Claims Specialist

3 days ago


Mumbai, India ICICI Lombard Full time

We have exciting opportunities for the role of AVP- Claim Review.Location: Mumbai - PrabhadeviInterested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details.Current SalaryExpectationNotice PeriodEducation (Full Time / part Time)Role OverviewThe Claim Review Specialist will be responsible for reviewing medical claim rejections, ensuring due diligence, and enhancing customer experience through accurate and accountable claim assessments. The role requires strong medical knowledge, analytical capability, and the ability to contribute individually across claim processes. The candidate will also act as a Customer Ambassador by maintaining service quality and process transparency.Key Responsibilities1. Claim ReviewReview claim rejections in detail to ensure fairness and accuracy.Conduct due diligence on all claims, with a strong focus on customer empathy and accountability therein.2. Process ContributionAct as an individual contributor for end-to-end claim processes.Achieve and improve claim process efficiency and quality parameters.Support claim operations and coordinate effectively with stakeholders.3. Customer AdvocacyRepresent the customer’s perspective during claim assessment.Ensure communication is clear, empathetic, and customer-centric.4- Stakeholders LiaisonRequired Skills & KnowledgeStrong understanding of underwriting (UW), claims evaluation, and medical/product knowledge.Excellent communication skills (verbal & written).Solid SOP (Standard Operating Procedure) understanding.Ability to work independently and manage performance KPIs.Must be able to work from officeQualificationMedical background: **MBBS / BHMS / BUMS / BAMS** (preferred).Experience in **Insurance and/or TPA** environments is desirable.Minimum **10 years of experience** in claims operations or related medical review roles.Regards,Saba


  • Claims Specialist

    3 days ago


    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review.Location: Mumbai - PrabhadeviInterested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details.Current SalaryExpectationNotice PeriodEducation (Full Time / part Time)Role OverviewThe Claim Review Specialist will be responsible for...

  • Claims Specialist

    3 days ago


    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review. Location: Mumbai - Prabhadevi Interested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details. Current Salary Expectation Notice Period Education (Full Time / part Time) Role Overview The Claim Review Specialist will be...

  • Claims Specialist

    19 hours ago


    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review. Location: Mumbai - Prabhadevi Interested candidate can share resume on with subject line AVP- Claim Review and share below details. Current Salary Expectation Notice Period Education (Full Time / part Time) Role Overview The Claim Review Specialist will be responsible for reviewing medical...


  • mumbai, India beBeeClaims Full time

    Job OverviewWe are seeking an Insurance Claims Specialist to manage motor insurance claims efficiently, ensuring compliance with regulatory guidelines and delivering exceptional customer service.Main Responsibilities:Handle motor insurance claims for two-wheelers and four-wheelersAssess losses, appoint approved surveyors, and review reportsCommunicate repair...


  • mumbai, India beBeeClaims Full time

    Claims Specialist RoleWe are seeking a skilled and experienced Claims Specialist to manage medical claims in accordance with industry regulations and contractual agreements.The ideal candidate will play a crucial role in ensuring timely processing of claims for healthcare services rendered, maintaining high standards of accuracy and efficiency in claims...

  • Claims Specialist

    2 weeks ago


    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...

  • Claims specialist

    1 week ago


    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...

  • Specialist - Claims

    2 weeks ago


    Mumbai, India Edelweiss Tokio Life Full time

    Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate scanning of claim...

  • Claims Specialist

    3 weeks ago


    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Description Job Purpose: The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement...

  • Claims Specialist

    2 weeks ago


    Mumbai, Maharashtra, India Family Health Plan (FHPL) Full time ₹ 2,00,000 - ₹ 8,00,000 per year

    Role & responsibilitiesManaging Billing team to meet the SLAs as per Insurers.Monitoring the quality in all the processes of billing.Monitoring claims allocation for billing.Tracking of outstanding claims under billing.Handling escalations from all stakeholders for Billing and resolving them.Interested candidates can call or refer to Moulika @ ,