Claims Specialist
3 weeks ago
About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently. The processor may also be responsible for communicating with employees or dependants to provide updates on the status of their claims and to address any questions or concerns. Overall, the job purpose is to facilitate the smooth and timely processing of cashless claims to ensure that employees receive the benefits they are entitled to.PRINCIPAL ACCOUNTABILITIES:- Act as a Claims buddy - Manage end-to-end cashless claims of employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently. Verify Policy Coverage: Review and verify policy details to ensure that the claim is eligible for cashless processing according to the terms and conditions of the insurance policy. Provide Customer Service: Respond to inquiries from employees, and other stakeholders regarding claim status, and any other related queries. Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providers to obtain additional information, clarify details,( whenever required) Resolve Issues: Investigate and resolve any discrepancies, errors, or issues that may arise during the processing of cashless claims to ensure timely and accurate resolution Maintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes. Adhere to Service Level Agreements: Meet or exceed established service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction. Achieve NPS of 92+ in the cashless claims handledINTERACTIONS:- -Internal Clients: Endorsement team Onboarding team Products & engineering- Claims teams Support Inbound Account Management-External Clients: Insurers Client HR’s HospitalsWho can apply? At least 2 years of experience in customer-facing roles Past Experience in voice profile would be an added advantage Experience in cashless/ TPA
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Marine Claims Specialist
2 weeks ago
New Delhi, India Edme Insurance Brokers Full timeDear Candidates , Looking for Marine Claims Specialist in Kolkata with 3-4 yrs of work experience in Insurance Broking / General Insurance space into marine claims handling .Interested candidates can share their profiles to neetu.b@edmeinsurance.comClaims Handling & Management Register and track marine claims (cargo, hull, and liability) with insurers....
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Health Claim Specialist
2 weeks ago
New Delhi, India iAssist Innovations Labs Full timeJob Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...
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Health Claim Specialist
2 weeks ago
New Delhi, India iAssist Innovations Labs Full timeJob Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...
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Carrier Claim Specialist
7 days ago
New Delhi, India BolsterBiz Full timeCompany DescriptionBolsterBiz is a leading provider of offshoring and outsourcing services based in New Delhi. We specialize in driving business growth, optimizing operational efficiency, and ensuring long-term success. With over 2,000 completed projects and more than 100 clients in the USA, we offer cost-effective solutions with access to expert...
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Health Claim Specialist
2 weeks ago
Delhi, India iAssist Innovations Labs Full timeJob Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...
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Health Claim Specialist
2 weeks ago
Delhi, India iAssist Innovations Labs Full timeJob Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...
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Claims Specialist
1 week ago
New Delhi, India Howden Full timeJob DescriptionIndustry: General Insurance / Insurance Broking / Insurance Surveyor Location: Mumbai Experience: 12+ years Reporting To: Business Head/Vertical HeadRole 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...
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Claims Specialist
2 weeks ago
New Delhi, India Howden Full timeJob DescriptionIndustry: General Insurance / Insurance Broking / Insurance SurveyorLocation: MumbaiExperience: 12+ yearsReporting To: Business Head/Vertical HeadRole SummaryThe 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...
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Claims Specialist
1 week ago
New Delhi, India GrayQuest Full timeAbout GrayQuestGrayQuest is India’s leading FinTech innovator in the education ecosystem, transforming the$100B+ 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 families.We...
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Claims Specialist
2 weeks ago
New Delhi, India GrayQuest Full timeAbout GrayQuest GrayQuest is India’s leading FinTech innovator in the education ecosystem, transforming the $100B+ 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 families.We...
