4480 Claims Jobs - Page 33

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

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficiencies What are we looking for? Mechanical knowledge of machinery/auto-componentInvestigate and Verify warranty claims based on available external s...

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesAnalyze, improve and optimize automotive supply chains to make them more effective, efficient and resilient through digitization. What are we ...

You will be responsible for managing a portfolio of clients, analyzing their insurance needs, and recommending appropriate coverage options. You will also be responsible for developing new business opportunities, building relationships with potential clients, and negotiating terms to secure new accounts. Key Responsibilities: Client Management: Build and maintain strong relationships with existing clients, serving as their primary point of contact for all insurance-related matters. Conduct regular reviews to assess their evolving needs and recommend adjustments to their coverage as necessary. New Business Development: Identify and pursue opportunities to expand our client base, targeting key...

Prescribing medication Physically administering treatments Interpreting laboratory results Assessing symptoms Diagnosing Providing follow-up care Staying up to date on medical research Problem Solving and Critical Thinking The primary role of an Medical Officer involves problem-solving and critical thinking to find solutions for patients. Doctors mainly use these skills to assess symptoms, diagnose conditions and develop a treatment plan for their patients. These skills help doctors to evaluate information and make decisions according to their observations. Some of the problem-solving and critical thinking skills are: Analytical thinking Creative thinking Solution-oriented thinking Ability t...

Job Descriptions: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Build and maintain operational dashboards, trackers, and reports using Excel and SQL-based tools Analyze large data sets to identify trends, process gaps, and opportunities for efficiency Collaborate with internal teams (claims, partner success, underwriting) to resolve operational issues Handle enrollment of programs with insurers Handle claim payments with partners Monitor SLAs, TATs, and other key metrics across protection programs Support process documentation and automation initiatives Assist in onboarding new partners, integrating plan workflows, and ensuring data quality Work closely with product and tech teams to troubleshoot system-level issues and suggest enhancements

Job Descriptions: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Driving Insurance Business in assigned Location / Region for all verticals like HL/MSME/GL and CL Coordinating with Insurance Companies for Business support, Products, Claims Working closely with all Vertical AH/ Branch Managers and Relationship Manager to drive insurancepenetration and business targets Manager the SP Creation and conduct R&R for Employee Will be resposible for POSP Creation and Driving them for Business Training to Sales Team on Insurance products, processes and other important parameters.

The role of the trainer in this competitive industry is not only limited to content delivery. The trainer in his/her role acts not only as the knowledge center but also as a pillar of support and guidance towards business development. The functional role of a trainer is crucial for ensuring that employees possess the necessary knowledge and skills to perform effectively in their roles. Trainers in the insurance industry play a functional role by developing employees expertise in insurance products, sales, compliance, and operational processes, directly contributing to improved service delivery, efficiency, and overall business success. Job Summary Trainer will be responsible for delivering e...

Managing office administration assets and upkeep of the same. Agents Contracting New Business Processing Banking of Initial & Renewal Premium Managing Petty cash & vendor payments Retention of Surrender Requests Execution of all Service Requests - Post Policy Issuance Reverting on customer queries and complaints Maintaining high NPS Scores Life Claims processing Handling compliance issues. Audit Rating Measure of Success Customer Engagement - As per the process Retention (All 4 cohorts) - As per the Process NPS-85 100% Banking with 24 hours. Vendor payment TAT should be Surrender Requests 100 % Accuracy of POS requests 100 % Accuracy of Customer service Zero Day upload of POS & Claims Docs i...

Sr. Team Member - Compliance: Responsibilities Closely monitoring, analysis and reporting of Operational risks KRIs of the company which may include Operations, Claims, Grievance etc. Assist in identification of key risks and conduct risk assessment for such identified areas Review and carry out the impact assessment for various key risks parameters and determine the inherent and residual risks Participate in cross functional discussion, assist in required processes change for mitigating the risks, and provide necessary training and assistance. Prepare & publish Global compliance risk assessment report, discuss with departments and provide inputs for improvements, analyse trends and identify...

Business Analyst: Job Summary: We are seeking a highly skilled and experienced Business Analyst with good domain expertise in Life Insurance tojoin our dynamic team. The ideal candidate will play a pivotal role in bridgingthe gap between business needs and technology solutions, driving strategicinitiatives, and enhancing operational efficiency. Key Responsibilities: Collaborate with stakeholders to gather, analyze, and document business requirements related to life insurance products, processes, and systems. Translate business needs into functional specifications and user stories for development teams. Conduct gap analysis, feasibility studies, and impact assessments for new initiatives and ...

Urgent Hiring Subject Matter Expert (SME) Operations Claims Adjudication (US Healthcare) Location: Indore, Coimbatore, Bangalore Notice Period: Immediate joiners or candidates with less than 30 days notice preferred Department: Claims Operations Experience: Minimum 3.6 years in US healthcare claims adjudication Role Summary: We are seeking a Subject Matter Expert (SME) Operations for US healthcare claims adjudication . The SME will act as the process authority , supporting operations teams in handling complex claim scenarios, resolving escalations, and ensuring process adherence. This role involves mentoring team members, driving operational excellence, and partnering with stakeholders to de...

Urgent hiring for Specialist quality 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. Quality Analyst Claims Adjudication (US Healthcare) Experience: 4 years Location: Indore, Coimbatore, Bangalore Department: Claims Operations Role Summary: A results-driven Quality Analyst with 4 years of experience in US healthcare claims adjudication. Proficient in conducting audits, ensuring compliance, and improving accuracy in claims processing. Skilled in applying 7 QC tools, Root Cause Analysis (RCA), Corrective & Preventive Actions (CAPA), and Six Sigma methodologies to dri...

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...

Role & responsibilities : Build and maintain strong business relationships with category decision-makers across modern trade and e-commerce accounts. Drive business growth by setting regional performance goals in alignment with MT & E-com Head. Conduct market intelligence to track trends, competition, customer preferences, and new product launches. Ensure timely NPI (New Product Introduction) listings and linkages across accounts. Collaborate with supply chain and operations teams to ensure in-stock availability and fill rates. Ensure commercial hygiene timely collections, claim settlements, quarterly reconciliations, and smooth cash flow. Handle TOT negotiations, agreements, and account set...

Job Title : Assistant Manager / Deputy Manager Department : Legal and Claims Sub Department : - Reporting : General Manager Role Summary: Monitor and handle all legal issues regarding claims matters. Handle all sorts of recovery actions such as outstanding freight, detention, and demurrage, abandoned and longstanding containers, more generally all costs and expenses incurred by CMA CGM and recoverable from third parties. Core Responsibilities: In case of new claims acknowledge receipt of claims within 24 hours of receipt of claim/notification. Gather all relevant documents and report to HO all claims within 24 hours. Advise on the merits of the claim and future steps to be taken. Monitor and...

We are looking for EDI Developer for Bangalore / Hyderabad / Chennai Experience : 6 to 10 Years Location : Bangalore / Hyderabad / Chennai NP : Immediate to 15 Days Please send updated resume below mail ID : sumanta.majumdar@infinite.com JD : Responsibilities Design, develop, and maintain EDI processes. Translate business requirements into technical specifications. Develop and execute test plans for all levels of system testing. Manage daily EDI operations, including monitoring and troubleshooting. Implement and manage EDI trading partners and maps. Coordinate with internal and external partners to ensure accurate data exchange and smooth operation. Document and maintain EDI standards and pr...

Afcons Infrastructure Limited is an Indian multinational construction and engineering company based in Mumbai. The company provides infrastructure services and is involved in the construction of infrastructure projects such as viaducts, flyovers, metros, bridges,Industrial, pipelines, roads, ports, barrages, oil and gas projects etc Roles and Responsibilities 01 Phase I: Initial Phase of Project Reading and analysis of the Contracts Drafting Contract Appreciation Document (CAD), Contractual correspondence Providing assistance to Project Team in initial contractual compliances required during Letter of Award (LOA) / Commencement stage and during Contract closure i.e. Keeping a check on contra...

AGG is adding an INSGuidewire Duck Creek Senior to lead and contribute to Duck Creek implementation projects across policy, billing, claims, and customer modules. The role involves providing technical guidance, mentoring team members, collaborating with clients, and ensuring high-quality deliverables while actively participating in architectural discussions. Strong hands-on expertise in Java, Spring, Hibernate, microservices, and modern DevOps practices is required. KEY RESPONSIBILITIES Serve as a senior developer on Duckcreek implementation projects. Participate in and provide technical recommendations during technical and architectural discussions. Provide periodic updates to the Project M...

AGG is adding a Senior Guidewire EIS Developer to lead and contribute to V12 implementation projects across Policy, Billing, Claims, and Customer modules. The role involves providing technical guidance, participating in architectural discussions, mentoring team members, and ensuring high-quality deliverables while collaborating with clients. Candidates should have strong hands-on expertise in Java, Spring, Hibernate, microservices, and modern DevOps tools, along with experience in client-facing roles and Agile environments. KEY RESPONSIBILITIES Serve as a senior developer on EIS implementation projects. Participate in and provide technical recommendations during technical and architectural d...

AGG is seeking a Senior Duck Creek Claims Configuration Consultant to lead the design, development, and customization of Duck Creek Claims solutions. This role involves working closely with stakeholders to translate business needs into technical solutions, mentoring junior team members, and ensuring the delivery of high-quality, scalable claims configurations. The ideal candidate will bring strong hands-on expertise with Duck Creek Claims (v10/v11), SQL Server, .NET, and web services, along with proven experience in guiding teams and driving successful project outcomes. KEY RESPONSIBILITIES Design, build, and configure Duck Creek Claims applications to meet business process and application r...

In the above context, the RMrole is responsible to supervise the business delivery under Banca team and Tie Ups& primarily grow the business with profits, Channel Management Managing Banks, NBFCs and other Micro Finance companies. Also liaising with Operations & Product tower, Process Excellence group, Claims,Finance,legal, Business Intelligence, marketing & Human Resource teams for the process. Ensuring that we deliver best of our services to client as well as to banks. Key Accountabilities/ Responsibilities Responsible for Achieving overall Gross Written Premium Team Management. Channel Relationship. Visit Branches Conduct Meetings Regular training of Bank employees regarding TAGIC Product...

Execution Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & a...