7662 Claims Jobs - Page 46

Manager - Claims Relationship Management Location: Chennai, India About AssetPlus AssetPlus is one of India s fastest-growing assisted wealth-tech platforms, empowering over 15, 000 Mutual Fund Distributors (MFDs) to serve more than 1. 5 Lakh retail investors. As we scale our insurance vertical, operational excellence is at the heart of what makes the business work. We believe that the insurance purchase journey must be fast, accurate, and partner-first. Whether it s a lead requesting quotes or a customer awaiting policy issuance, we aim to eliminate friction, improve speed, and maximize trust and that s exactly what this role will drive. The Role - When a customer faces a claim, its their m...

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...

1. Desktop Investigation Identify triggers at intimation/referral stage using data analytics. Conduct social media searches and cold calling via digital platforms. Perform link analysis to identify key business connections. 2. Claim Investigation Allocate claims to vendors based on case-specific triggers. Monitor Investigation Reports (IR) and manage Turnaround Time (TAT). Perform Level 1 QC and validate submissions against triggers. Ensure success in claim investigations through strong medical and legal evidence. Prepare detailed reports and coordinate with the claims team. 3. Evidence Matrix Assurance Validate evidence quality as per defined matrix. Maintain documentation and hardcopy reco...

Claim registration - On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions - On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the s...

1. 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 Ne...

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...

High Value Claims Management - Cashless claims Setting up guidelines for processing health cashless claims Seek expert opinion on rejection/repudiation of HV claims. Active coordination with ILM for closure of investigations within TAT Medical Guidelines Cashless Claims Management Set up medical claim processing criteria. Set guidelines for in-house claims review. Execute process improvement feedback. Active participation in Internal & External audit of the department Monitoring overall hospital service utilization. Work on data analytics fraud framework. Stringent monitoring & executing control measures of service over utilization by providers. Identify patterns and set triggers for suspici...

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...

Taking care of Corporate claims process One point contact for PID Creation and New MOU fallow up & collection External Surveyors fallow-up Back support for a team and an average of 800 Payment posting Attending phone calls of customers HO Co-ordination for repair portal ID creations

We are looking for a skilled Business Analyst with 6 to 11 years of experience in the insurance domain, preferably in PC Insurance. The ideal candidate will have strong analytical and communication skills, with experience working in Agile/Scrum environments. Roles and Responsibility Collaborate with stakeholders to elicit, analyze, and document business requirements for PC insurance applications. Translate business needs into functional and technical specifications for IT teams. Apply strong knowledge of PC insurance products, underwriting, claims policy administration, and regulatory compliance. Evaluate the impacts of system changes on insurance operations. Identify opportunities for proce...

We are looking for an experienced Business Analyst with strong expertise in Agile methodology and proven experience in the Pension and Insurance domain. The ideal candidate will act as a bridge between business stakeholders and technology teams, ensuring a clear understanding of requirements and successful delivery of business solutions. Roles and Responsibility Collaborate with business stakeholders to elicit, analyze, and document business requirements in the pension and insurance domain. Act as a Product Owner proxy in Agile squads, refining and prioritizing the backlog. Facilitate Agile ceremonies including backlog refinement, sprint planning, daily stand-ups, sprint reviews, and retrosp...

We are looking for a skilled Business Analyst with 5 to 10 years of experience in the insurance domain, specifically with Duck Creek technologies. The ideal candidate will have a strong understanding of insurance processes and workflows, as well as proficiency in Duck Creek Policy, Billing, and Claims modules. Roles and Responsibility Collaborate with stakeholders to gather and document business requirements related to Duck Creek systems. Analyze and translate business needs into functional specifications and system requirements. Work closely with development teams to design and implement Duck Creek solutions. Conduct gap analysis and recommend improvements to existing Duck Creek systems. Pe...

We are looking for a skilled Business Analyst with 5-8 years of experience in the Life Annuity Insurance domain to work closely with business users and drive project success. The ideal candidate should have excellent interpersonal communication skills, be proactive, detail-oriented, and possess critical thinking abilities. Roles and Responsibility Collaborate with business users to understand requirements and translate them into solution designs. Coordinate with developers to deliver solutions that meet user expectations. Participate in requirements elicitation sessions with Business SMEs to understand user stories and functional testing scenarios. Create, analyze, and validate detailed func...

SUMMARY About The Client : A Fortune 500 global leader in technology services and digital business solutions, this company delivers comprehensive Business Process Services (BPS) and IT-enabled solutions. With a worldwide presence, it serves diverse industries including banking, healthcare, retail, manufacturing, and communications. The firm's expertise spans a broad spectrum of critical processes from finance and accounting to human resources, customer service, and supply chain management - enabling clients to enhance efficiency, drive innovation, and achieve business agility on a massive scale. Job Title: Senior Process Executive (SPE) Domain : P & C Insuranc e operations ( Guidewire with c...

Role & responsibilities The Data Analyst will be responsible for analysing large datasets related to underwriting, claims, bordereaux, and financial performance, providing actionable insights to management, underwriting teams, and capacity providers. The role requires strong analytical acumen, attention to detail, and an understanding of insurance/reinsurance data flows, including exposure modelling, premium tracking, and loss ratios. Key Responsibilities Collect, clean, and validate data from multiple internal and external sources including underwriting systems, bordereaux submissions, reinsurer reports, and claims databases. Develop and maintain automated dashboards and performance reports...

Amex GBT is a place where colleagues find inspiration in travel as a force for good and - through their work - can make an impact on our industry. We re here to help our colleagues achieve success and offer an inclusive and collaborative culture where your voice is valued. Are you able to handle multiple priorities with energy and enthusiasmDo you enjoy working closely with senior management and a wide range of stakeholders to drive our GRESC activities and achieve our priorities Lead all aspects of employee business trip and cost-related tasks for compliance assurance. You will assist in processing and auditing travel and expense claims, maintaining records, and collaborating with various d...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

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

Job Title: Data Validation Analyst Organization: EMEA Delivery/NUID/Data Validation Hub/India_CH Grade: A02 PrintMailScan Production Associate II Purpose of role Data Validation Analyst plays a pivotal role in the entire Capture and Content cycle, ensuring that all documents delivered to customers are thoroughly validated. They must ensure the accuracy of information released after manual validation and promptly raise an alarm if any abnormalities are detected during the Data Validation Cycle. Additionally, Data Validation Analysts continuously seek opportunities for improvement. Scope of role The role of Data Validation Analyst role is to ensure that the information is accurately captured i...

Location: Kolkata Designation: Manager Your potential, unleashed. India s impact on the global economy has increased at an exponential rate and Deloitte presents an opportunity to unleash and realize your potential amongst cutting edge leaders, and organizations shaping the future of the region, and indeed, the world beyond. At Deloitte, your whole self to work, every day. Combine that with our drive to propel with purpose and you have the perfect playground to collaborate, innovate, grow, and make an impact that matters. The team Deloitte Audit & Assurance helps entities mitigate risk, while discovering new opportunities to create value. Our end-to-end risk services span all domains, from m...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer

Job Description Job Categories Business Development Job Type Full Time Chennai Requirements Prospect and generate new leads for our RCM services through cold calling, targeted outreach (phone, email, LinkedIn) and research. Conduct research to understand prospective clientsbusiness needs, challenges and pain-points so you can present tailored RCM solutions (billing, claims, denial management, etc) that meet those needs. Follow up and engage leads through the sales funnel: discovery, qualification, proposal, negotiation, closure. Consistently achieve or exceed assigned sales targets (monthly/quarterly) and drive revenue growth for the RCM business. Maintain accurate records of all sales activ...

Business Development Executive GT CARE FOR SKIN CARE FOR PEOPLE : Our two separate business segments are responsible for operations in their respective areas Consumer Segment and Tesa. For over 130 years, We have dedicated itself to meeting it s consumers- individual needs and are considered to be the inventors of modern skin care. It s research and development expertise, innovative products, and strong brands are the reasons for the success Care for consumers and our people is what has driven us. Every day, our global brand icons, , make more than 500 million consumers in over 200 countries feel good in their skin. Join this world of care and start your career in an environment that offers ...

Description & Requirements About the Role The Associate HR is responsible for managing Insurance process in co-ordination with vendor. Key Responsibilities Insurance Management Support employees with cashless and Reimbursement queries and co-ordinate with TPA for fast claim processing. To create awareness to employees on Insurance policy and process in various platforms. Conduct weekly and monthly review meeting with vendors to track their performance and discuss on the challenges. Track the points discussed and take all the action to closure. To manage mid-term addition, correction and deletion requests from the employees. To send addition, correction and deletion reports to the TPA and Ins...

Role & responsibilities: Arbitration documentation, involved in the preparation of Statement of Claim. Timely identification of potential claims in projects and their time extension. Issuing of timely notices and submissions to the Client as required under the Contract. Preparation of LOAs, Work Order, Subcontract Agreements and Involving in Negotiations meeting. Identifying Contract Deviations and taking steps to minimize financial risks Drafting of Contractual Correspondences. Project planning and coordination, Stakeholder management, Budgeting and cost control Risk management Communication and interpersonal skills Problem-solving and decision-making Team leadership and collaboration. Pref...