411 Claims Management Jobs

Genpact is a global professional services and solutions firm driven by curiosity, agility, and a desire to create value for clients. With a workforce of 125,000+ individuals in over 30 countries, we serve leading enterprises worldwide by leveraging our deep business knowledge, digital services, and expertise in data, technology, and AI. We are looking for candidates for the position of Management Trainee, Claims, who will be responsible for adjusting and authorizing claim settlements and fees within specified authority limits. The role involves providing efficient service to clients and brokers, monitoring external service providers, and ensuring data accuracy. Responsibilities: - Preferred experience in the Pharma Industry. - Hands-on management of daily Claims, Deductions, or Dispute operations. - Comprehensive understanding of OTC and its connection with Claims/Deductions. - Proficiency in different types of Claims requests. - Ability to identify key factors/causes related to Claims/Deductions. - Minimum typing speed of 30 WPM required. - Effective communication of technical issues to IT staff for problem resolution. - Resolution of Customer/Client Queries and development of strategies to achieve goals. - Conducting RCAs and Controls for any process deviations. - Identification of issues leading to account delinquency and communication with management. - Strategic thinking and decision-making skills. - Willingness to work flexible shifts in a 24x7 environment. - Building customer relationships and instilling confidence. - Excellent verbal and written communication skills. - Strong problem-solving and analytical decision-making abilities. - Experience in creating Standard Operating Procedures. - Preference for candidates with experience in SAP and Salesforce. - Ability to work independently and adapt to changing environments. - Adherence to strict timelines. - Proficiency in Microsoft Office, including MS Excel and MS Word. - Attention to detail and accuracy. - Creative, self-disciplined, and capable of completing critical tasks independently and promptly. Minimum Qualifications: - Bachelor's Degree or equivalent formal education qualification. Preferred Qualifications: - Relevant experience in a related field. - Progress towards recognized Industry qualifications such as ACII. Location: India-Noida Schedule: Full-time Education Level: Bachelor's / Graduation / Equivalent Job Posting: Jan 8, 2025, 12:44:17 AM Unposting Date: Feb 7, 2025, 12:29:00 PM Master Skills List: Operations Job Category: Full Time,

Big News from Dynamic Insurance Surveyors and Loss Assessors Pvt. Ltd.! We are proud to announce the opening of our brand-new office in Delhi NCR. As we expand our footprint, we are also expanding our team and are on the lookout for passionate, skilled professionals in the Insurance Surveyor domain to join us on this journey. We are Hiring for the Following Roles: Branch Head - Minimum 10 years of experience required - Must hold a valid IRDA Insurance Surveyor license Claim Assistant - Property Claims - Minimum 2 years of relevant experience required Claim Assistant - Marine Claims - Minimum 2 years of relevant experience required If you are looking to grow your career with a fast-moving and respected name in the industry, this is your chance! Send your resume to rajesh@dynamicsurveyors.com/rajender@dynamicsurveyors.com or DM us directly. Visit us at www.dynamicsurveyors.com to learn more. Let's shape the future of insurance survey together! #Hiring #InsuranceSurveyorJobs #DelhiNCRJobs #ClaimsManagement #PropertyClaims #MarineClaims #JoinOurTeam #CareerOpportunity #DynamicSurveyors,

As a Claim Manager at SARGAM Insurance Brokers Pvt. Ltd., you will be tasked with handling and managing insurance claims efficiently and effectively. Your role will be crucial in ensuring prompt claim settlements and providing expert assistance to clients. Based in Delhi, India, this full-time on-site position requires individuals with strong analytical skills and a deep understanding of claims handling and management processes. Your ability to assess risks accurately and navigate insurance complexities will be instrumental in your day-to-day responsibilities. The ideal candidate for this role will possess a background in the insurance industry, along with a proven track record of successful claims management. Additionally, excellent communication and negotiation skills are essential to effectively interact with clients and facilitate claim settlements. If you are passionate about making a meaningful impact in the insurance sector and are adept at analyzing risks and resolving claims efficiently, we encourage you to apply for this exciting opportunity at SARGAM Insurance Brokers Pvt. Ltd.,

As a Financial Analysis Advisor specializing in Commercial bidding and Pricing at a senior level, your primary responsibility is to provide recommendations and conduct reviews on the pricing and costing of deals. This is to ensure maximum benefit and minimum risk to the organization. You will be tasked with preparing the commercial components of sales proposals for submission to clients. A crucial aspect of your role involves building and compiling pricing models for specific proposals and contributing to the development of standardized pricing models. You will present key pricing assumptions and risks for approval at relevant levels, aligning with the authority matrix. Collaborating with vendors, subcontractors, and legal teams during the inception, construction, and evaluation of client proposals is essential. Your role also entails safeguarding deal profitability by assessing long-term profit, foreign currency impacts, and considerations such as taxation, inflation, and cost of living. Your involvement extends to negotiating deals with clients, offering insights on commercial viability, and preparing contract and financial budgets, reports, and summaries. Ensuring accurate and timely billing, managing commercial disputes, and overseeing claims and changes from a contractual and financial perspective are vital components of your responsibilities. Furthermore, you will review, negotiate, and influence the commercial terms of additional contracts and tender documents. In addition to your core responsibilities, you are expected to mentor and coach junior members of the commercial team to enhance overall competence. Your knowledge and attributes should include a profound understanding of local operating and commercial conditions, expert negotiation skills, lateral thinking ability, attention to detail, and significant business acumen. Strong communication, team collaboration, and Microsoft Office skills are also essential. Academically, you should hold a Bachelor's degree in Business Administration, Finance, or a related field. Possessing a Master's degree such as an MBA or in Finance would be advantageous. Required experience for this role includes significant exposure to commercial operations within a global IT services organization, deal support, contract administration, pricing assumptions, vendor management, accounting, and contract reviews. Proficiency in relevant sales systems like Salesforce.com is also preferred.,

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are adept at creative problem solving; have good judgment and analytical skills Have excellent verbal and written communication skills and strong negotiation skills. Thrive in environments that celebrate co-creation and collaboration. Have high resilience - can manage yourself, your teams and your peers when faced with ambiguity or failure

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are adept at creative problem solving; have good judgment and analytical skills Have excellent verbal and written communication skills and strong negotiation skills. Thrive in environments that celebrate co-creation and collaboration. Have high resilience - can manage yourself, your teams and your peers when faced with ambiguity or failure

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are adept at creative problem solving; have good judgment and analytical skills Have excellent verbal and written communication skills and strong negotiation skills. Thrive in environments that celebrate co-creation and collaboration. Have high resilience - can manage yourself, your teams and your peers when faced with ambiguity or failure

You have an exciting opportunity as a Project Manager - Civil Engineer with 10-12 years of experience. In this role, you will be responsible for managing the day-to-day activities of site execution, coordinating with clients, architects, and the office, as well as mobilizing and managing resources like labor. Additionally, you will oversee work schedules, labor, and material schedules to ensure projects are completed successfully. To qualify for this position, you must hold a bachelor's degree in civil engineering, construction management, or a related field. You should have a proven track record of delivering projects on time and within budget, along with a strong understanding of construction methodologies, building codes, and safety regulations in the Indian context. Your project management skills should be top-notch, including effective planning, organization, and task prioritization. Proficiency in reading and interpreting technical documents such as project blueprints and construction schematics is essential, as well as strong leadership and communication skills to manage project teams and stakeholders. Experience with construction management software, project scheduling tools, and cost estimation software is required, along with familiarity with sustainable construction practices and green building certifications. Preferred qualifications include a professional certification in project management or construction management, knowledge of risk and budget management principles, experience in managing large-scale construction projects in India, understanding of local construction regulations and approval processes, proficiency in Building Information Modelling (BIM) software, experience with construction contract negotiations and claims management, knowledge of lean construction principles, and strong financial acumen in project budgeting and cost control. This is a permanent position with a day shift schedule and requires in-person work at the designated location. If you are a motivated and experienced Project Manager - Civil Engineer looking to take on challenging projects and contribute to the success of construction initiatives in India, this role is perfect for you.,

- Offer comprehensive support through both phone and email communications. - Address complaints effectively, delivering suitable solutions and alternatives within established timeframes. - Conduct follow-ups to guarantee resolution. - Supply accurate and relevant information utilizing the appropriate tools. - Document and update notes for each call or email interaction. - Exceed expectations to prevent any inconvenience.

Kitchen Treasures is Hiring! Job Title: Sales Accountant Location: Ponnurunni, Ernakulam Apply to: kavitha.ms@intergrowbrands.com Key Responsibilities BTL Claims Management Receive, verify, and process distributor BTL claims in line with approved trade schemes. Cross-check claims with scheme documents, approvals, and supporting materials for accuracy. Claim Accounting & Reconciliation Ensure timely and accurate posting of verified claims into the ERP system. Maintain complete documentation and audit trails. Credit Note Handling Generate credit notes post-claim approval. Monitor disbursement timelines and update account ledgers accordingly. Distributor Support Handle claim-related queries from distributors with professionalism. Collaborate with Sales and Trade Marketing teams for resolution and clarification. BTL Budget Monitoring Track actual spends vs. planned budgets. Prepare reports on claims, approvals, and budget consumption. Compliance & Controls Adhere to internal controls and policies while processing claims. Provide data and reconciliations during audits. Skills & Competencies Accounting Basics Journal entries, debit-credit principles, and financial reporting Excel Proficiency – Formulas, Pivot Tables, VLOOKUP/XLOOKUP Numerical Accuracy – Precision in financial calculations ERP Experience – SAP/Oracle or similar preferred Qualifications & Experience Bachelor’s degree in Commerce, Accounting, or related field 0–2 years of experience in Sales Accounting, Claims Processing, or Commercial Finance FMCG or distribution sector experience is an added advantage Interested candidates can apply by emailing their CV to: kavitha.ms@intergrowbrands.com

As the Insurance Manager for our manufacturing facilities, you will play a crucial role in overseeing the insurance needs and operations of our organization. Your primary responsibility will involve developing and executing insurance strategies that are in line with our business objectives. You will be tasked with managing relationships with insurance providers to ensure comprehensive coverage for our manufacturing assets and operations. Your key responsibilities will include: Strategic Insurance Management: Develop and implement insurance strategies that align with our risk management and business objectives, with a specific focus on the manufacturing sector. Insurance Portfolio Management: Oversee our corporate insurance portfolio, which includes property, liability, workers compensation, and other relevant coverages. Risk Assessment: Conduct risk assessments to identify potential exposures, working closely with insurance providers to secure appropriate coverage and minimize risk. Vendor Management: Build and maintain strong relationships with insurance brokers, providers, and consultants to secure optimal insurance solutions for our organization. Claims Management: Manage the claims process efficiently, ensuring timely and fair resolution by coordinating information and documentation. Team Leadership: Lead and mentor a team of insurance professionals, providing guidance, training, and support to achieve departmental goals. Compliance and Reporting: Ensure compliance with regulatory requirements and internal policies, preparing detailed reports on insurance coverage, claims, and risk management activities for senior management. Operational Coordination: Collaborate with other departments such as finance, legal, and safety to integrate insurance strategies with broader operational and risk management initiatives. To excel in this role, you should possess: - Excellent knowledge of insurance products, risk management practices, and industry regulations. - Strong leadership, communication, and interpersonal skills to effectively manage teams and interact with senior management. - Exceptional analytical and problem-solving abilities to address complex insurance challenges. - Ability to work independently and collaboratively in a dynamic environment. - Proficiency in MS Office and familiarity with insurance management software. If you are a proactive and detail-oriented professional with a passion for insurance management and risk mitigation, we invite you to join our team and contribute to the success of our manufacturing operations.,

???????????????????????? *Claims management *Communication *Relationship building *Negotiation *Customer handling *Prospecting ???????????????????? ???????????? ???????????? :- Basically you will be appointed as an insurance advisor in "LIC" who will sell insurance products on behalf of LIC. It will be purely a sales job. You have to provide the best service to customer. ???????????????? ???????????? ???????????????? ???????? ???????????????????????????? In the first year you will be getting a commission of 28% on each and every policy you sell in the second , third, fourth and fifth year you will get 7.5% renewal commission afterwards you will get a renewal commission of 5% till the policy matures. you will be getting mediclaim your own life insurance without any premium paid by you housing and car loan festival advances office allowance A chance of getting a government job in LIC ???????????????????? ????????:- Life Insurance Corporation of India (LIC) offers a variety of insurance and investment products. Some of the key products include: LIC Term Insurance Plans: Provide pure life cover for a specified term. LIC Endowment Plans: Combine insurance coverage with savings and maturity benefits. LIC Money Back Plans: Offer periodic payouts along with maturity benefits. LIC Whole Life Insurance Plans: Provide coverage for the entire lifetime of the policyholder. LIC ULIP (Unit Linked Insurance Plans): Combine life insurance with market-linked investment options. LIC Pension Plans: Designed to provide a regular income after retirement. LIC Health Insurance Plans: Cover medical expenses and provide financial support in case of illness. LIC Children&aposs Plans: Tailored for the education and future needs of children. LIC Micro Insurance Plans: Aimed at providing insurance to economically vulnerable sections of society. ???????????? ???????????????? ????????????????????????????, ???????????????????????????? ????????:- Gmail- [HIDDEN TEXT] Show more Show less

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical 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 non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 1st Floor, H8M9+677, Block D, Noida Sector 3, Noida, Uttar Pradesh 201301 Interested candidates can share their resumes to WhatsApp to 9795919025

Role Overview: We are seeking a dynamic and experienced professional to lead our Employee Benefits Client Servicing team. This individual will be responsible for driving service excellence, managing high-value corporate relationships, and overseeing a team of servicing professionals to ensure timely and quality delivery of EB solutions. The ideal candidate will possess deep technical knowledge of EB products and strong experience in managing group health and life claims, client relationships, and internal cross-functional coordination. Key Responsibilities: Client Leadership & Relationship Management Act as the senior point of contact for key EB clients. Build and maintain strong C-level client relationships, understanding their evolving needs. Lead client governance meetings, renewal discussions, and strategic reviews. Team Management Lead, mentor, and manage the EB Client Servicing team across locations. Define KPIs, ensure adherence to SLAs, and continuously improve team performance. Develop team capability through training, coaching, and performance management. Policy Administration & Endorsements Oversee and ensure timely processing of endorsements including addition and deletion of employees and dependents in line with client requirements and insurer guidelines. Ensure accuracy and completeness in data sharing with insurers/TPAs for seamless endorsements. Implement standard operating procedures to track and audit endorsement workflows. Claims Management Oversee end-to-end claims handling processes for group health, life, and other benefits. Liaise with insurers and TPAs to ensure timely and accurate claim settlements. Resolve escalated claim issues, ensuring high client satisfaction and minimal friction. Organizing Wellness activities for the clients. Process Improvement & Delivery Excellence Streamline service workflows for efficiency and scalability. Standardize client onboarding, MIS/reporting, policy documentation, and service charters. Drive implementation of digital servicing tools or platforms for enhanced client experience. Internal Collaboration Work closely with Placement, Sales, Underwriting, and Product teams to ensure coordinated service delivery. Lead internal service review meetings and present account-level insights to management. Wellness Program Management Conceptualize, organize, and implement employee wellness programs for corporate clients, including health camps, awareness sessions, webinars, and engagement initiatives. Coordinate with wellness vendors, medical partners, and clients for seamless execution. Track participation metrics and client feedback to enhance future wellness offerings. Technical & Professional Skills: Deep domain expertise in Employee Benefits, especially Group Health, Group Life, and Wellness offerings. Strong knowledge of insurance regulations, IRDAI guidelines, and TPA processes. Proven experience in managing large-scale employee benefit programs and high-volume claims. Excellent communication, stakeholder management, and conflict resolution skills. Advanced proficiency in Excel, PowerPoint, and client-facing reporting tools. Strategic mindset with strong execution capability.

The main focus of this position is to oversee and manage Group Personal Accident (GPA) claims, ensuring that they are processed efficiently, documented accurately, and resolved promptly. Your responsibilities will include maintaining an up-to-date claims database, communicating with claimants, addressing inquiries, and ensuring compliance with claim settlement deadlines. You will be tasked with reviewing claim documents to verify completeness and correctness, updating claim status on the ARIBL Claim Portal based on received documents, and identifying any discrepancies or missing information for prompt resolution. It will be your duty to maintain a comprehensive Management Information System (MIS) for all claims to guarantee data integrity and to generate analytical reports for monitoring claim patterns and performance indicators. You will be responsible for managing the Turnaround Time (TAT) for claim clearance, making sure that all claims are processed within the stipulated time frame, and collaborating with internal departments and external parties to accelerate settlements. Your role will also involve addressing email queries from claimants, clients, and other stakeholders, as well as meeting claimants in person at the desk to provide necessary assistance and support. Furthermore, you will be required to create PowerPoint presentations for seminars, awareness programs, and training sessions, and to conduct workshops or training sessions to educate stakeholders on the GPA claim process. Occasionally, as needed, you may need to travel across India to meet with claimants, raise awareness about the policy, and resolve any outstanding issues. Additionally, you will collaborate with regional and corporate SBI offices to ensure smooth claim processing.,

Drafting, reviewing, and negotiating various types of contracts including Confidential, Joint Venture, Consortium, and Service provider agreements is a key responsibility for the Contracts Coordinator. It is essential to possess a strong understanding of FIDIC Contracts, NHAI Contracts, NPCIL Contracts, and CPWD Contracts. The ideal candidate should have experience in operations with a good grasp of infrastructure works. Identifying and monitoring project risks and opportunities in a timely manner is crucial for the successful execution of projects. The Contracts Coordinator will be responsible for drafting contractual communications and project correspondences. Ensuring the timely issuance of notices for issues related to Extension of time, variations, and settlement of disputes is a critical aspect of the role. Handling Delay and Disruption claims effectively is a key requirement. Proficiency in the Indian Arbitration Act 1996 (Amended in 2015 & 2019) and the Indian Contract Act 1872 is necessary. Experience in dispute resolution processes such as Dispute Adjudication Board (DAB), Dispute Resolution Committee (DRC), Conciliation, Mediation, and Amicable settlement is preferred. Knowledge in project scheduling, Extension of Time (EoT) / Delay analysis, and proficiency in programming software like Primavera and MSP are essential skills for this role. The Contracts Coordinator plays a vital role in ensuring smooth contract administration, efficient dispute resolution, and effective claims management within the organization.,

You will be joining bp at an exciting time as the Customers & Products (C&P) business area is establishing a business and technology centre (BTC) in Pune, India, to enhance customer experience and drive innovation. The BTC will play a crucial role in building global capabilities at scale, utilizing technology, and fostering deep expertise. As a Claims Adjuster, you will manage claims related to general liability, auto liability, and property claims submitted by field locations. Your responsibilities will include reviewing and assigning claims, investigating claim allegations, assessing damages, determining liability, negotiating with claimants, corresponding with claimants and witnesses, consulting with experts, submitting claims to Third-Party Claim Administrator (TPA), and providing necessary documentation to the legal department. Additionally, you will analyze trends, communicate opportunities for improvement to supervisors, complete reports, and ensure consistent communication with internal and external stakeholders. To excel in this role, you should possess a graduate degree with 2 years of claims or insurance experience. An Associate in Claims (AIC) certification or related insurance industry experience is beneficial. Strong verbal and written communication skills are essential, along with the ability to work the designated shift from 6:00 pm to 3:00 am IST. Prior experience in claims adjusting, investigation, or possessing technical knowledge in claims management will be advantageous. You will collaborate with operation team members, Third-Party Claim Administrator, Treasury Team, Finance Team, Legal Team, and HSSE team. At bp, we value diversity and inclusivity, offering benefits such as flexible working options, paid parental leave, and retirement benefits to support our employees" well-being. Individuals with disabilities will receive reasonable accommodations throughout the application process and employment. This role does not require significant travel and is eligible for relocation within the country. Remote work is not available for this position. Kindly note that employment with bp may be subject to local policy adherence, including drug screening, physical fitness assessment, and background checks based on the role requirements.,

TATA AIG General Insurance Company Limited is looking for Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties. Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.

Davies is looking for an experienced Processing Specialist to join our growing team! As a Processing Specialist, you will assist the claims departments with general clerical functions. Reporting to the Processing Supervisor, you will open and scan mail documents, including attaching scanned documents in the claims system.

Job Summary Claims Adjudication Responsibilities Process claims using ClaimsExchange and Facets ensuring accuracy and compliance with company standards. Collaborate with team members to resolve any discrepancies or issues related to claims processing. Maintain up-to-date knowledge of industry regulations and company policies to ensure compliance. Provide timely and accurate responses to inquiries from internal and external stakeholders. Analyze claims data to identify trends and areas for improvement in processing efficiency. Assist in the development and implementation of process improvements to enhance claims processing. Participate in training sessions to stay informed about new technologies and procedures. Support the team in meeting departmental goals and objectives through effective claims management. Communicate effectively with team members and management to ensure smooth workflow. Utilize problem-solving skills to address and resolve claims-related issues promptly. Ensure all claims are processed within the designated timeframes to meet service level agreements. Contribute to the overall success of the claims department by maintaining a high level of accuracy and efficiency. Engage in continuous learning to enhance skills and knowledge in claims processing. Qualifications Demonstrate proficiency in using ClaimsExchange and Facets for claims processing. Possess a basic understanding of Medicare and Medicaid claims processes. Exhibit strong analytical skills to identify and resolve claims discrepancies. Show effective communication skills for interacting with team members and stakeholders. Display a keen attention to detail to ensure accuracy in claims processing. Have a willingness to work night shifts in an office environment. Be eager to learn and grow in the field of claims processing.

Underwriting of Retail Health, Personal Accident & Travel proposals Team Management IRDAI related UW activities Processing of Non Disclosures/Frauds /Audit /ISO/IRDA data Crucial MIS & analysis for Garo data Back up for handling pre-policy activities Required Candidate profile BAMS, BHMS, BDS or Similar 5+ years of experience in Health Insurance & Underwriting Good knowledge of Risks, Processes & Data Collection & Analysis Must know IRDAI related process Good communication Perks and benefits Good Opportunity

Job Title: Insurance Desk Executive TPA Coordination / Claims Specialist Location Options: Cloudnine hospital Sarjapura branch (BLR) BBMP Khata No: 1907/Sy No: 26/1, 26, 2nd Main Rd, Kaikondrahalli, Haralur, Bengaluru, Karnataka 560035 - Sarjapur Cloudnine hospital Thanisandra branch (BLR) Address: Sy No: 86/2 and 86/3, Thanisandra Village, Thanisandra Main Rd, RK Hegde Nagar, Bengaluru, Karnataka 560077 Organization: Ayu Health Hospitals Experience Required: 02 years (Freshers are welcome to apply) Preferred Gender: Male Candidates Preferred Location: Candidates residing near hospital locations will be given preference About Ayu Health: Ayu Health is one of Indias fastest-growing healthcare networks, dedicated to making high-quality healthcare accessible and affordable for all. With a focus on technology-driven solutions, Ayu Health partners with reputed hospitals and clinics across the country to deliver standardized care, transparent pricing, and a seamless patient experience. We are on a mission to build Indias most trusted healthcare brand. Key Responsibilities: Handle insurance/TPA desk operations at the hospital premises Coordinate with TPA and insurance representatives for claim submission and follow-up Manage and organize patient insurance documentation accurately Track approvals, follow up on pending claims, and address rejections effectively Communicate professionally with patients, hospital staff, and insurance partners Support hospital administrative needs and maintain documentation records Multi-task and work collaboratively within the hospital environment Candidate Requirements: 02 years of experience in TPA coordination, insurance desk, or claims processing in hospitals (Freshers with good communication skills can apply) Strong interpersonal and communication skills Basic understanding of hospital processes is a plus Ability to manage documents and work efficiently under pressure Must be reliable, punctual, and a team player Preference will be given to candidates living nearby the hospital location Male Candidates only Immediate Joiners will be preferred

You would be responsible for managing the end-to-end claims process for clients, ensuring seamless handling from claim intimation to settlement follow-ups. You will be the key point of contact for clients and AMCs regarding claim processes. You should be strategic and detail-oriented, ensuring timely documentation, filing, and resolution of claims while also contributing to business growth through lead generation and upselling. Requirements You have a bachelors degree in administration, commerce, or a related field. 2-3 years of hands-on experience in insurance claims processing. Ability to communicate correctly and clearly with all customers. Maintain a positive attitude with a focus on customer satisfaction. Documentation and organizational skills.

An excellent opportunity for a seasoned operation professional to lead and manage high-performing teams in motor insurance claims. This role offers exposure to end-to-end claims operations, client interactions, and team leadership in a process excellence-driven environment. Your Future Employer - A leading global business process management company serving clients across industries like Insurance, Banking, Travel, Healthcare, and more. With a strong focus on innovation, analytics, and digital transformation, the organization enables businesses to achieve superior operational outcomes and efficiency. Responsibilities - Managing day-to-day operations and driving performance improvements across functions. Overseeing the motor bodily injury claims process with a focus on compliance and timely resolution. Leading and mentoring a team to foster engagement and accountability. Collaborating with legal and external stakeholders on complex claims. Monitoring KPIs, identifying process gaps, and driving continuous improvement initiatives. Ensuring compliance with industry regulations and internal controls. Driving automation initiatives and contributing to digital transformation efforts. Requirements - Graduate degree in Business Administration, Insurance, or a related field. Strong experience in operations management, especially in the insurance sector. Proven track record in managing motor insurance claims and leading large teams. Excellent communication, analytical, and stakeholder management skills. Familiarity with claims systems, risk assessment methodologies, and process optimization tools. What is in it for you - Opportunity to drive operational excellence and team performance. Exposure to global best practices in insurance operations. Be a key contributor to digital transformation and strategic projects. Reach us: If you think this role aligns with your career goals, please email your updated resume to vasu.joshi@crescendogroup.in for a confidential discussion. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are committed to enabling job seekers and employers with an engaging and professional recruitment experience. Crescendo Global does not discriminate on the basis of race, religion, gender, sexual orientation, age, disability, or any other protected status. Note: Due to the volume of applications we receive, we may only respond to shortlisted candidates. Thank you for your understanding. Scam Alert: Beware of fraudulent job offers in the name of Crescendo Global. We do not charge fees or request purchases. All valid opportunities are listed at www.crescendo-global.com. Profile Keywords - Deputy Manager Jobs, Operations Jobs, Insurance Claims Jobs, Motor Insurance, Claims Management, SLA Management, Team Leadership, Client Management, Operations Excellence, BPM Jobs, Insurance Operations, Claims Processing.

Role & responsibilities Strong understanding of Banking and services. Incorporates product knowledge into internal and external customer communications Demonstrates knowledge of insurance and claims industry Understands who to go to for additional information Communicates in a timely and effective manner (verbally and written) Understands priorities and objectives to ensure all deadlines are met Claims Management Risk Management Insurance Programs Reconciliation Preferred candidate profile Graduated from finance background