Claims Specialist
4 weeks ago
Job Description Industry: General Insurance / Insurance Broking / Insurance Surveyor Location: Mumbai Experience: 12+ years Reporting To: Business Head/Vertical Head Role Summary The role holder will lead the claims function across all Specialty lines of business, ensuring efficient, compliant, and client-centric claims handling. The role involves strategic overview, operational excellence, and stakeholder management to drive timely and fair claim settlements. Key Responsibilities Strategic Leadership Define and implement claims strategy aligned with business goals. Lead and mentor a team of claims professionals. Claims Operations Oversee end-to-end claims lifecycle across Specialty Claims like BBB, Cyber, Cards, Specie, Professional Indemnity, CGL, Event Cancellation, Loss of Fees, Media and Affinity. Ensure timely documentation, coordination with clients, insurers, surveyors, and regular client updates. Client & Stakeholder Management Act as escalation point for complex or high-value claims. Maintain strong relationships with insurers, surveyors, and clients. Compliance & Governance Ensure adherence to IRDAI regulations and internal SOPs. Handle audits, regulatory reporting, and internal risk controls. Process Improvement Drive automation, analytics, and process optimization. Implement feedback loops for continuous improvement. Candidate Profile Education: Graduate/Postgraduate (Insurance certifications like Associate/Fellow from Insurance Institute of India preferred). Experience: Minimum 12 years in claims handling, preferably in Insurance broking, PSU/Private insurance company, Insurance Surveyors operations. Skills: Strong leadership and communication. Deep understanding of commercial insurance products. Ability to manage high-pressure situations and multiple stakeholders. Should be able to train the team members and improve their skills.
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Product Owner
7 days ago
Mumbai, India NMS Consultant Full timeRole Overview:We are seeking a dynamic and experienced (Senior) Claims Specialist and ProductOwner to join our team at Global Organization, India. This role is pivotal in bridging thegap between strategic initiatives and operational execution the insurance market. Youwill collaborate with a diverse team of Claims Specialists, Product Owners, ProductManagers,...
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Claims specialist
4 weeks ago
Mumbai, India GrayQuest Full timeAbout Gray Quest Gray Quest is India’s leading Fin Tech innovator in the education ecosystem, transforming the$100 B+ education industry through its cutting-edge financial solutions. Our flagship offering—monthly EMI solutions for school and college fee payments—makes education more accessible,affordable, and rewarding for millions of Indian...
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Mumbai, India Weekday AI Full timeThis role is for one of Weekday’s clientsSalary range: Rs - Rs (ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-time Requirements We are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...
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mumbai, India Weekday AI Full timeThis role is for one of Weekday's clientsSalary range: Rs Rs ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-timeRequirementsWe are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...
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Claims Specialist
1 week ago
Mumbai, Maharashtra, India Family Health Plan (FHPL) Full time ₹ 2,00,000 - ₹ 8,00,000 per yearRole & 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 @ ,
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PHI - Business Solution Specialist - Claims
2 weeks ago
Mumbai, India Prudential plc Full timePrudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...
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Senior Claims Specialist
2 weeks ago
Mumbai, India Allianz Global Corporate & Specialty Ind Full timeSenior Claims Specialist -Long Tails Let’s care for tomorrow. Your ambitions . Your dreams. Your tomorrow. At Allianz Commercial, we are the global leader for insuring corporate and specialty risks in the Allianz Group. Whether it’s aircraft , satellites, the world’s biggest ships and tallest building, cyber-attacks, or climate change impacts, we have...
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Senior Claims Specialist
4 weeks ago
Mumbai, India Allianz Commercial Full timeThis job is with Allianz Commercial, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly.Job Purpose / Role: The main purpose of this role is to proactively investigate, negotiate and resolve medium-sized claims, involving more complex issues and/or...
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Healthcare Claims Specialist
6 days ago
mumbai, India beBeeDenial Full timeJob SummaryThis role involves working in US Healthcare accounts receivable to resolve claims and manage denials, eligibility and benefits verification, and authorization.Responsibilities:Review patient accounts thoroughly, including prior comments, EOBs/ERAs/correspondence, and perform pre-resolution analysis.Work with payers to resolve claims using optimal...
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Specialist - Claims Service
2 weeks ago
Mumbai, Maharashtra, India Marsh McLennan Full timeCompany Marsh Description Mercer is seeking candidates to join our Claims Service team based in the Pune Mumbai office This is a hybrid role that requires working in the office at least three days a week Specialist - Claims Service Grade C1 What can you expect Excellent exposure to complex diverse claims handling Opportunity to enhance Claims knowledge and...