1489 Insurance Claims Jobs

Require International Contact Center (Voice Process) 4+ Years Experience In Claims Adjudication For Lead Positions Hiring For : SME Team Leader Specialist Quality AM DM Manager SM Operations Process Trainer Manager WFM V&A Trainer Process Trainer

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Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...

JOB RESPONSIBILITIES Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and identifying the fraudulent claims. This is work from office role on roster basis

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

TATA AIG General Insurance Company Limited is looking for Manager - Health 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...

Inspect vehicles with customers and prepare accurate job estimates (labour, paint, and parts). Coordinate with insurance surveyors for claim approvals and documentation. Open and update job cards, track progress, ensure timely completion of repairs. Required Candidate profile Automobile Knowledge is must. 3–6 years experience as a Bodyshop / Service Advisor in a car dealership or multi-brand workshop. Basic computer knowledge (for job card ). Valid LMV driving license..

Walk-In Interview Alert! Join us at WTW Vikhroli Office for an exciting opportunity Date: Monday, 10 November 2025 Location: WTW, Vikhroli Job Title : Sr Advisor Walkin Timing :-11:30 AM to 12:30 PM Job Shift Timing : Day Shift (1:30 PM to 10:30 PM) Experience - 2- 6 Years Please Note:- Only candidates with prior experience in Insurance or worked as a Quality Assurance in insurance domain are eligible to apply for this role. Freshers are not eligible for this opportunity. Role & responsibilities To maintain Accuracy/Quality as per the standards agreed by the Business Unit for all SAFR reviews To manage workload/ volumes and delivery expectations as per business requirement To develop a sound...

Walk-In Interview Alert! Join us at WTW Vikhroli Office for an exciting opportunity Date: Monday, 10 November 2025 Location: WTW, Vikhroli Job Title : Sr Advisor Walkin Timing :-11:30 AM to 12:30 PM Job Shift Timing : Day Shift (1:30 PM to 10:30 PM) Experience - 2- 6 Years Please Note:- Only candidates with prior experience in Insurance or worked as a Quality Assurance in insurance domain are eligible to apply for this role. Freshers are not eligible for this opportunity. Role & responsibilities To maintain Accuracy/Quality as per the standards agreed by the Business Unit for all SAFR reviews To manage workload/ volumes and delivery expectations as per business requirement To develop a sound...

Role: Claims Executive Industry Type: Insurance Department: BFSI, Investments & Trading Employment Type: Full Time, Permanent Role Category: General Insurance Education: B. Tech/B.E. in Mechanical Key Skills: Insurance claims Job Responsibilities: Financial 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 informa...

Claims Processing Dr Job Qualifications and Requirements: Required : BDS, BHMS, BAMS, MD, Pharm D Graduates. Job Description: 1. Along with the medical expertise, need to master the various products ( Policies) and to apply the terms and conditions during claim processing. 2. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. 3. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing 4. Medical claims processor will have to look into claims where payment was denied. Commonly due to issues o...

Walk-In Interview Alert! Join us at WTW Vikhroli Office for an exciting opportunity Date: Monday, 10 November 2025 Location: WTW, Vikhroli Job Title : Advisor / Sr Advisor Walkin Time:- 11:30 AM to 12:30 PM Job Shift Timing : US Evening shift Experience - 1- 5 Years Important Notice for Applicants: Eligibility Criteria: Only candidates with prior experience in Evening or Night Shifts are eligible to apply for this role. Freshers are not eligible for this opportunity. Note: Candidates will be allowed entry only at 11:00 AM . Kindly plan your arrival accordingly Job Summary: - Provides timely and accurate clerical and information management assistance to Program Managers and their teams. Enter...

Job Purpose We are hiring an Analyst to?support the Claims process , ensuring the quality and effectiveness of business, products, and services within?the India business . The reinsurance placement & claims tasks process transactions for end-to-end client servicing of accounts as per IRDAI guidelines . This role requires a comprehensive understanding of the policy life cycle and the various actions required for New Business/Renewals , Mid-Term Adjustments , claims cycle , and collection . Primary Responsibilities Claims Identifying and booking claims : Our team identifies valid claims as per the slip, books them in the system, and ensures all claim details are accurately documented. Generati...

Claim Processing: - Receive and review insurance claims and related documents. - Enter claim information into the claims management system. - Acknowledge receipt of claims and communicate with claimants regarding the status of their claims. 2. Survey: - Conduct a thorough survey to determine the validity of claims. - Collect and analyze evidence, including photographs, witness statements, and other relevant documentation. - Coordinate with surveyors and other professionals to assess damage and determine the extent of loss. 3. Communication: - Serve as the primary point of contact for claimants, providing updates and answering inquiries. - Liaise with insurance companies, surveyors, and other...

1) Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2) Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3) Appropriately document information on claim file 4) Maritime law and regulations 5) Claims handling procedures 6) Insurance regulations and laws

1) Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. 2) Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. 3) Appropriately document information on claim file 4) Maritime law and regulations 5) Claims handling procedures 6) Insurance regulations and laws

Be the voice and bridge of Digits health claims teamdeliveringexceptional service and communication to clients, partners, and internalstakeholders. Youll manage end-to-end claim servicing and play a key role inrelationship building and process awareness. Key Responsibilities Manage inbound and outbound calls/emails , resolving queries related tohealth claims swiftly and empathetically. Provide end-to-end service to clients , ensuring all touchpointsSales, HR, Brokers, Agentsare engagedand informed. Act as the central coordinator for query resolution by working closely withinternal teams (processing, tech, product, etc.). Conduct interactive sessions with employees/HR to explain coverage, pro...

Role- AR Callers Experience in Multispecialty For US Healthcare KPO Bangalore Job description Follow up on insurance claims (denials, rejections, underpayments). Work with US healthcare insurance providers to resolve AR issues. Handle appeals, reconsiderations, and payment disputes. Document and track all AR follow-ups in the system. Required Candidate profile Handle accounts receivable follow-ups with insurance providers for claim resolution. Ensure compliance with HIPAA and payer regulations

Role & responsibilities Conduct on-site investigations and assessments of insured assets such as buildings, civil projects, roads, and industrial structures. Evaluate the nature and extent of losses and prepare technical reports for insurance claim assessment. Review project documentation, design drawings, and related technical data to support claim analysis. Coordinate with clients, insurers, and project teams to gather relevant data and evidence. Work collaboratively within a multidisciplinary team to ensure accuracy and timeliness in reporting. Travel to various project sites across India for field assessments and inspections. Preferred candidate profile Education: B.Tech / M.Tech in Civi...

{Hiring For Record Retrieval} Location: Ahmedabad, Gujarat US Shift Freshers & Experience both can apply Canteen Facility 5 days working Salary Upto 30k CTC Fluent English Communication Required

Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset. Good computer navigation skills, keyboarding skills Proficient in MS Office Understanding of P&C insurance, Claims Handling would be an advantage Graduate from a reputable university Effectively balances quality, customer service and productivity standards Sound knowledge of medical terminologies Good decision making skills Excellent problem solving & analytical skills Good written communication skills Listening and comprehension skills Questioning and Reasoning Skills Customer Service focus and ...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : 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 ...

Hiring for US mortage voice process Grad with minimum 1 year insurance voice experience Excellent comminication skills ONLY US Shift TWO OFFS L2- 33K 1 year + exp L3- 40K 3 + Year experience CALL NOW 9226639337 / 9049078453 Kharadi, Pune

We’re Hiring – AR Caller (AR Analyst / Sr. Analyst) On-site (Sector 39, Gurgaon) To APPLY, Call/WhatsApp: Shayan - 6291864166 Required Candidate profile Min 1 yr experience in AR Calling (US Healthcare RCM – Provider side) Must not have absconded from any past company Perks and benefits Both side cabs Meals facility Added incentives

The Senior Professional, Insurance Advisory is responsible for various insurance duties, including administration of marine insurance claims, contract review regarding insurance requirements and maintaining accurate data within the marine insurance Required Candidate profile Minimum requirement of 4 years of relevant work experience. Typically reflects 5 years or more of relevant experience. Insurance, in particular marine insurance, experience strongly preferred