14 Claims Validation Jobs

Responsibilities: * Manage FMCG distributer claims from receipt to resolution. * Validate claims accuracy using advanced Excel skills. * Reconcile discrepancies through coordination with stakeholders. Provident fund

Finance Lead (Finance Controller cum Deputy CFO Commercial Heavy Role) Job Title: Finance Lead (Finance Controller Commercial Heavy Role) Location: Mumbai Reports to: Promoter / Director CTC Target: ?5060 LPA (Not more - Including 15% Variable) Seniority: Finance Controller level (not CFO) Role Purpose To lead the commercial-facing finance function of the company, managing pricing, schemes, distributor interactions, and market-facing decisions while maintaining core financial discipline, controls, MIS, and reporting. This role is expected to be elevated internally over the next few years into a full-fledged Head of Finance role. Key Responsibilities Commercial Finance (70%) Own pricing strat...

Role Overview: As the Finance Lead (Finance Controller cum Deputy CFO Commercial Heavy Role) in Mumbai, you will be responsible for leading the commercial-facing finance function of the company. Your role will involve managing pricing, schemes, distributor interactions, and market-facing decisions while ensuring core financial discipline, controls, MIS, and reporting. There is potential for internal elevation into a full-fledged Head of Finance role in the coming years. Key Responsibilities: - Own pricing strategy, margin management, scheme analysis, and claims validation. - Collaborate closely with sales, distributors, and customers to resolve trade/commercial issues. - Drive commercial hyg...

Role Overview: The role involves effectively handling transactions for allocated portfolios and end-to-end processing in line with reinsurance accounting principles. You will need to correspond with internal and external clients to resolve issues and enhance your skills within established policies and processes. Key Responsibilities: - Consistently deliver on operational commitments - Handle Technical Accounting mandates including Key Performance Indicators & Quality Parameters to accelerate Cash in the books - Validate Premium and Claims to align with contractual terms - Collaborate with team members to achieve team activities in specific markets - Deliver results within multiple-matrixed t...

Role Overview We are seeking a Claims QC Manager to ensure accuracy, compliance, and fairness in health insurance claim processing. This role involves overseeing both rejection recommendations and approvals (including high-value cases), in alignment with IRDAI regulations , internal policies, and ethical standards. The QC Manager will drive process improvements, mitigate risks, and uphold operational excellence within the Claims QC function. Key Responsibilities 1. Rejection Review Validate all rejection recommendations for compliance with policy terms, regulatory guidelines, and documentation standards. Collaborate with Claims, Underwriting (UW), and FWA teams on disputed cases. Document an...

Role Overview: As an Insurance Specialist at Scry AI, your main responsibility will be to manage insurance applications, claims processing, and policy administration while ensuring compliance with industry standards and regulations. You will serve as a subject matter expert (SME) for Scry AI's solutions such as Collatio - Claims Automation & Fraud Detection, Auriga - Real-Time Intelligence, and Concentio - Data Intelligence, and apply them to real-world insurance workflows. This role requires domain expertise in insurance operations and the ability to leverage AI-driven automation tools to improve efficiency, detect fraud, and enhance customer experience. Key Responsibilities: - Review and p...

Job Description: As part of the Global Technical Accounting & Services organization at Swiss Re, you will report to the Manager Operations Southeast Asia & India. Your role involves consistently delivering on operational commitments and developing data analysis summaries to aid decision-making within and outside the Technical Accounting boundaries. You will monitor financial numbers in the Swiss Re system, identify adverse trends, and manage Cash in the books while upholding Swiss Re Values. Premium and Claims validation on Client Seriatim data is crucial to ensure compliance with Contract wordings/agreements. Additionally, you will play a key role in enhancing technical/process knowledge ac...

We are seeking a passionate and experienced Subject Matter Expert with strong hands-on expertise in one or more of the following areas Claims prepayment review Payment Integrity Clinical Coding Analyst Data mining Medical Coding Denials Management

About Role: In line with our continued focus on strengthening L&H CORE Operations, this role presents an exciting opportunity to contribute to the efficient execution of operations within the L&H business. The role holder will be responsible for managing end-to-end transactions for assigned portfolios, ensuring timely and high-quality deliverables through a solid understanding of reinsurance accounting principles. A key responsibility includes reconciling client payments (e.g., premiums) and disbursements (e.g., claims) against expected values. Key Responsibilities: The jobholder is accountable for effectively handling transactions for the allocated portfolios/end to end processing and ensur...

About Role: In line with our continued focus on strengthening L&H CORE Operations, this role presents an exciting opportunity to contribute to the efficient execution of operations within the L&H business. The role holder will be responsible for managing end-to-end transactions for assigned portfolios, ensuring timely and high-quality deliverables through a solid understanding of reinsurance accounting principles. A key responsibility includes reconciling client payments (e.g., premiums) and disbursements (e.g., claims) against expected values. Key Responsibilities: The jobholder is accountable for effectively handling transactions for the allocated portfolios/end to end processing and ensur...

About Role: In line with our continued focus on strengthening L&H CORE Operations, this role presents an exciting opportunity to contribute to the efficient execution of operations within the L&H business. The role holder will be responsible for managing end-to-end transactions for assigned portfolios, ensuring timely and high-quality deliverables through a solid understanding of reinsurance accounting principles. A key responsibility includes reconciling client payments (e.g., premiums) and disbursements (e.g., claims) against expected values. Key Responsibilities: The jobholder is accountable for effectively handling transactions for the allocated portfolios/end to end processing and ensur...

##Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. Inviting applications for the role of Management Trainee, Credit Control As a Management Trainee in Credit Control at Genpact, you will be responsi...

This position is part of the Global Technical Accounting & Services organization, responsible for overseeing Technical Accounting functions worldwide, including the Business Solution Centers. You will report to the Manager Operations Southeast Asia & India. Your primary responsibilities include consistently delivering on operational commitments, developing data analysis summaries to aid decision-making, monitoring financial numbers in the Technical Accounting system, identifying adverse trends, and managing cash effectively. You will validate premiums and claims data, enhance team knowledge, collaborate with team members, and deliver results in consultation with multiple teams. You are expec...

Umendra Life Sciences Pvt. Ltd. is looking for a Quality Assurance (QA) professional to ensure that our state-of-the-art manufacturing facility upholds the highest industry standards. Your Role: As a key player in our QA team, you will ensure that our manufacturing, raw materials, and finished products meet regulatory standards, including GMP, ISO 22716, FDA, EU regulations, and BIS . Your goal? Prevent defects before they happen by implementing strong quality systems, documentation, and policies . Key Responsibilities: Develop and implement SOPs for manufacturing (Production, filling & packaging), and warehouse QA/QC. Ensure compliance with FDA, EU Cosmetics Regulation, BIS, and the Indian ...