competitive terms. Handle escalated client issues & claims. Mentor Producer Assistants & ensure smooth servicing. Requirements: 3–5 years of Insurance experience (P&C preferred). Strong negotiation & client servicing skills. Proficiency in Agency Management Systems. Bachelor’s degree preferred; certifications (CPCU, ARM) a plus. HR Contact HR Name: VMS Teja Phone: +91 7993902203 Office Location: Banjara Hills, Hyderabad Key Skills Insurance, Property & Casualty, Commercial Property, Homeowners, Auto, Liability, Flood, Underwriting, Quoting, Policy Servicing, Renewals, Endorsements, Claims, Agency Management System, Client Relationship Management, Customer Service, Business Development, Negotiation, Risk Management, Compliance, Communication, Bilingual (English & Hindi), Night Shift, US Insurance. NOTE: Only Male Candidate's

Role & responsibilities The Claims Adjudicator is responsible for the assessment of claims for individual insurance and make the payments Main Accountabilities: Assess the documentation received for a claim in order to reach a decision Determine how the contract applies to each claim Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations Maintain established service standards Evaluate opportunities for process improvements and actively participate in team initiatives and projects. Competencies • Knowledge of individual life insurance • Excellent written and verbal communication skills with an ability to handle written inquiries of a sensitive nature • At least 4+ Experience in Life Claim Adjudication/payment • Strong problem solving and analytical skills • Attention to detail • Team player with a positive attitude and commitment to provide quality service • Ability to balance high work volumes and inquiries • Good organizational and time-management skills • Solid PC skills with knowledge of Word and Excel Perks and Benefits Fixed Shifts Fixed Weekend offs Hybrid Mode of Working Cab Facilities Other Allowances Interested candidates can share their resume to { Sadhika- 9811174195.}