1058 Claims Management Jobs - Page 25

Role & responsibilities Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in the minimum time. During the processing of the claim analyze the following and communicate to underwriters: adequacy of coverage wrt. location specifications e.g.. Earthquake /flood etc. adequacy of the sum insured anomalies in the policy scope of additional policies other related information Control expenses Business Process Facilitate proper settlement of the claim in the shortest possible time to the satisfaction of the client by ensuring the following: Obtain complete information of loss from the client after init...

As the Group Business Manager with the Bank, you will be responsible for managing the Group business operations in collaboration with the Bank employees. Your role will involve liaising with different departments to ensure the timely closure of cases and maintain a smooth workflow. A key aspect of your responsibilities will be to champion the group insurance products and processes to drive top-line sales through the business sales team. You will also be tasked with maintaining penetration levels of group insurance products with channel partners by coordinating and providing training to key officials such as ASSL, DSA, and other bank officials. In addition to driving sales, you will be requir...

As a Contract Specialist, you will have the opportunity to gain experience in a wide variety of commercial disciplines. This includes contract reviews, providing contract advice, managing cross border delivery, handling disputes and claims, as well as dealing with tax and insurance matters. A proven track record of advising on contract matters across various jurisdictions, especially civil law jurisdictions in the UK, is considered a distinct advantage. Ideally, you should have demonstrated experience in delivering contract reviews, drafting agreements, and negotiating terms. We are specifically looking for individuals who excel in collaboration, possess excellent teamworking skills, and are...

The role of Claims Coordinator at Genins India Insurance TPA Limited, based in New Delhi, is a full-time on-site position that involves managing insurance claims from initiation to completion. As a Claims Coordinator, your primary responsibility will be to ensure the efficient processing and resolution of insurance claims within specified timeframes. This includes tasks such as verifying claim details, coordinating with insurance providers, maintaining accurate documentation, and engaging with clients to provide updates on their claims status. To excel in this role, you must possess strong analytical skills and keen attention to detail. Expertise in insurance and claims management is essenti...

You will be responsible for managing the execution of the complete Contracting Process, which includes Contract Strategy, Tactics, Contract Award, and Contract Management activities for the projects execution contracts. Your primary focus will be on PMC contract, installation contracts, construction Contracts, and EPC Contracts. During the post-award phase, you will be tasked with maintaining the commerciality of these contracts, with a specific emphasis on the management and settlement of variations and claims. Your key accountabilities will include managing internal (Nayara) stakeholders in the development and execution of contract strategies and tactics to drive value maximization in awar...

Vidal is hiring for claim Processor Designation: Executive-Claims Location: Gurgaon, Key Responsibilities: Review and validate claim documents submitted by hospitals or insured members Scrutinize medical records and bills for completeness and accuracy Apply policy terms, conditions, and exclusions to adjudicate claims Perform ICD and procedure coding as per ailment and treatment Coordinate with medical officers for clinical opinion when required Maintain claim logs and update CRM systems with claim status Ensure adherence to defined SLAs and minimize processing errors Flag suspicious or potentially fraudulent claims for investigation Communicate with stakeholders for clarifications or missin...

Job Summary As a member of the NA Client Service Teams this role supports the processing of pre renewal, broking, binding and post binding activities required for placement and service of our NA CRB clients and prospects. The work closely with Client Advocacy, Client Service and Broking on a daily basis to delivery White Glove Service to our clients and prospects Principal Duties/Responsibilities . Participate in the draft proposal creation process alongside the Client Team Collaborate with the Client Team to support the activities required to file taxes in a timely manner to avoid fines and penalties due to late fees Support the Client team in process of binding coverage with carriers by dr...

Responsibilities: Drive sales growth through channel management Manage profit & loss statements Lead team performance Ensure claims resolution excellence Oversee retention strategies

Responsibilities: Prepare ILAs, Final Survey Reports, and requirement letters Maintain records of claim intimation, surveyor visits, documents, and reports Follow up with insured/internal teams to reduce TAT Enter claims data into CMS software Provident fund Health insurance

Job Summary We are seeking a skilled professional with 3 to 5 years of experience in the Life and Annuity domain for the role of SPE-Ins Claims. The candidate will work from our office during night shifts focusing on claims processing and analysis. This role requires a strong understanding of Life and Annuities Insurance to ensure accurate and efficient claims management contributing to the companys success and customer satisfaction. Responsibilities Analyze and process insurance claims in the Life and Annuity domain to ensure timely and accurate resolution. Collaborate with team members to identify and resolve discrepancies in claims documentation. Utilize domain knowledge to enhance the ef...

About you Minimum of 5+ years of experience in risk management, claims management, insurance industry Strong technical aptitude with project management skills, capable of learning emerging products and creating plans to support the business Comfortable working in a fast-paced environment while still meeting deliverables Candidate should be flexible and willing to work during US time zones Meticulous attention to detail and effective communication to align data needs with organizational goals. What Youll Be Doing Facilitating seamless communication between the broker and the insured party to ensure comprehensive risk management and the integrity of insurance policies Collect and prepare Insur...

Principal AccountabilitiesHow 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 all...

As a Mining Consultant in our team, you will play a crucial role in supporting various consultancy and transaction advisory assignments within the mining industry. Your responsibilities will include assisting the Mining Team in evaluating techno-commercial options, such as mining methodologies, equipment configurations, and estimating CAPEX & OPEX for opencast and underground mining projects. Additionally, you will utilize your expertise in mine planning to prepare Detailed Project Reports (DPR) and secure pre-development clearances. You will be expected to conduct comprehensive research on developments in the mining and natural resources sectors at both national and international levels to ...

As a member of the Strategic Accounts Servicing Team at Plum, your role is crucial in ensuring the smooth processing and servicing of health claims for key strategic accounts. Your primary responsibility is to manage end-to-end cashless/reimbursement claims of employees, providing exceptional service tailored to each client's unique needs. You will act as a Claims buddy, verifying policy coverage, reviewing medical records, coordinating with insurers, and communicating with end customers to ensure accurate and efficient claims processing. Your attention to detail is essential in reviewing and verifying policy details to confirm claim eligibility based on insurance policy terms and conditions...

The role involves managing and coordinating various aspects of insurance policies for the organization. This includes managing claims, liaising with insurance companies, and ensuring policies are up-to-date. You will be responsible for analyzing insurance policies to understand coverage, inclusions, exclusions, and terms and conditions. Your duties will include handling Employees Insurance, Marine transit & Warehouse Storage Insurance, Vehicle Insurance, Company properties, and Multirisk Insurance policies. You will receive and review insurance claims, ensuring all necessary information is included. It will be your responsibility to verify policy coverage and assess eligibility for claim rei...

JOB TITLE Claim Resolution Specialist JOB PURPOSE TSI Healthcare specializes in revenue cycle management, offering tailored solutions for healthcare providers to address third-party insurance claims denials, manage underpayments, and optimize reimbursement processes. The Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal productivity while maintaining compliance and accuracy. By efficiently processi...

Role & responsibilities Any disputes with regard to works being executed by the contractors under Authority shall be resolved in the most amicable manner in accordance with the provisions of the contract. The General Consultant shall advise and assist the Authority in arbitration proceedings, the appeal of arbitration or litigation relating to the works, whenever required during or after the Consultancy assignment till the expiry of the Defect Liability Period The GC shall support Authority in land-disputes and also assist in process of land acquisition process for projects as per requirement. The GC shall analyze Arbitral Awards & judgments in key cases and advise on suitable remedial measu...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture 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. Visit us at www.accenture.com What would you do We help insurers redefine their customer expe...

Location : Thane, Kalpataru Shift : General shift Job Description : Candidate should have experience in Consumer Good Insurance and claim settlement process Should be very good at knowledge of Excel and PPT. Candidate should know how to perform Reconciliation Activity Should be Very good at Verbal + Written communication. Immediate joiner share the resume at kavita.kamtekar@digitide.com or WhatsApp (only) 9920115154

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 admissibil...

Role & responsibilities : Manage end to end transactional and administration activities of insurance processes. Perform data entry and research in various systems and tracking tools. WFO/WFH - Work from Office (WFO) Work Timings 5:30 PM to 3 AM Job Description – Insurance associate, able to read, understand, apply and write basic English, MS office knowledge would be an added advantage, keyboard typing skills is mandatory. Preferred candidate profile

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 8.00 LPA ( Pune ) Process : UK Marine Insurance Process : WhatsApp call only Dipika- 9623462146 / 7391077622 / 8888850831 Regards Dipika 9623462146

Aster Medcity is looking for Manager.Insurance.Aster MIMS 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. Main...

Role & responsibilities Good knowledge in Claims Adjudication - US healthcare With Basic Competency Level: 1. Excellent interpersonal skills 2. Ability to understand and interpret policy provisions. 3. Product knowledge 4. Typing Skills 5. Problem Solving Skills Education, Experience and Flexibility: Under-Graduate or Any Graduate Minimum of 1 2 years of Customer Service experience. Flexible to work in US Shifts with rotational week offs. Preferred candidate profile pls share your CV to nishidha.kumar@sagilityhealth.com

Hiring Service Support Analyst - Service Support Management Support Analyst - Service Support Management plays a crucial role in Managing customer support operations, Ensuring high-quality service delivery, and Promoting customer satisfaction They combine technical expertise, leadership skills, and a customer-centric approach to drive excellence in service support within an organization. Primary Responsibilities Act as the primary point of contact for the branch, providing comprehensive support Responsible for end to end support of the policy lifecycle services Participate in renewal review meetings alongside Producer, CSM and sales team Support a team of 5-7 Client Service Managers at the b...