4480 Claims Jobs - Page 39

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : BAMS, BHMS and MBBS(with indian registration Work from Office only Interested candidates can share there profiles to disha.raman@mediassist.in or WhatsApp to 8904968911.

Review application on applicant pre-existing medical condition, claim history & personal habits by applying underwriting rules. Review and Analyze risk basis on health insurance applications, medical reports & other relevant document to assess risk. Required Candidate profile Degree – BHMS/BDS/BPT/BAMS. Exp. – 1+ yrs. in any TPA/Insurance company (Fresher can be consider for Medical Underwriting.

AM/DM - Claims - Commercial Lines - Non-Motor - 2-6 Years - Bangalore Location - Bangalore & Mumbai An exciting opportunity for professionals with 26 years of experience in Non-Motor Claims (Property, Fire, Engineering, Miscellaneous, Workmen Compensation). This role demands strong analytical, communication, and customer service skills to handle claims effectively, detect fraud, and ensure timely resolution. Your Future Employer - A leading and one of Indias fastest-growing digital-first general insurance companies , revolutionizing the insurance industry through technology, customer-first service, and innovative products. Responsibilities - Handle and process Non-Motor claims (Property, Fir...

Job Tile : Claims processing Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Tre...

About the role: You will be a part of the Division Asia P&C Reserving team in Bangalore and will have ample opportunity to apply your technical actuarial, modelling and data analytics skills across a variety of activities outlined below. You will work in collaboration with Reserving actuaries based in Asia and Globally. You will liaise regularly with other functions and departments such as Underwriting, Client Management, Claims, Technical Accounting, Finance and Risk Management. The job responsibilities include the following: Quarterly reserves analysis for Division Asia P&C business Reporting of quarterly results to senior management and the Reserve Committee Yearly estimation of payment p...

EU 261 Assessment : Evaluate passenger claims under EU 261 regulations, ensuring proper eligibility determination based on operational factors. Evidence Gathering : Proactively collect and analyze relevant flight operations data (e.g., flight logs, METAR/TAF weather reports, NOTAMs, ATC communications, maintenance records). Operational Analysis : Assess the impact of disruptions related to meteorological conditions, technical faults, air traffic control restrictions, and other operational factors. Stakeholder Coordination : Collaborate with airline departments such as flight dispatch, maintenance, ground handling, and flight crews to verify claims-related evidence. Regulatory Compliance : En...

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...

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...

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...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

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...

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...

Conduct Market research to study latest industry developments Ideate and brainstorm with supervisor and Marketing teams to develop new products/ changes in existing products to achieve a competitive advantage Collaborate with Actuarial, Legal & Finance teams to decide on the pricing and market placement aspects Present the product ideas to Product Management committee and Senior Leadership for approval Design product filing documents including all terms and conditions and work on modifications to the product wordings as per the feedback provided by the regulatory authority. Build marketing and other support collaterals to take the product to market Collaborate with Marketing and other teams ...

We are seeking a talented individual to join our Operations team at Guy Carpenter. This role will be based in Mumbai. This is a hybrid role that has a requirement of working at least three days a week in the office. Specialist Transactional Services We are seeking a detail-oriented Document Verification Specialist with a strong understanding of reinsurance principles, contracts, and market practices to support our client onboarding process The primary responsibilities include verifying, validating, and authenticating documents submitted by clients to ensure accuracy, completeness, and compliance with company policies and regulatory standards The role involves managing data collection, storag...

As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily activities of the Human Resource Office including oversight of recruitment, total compensation, and training and development. Additionally, he/she focuses on delivering HR services that meet or exceed the needs of employees and enable business success; as we'll as ensures compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Res...

As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily activities of the Human Resource Office including oversight of recruitment, total compensation, and training and development. Additionally, he/she focuses on delivering HR services that meet or exceed the needs of employees and enable business success; as we'll as ensures compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Res...

Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as we'll as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Ass...

We are currently seeking an experienced professional to join our team in the role of Software Engineer. In this role, you will: Providing HR system functional support at a global level for a variety of task; including but not limited to: Assist payroll users in processing production Payrolls and resolve payroll queries raised by business/operations with-in agreed timelines. Prepare detailed analysis report and share with technical/Functional teams (Tier-3) to facilitate defect fixing. Ensuring the payroll manuals/SOPs/KBA is relevant, up-to-date and is always used. Prioritization of workload of assigned tasks on a day-to-day basis and share knowledge with the team members. Assisting other te...

Expert in Forensic Schedule Delay Analysis, Disputes, Arbitration & Claims, Project Management, Cost Planning & Control of Infrastructure projects. Analyze project schedules to identify critical activities and sources of delay various methodologies Required Candidate profile Investigate root causes of delays and document findings, preparing clear reports and presentations for stakeholders. Provide expertise in claims preparation and support during dispute resolution.

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, pipelines, roads, ports, barrages, oil and gas projects etc Roles and Responsibilities 01 Billing Assisting Site to submit Advance Bank Guaranty (ABG), Performance Bank Guaranty (PBG), RBG, Insurance as per the contract conditions. Timely preparation of Client Bills, Subcontractor / Piece Rate Contractor Bills ensuring accuracy. Preparation of Final Bills as per site conditions Work Order processing Preparing Item Rate Analysis, get...

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, pipelines, roads, ports, barrages, oil and gas projects etc Roles and Responsibilities 01 Billing Assisting Site to submit Advance Bank Guaranty (ABG), Performance Bank Guaranty (PBG), RBG, Insurance as per the contract conditions. Timely preparation of Client Bills, Subcontractor / Piece Rate Contractor Bills ensuring accuracy. Preparation of Final Bills as per site conditions Work Order processing Preparing Item Rate Analysis, get...

Quapt Technologies is looking for QA Engineer to join our dynamic team and embark on a rewarding career journey Responsible for ensuring the quality and reliability of software products Developing and executing manual and automated tests Identifying and reporting software defects Collaborating with development teams to ensure that software meets quality standards Designing and maintaining test cases and test plans Participating in code reviews to identify potential quality issues Strong understanding of software development and testing methodologies Knowledge of software testing tools and techniques Experience with manual and automated testing Excellent problem-solving and troubleshooting sk...

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, pipelines, roads, ports, barrages, oil and gas projects etc Roles and Responsibilities 01 Billing Assisting Site to submit Advance Bank Guaranty (ABG), Performance Bank Guaranty (PBG), RBG, Insurance as per the contract conditions. Timely preparation of Client Bills, Subcontractor / Piece Rate Contractor Bills ensuring accuracy. Preparation of Final Bills as per site conditions Work Order processing Preparing Item Rate Analysis, get...

Assessing and evaluating risks for motor insurance policies Determining coverage terms and premiums Ensure compliance with regulatory standards Collaborate with agents to tailor policies.