Claims Specialist
1 day 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
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.com Claims Handling & Management Register and track marine claims (cargo, hull, and liability) with...
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Insurance claim Specialist
1 week ago
Delhi, NCR, India Alt Nrg Full time ₹ 9,00,000 - ₹ 12,00,000 per yearKey ResponsibilitiesClaims ManagementHandle end-to-end processing of insurance claims for EVs (accidents, theft, damages, total loss, etc.).Verify claim documents submitted by garages, riders, or clients.Coordinate with OEM workshops, surveyors, TPAs, and insurance companies for smooth claim settlement.Track claim progress and ensure timely closure within...
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Insurance Specialist
3 weeks ago
Delhi, India Bima Palace Full timeCompany Description Bima Palace Insurance is a leading provider of comprehensive health and life insurance solutions. We specialize in claims assistance, policy renewals, and term plans, ensuring that our clients receive coverage tailored to their needs. We are committed to providing exceptional service and financial stability, helping you safeguard what...
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Insurance Specialist
1 week ago
Delhi, Delhi, India Bima Palace Full time ₹ 6,00,000 - ₹ 12,00,000 per yearCompany DescriptionBima Palace Insurance is a leading provider of comprehensive health and life insurance solutions. We specialize in claims assistance, policy renewals, and term plans, ensuring that our clients receive coverage tailored to their needs. We are committed to providing exceptional service and financial stability, helping you safeguard what...
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Delhi, India Svast Healthcare Technologies Full timeCompany Description:Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an increase in practice revenue. Our specialties include Primary Care, Pediatrics, OB/GYN, Cardiology, Physical Therapy, Family Medicine, and...
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RCM Specialist
2 weeks ago
Delhi, India CapMinds Full timeCompany Owerview:CapMinds is a health-IT digital transformation partner for healthcare and related organizations worldwide. We provide technology research, solutions, and services for global businesses, enabling them to be more efficient, focused, and innovative.Description:We are looking for an experiencedRevenue Cycle Management (RCM) Specialistwith 4–5...
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Delhi, India Svast Healthcare Technologies Full timeCompany Description:Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an increase in practice revenue. Our specialties include Primary Care, Pediatrics, OB/GYN, Cardiology, Physical Therapy, Family Medicine, and...
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Delhi, India Svast Healthcare Technologies Full timeCompany Description:Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an increase in practice revenue. Our specialties include Primary Care, Pediatrics, OB/GYN, Cardiology, Physical Therapy, Family Medicine, and...
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Customer Service Specialist – SCG India
2 weeks ago
New Delhi, India SCG Full timeAbout SCG in IndiaSCG, Southeast Asia’s most established industrial conglomerate, is expanding in India with a focus on sustainable building materials, innovative construction solutions, and advanced supply-chain capabilities —backed by more than a century of leadership in cement, building materials, packaging, and chemicals.Sustainable product...
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Customer service specialist – scg india
2 days ago
New Delhi, India SCG Full timeAbout SCG in IndiaSCG, Southeast Asia’s most established industrial conglomerate, is expanding in India with a focus on sustainable building materials, innovative construction solutions, and advanced supply-chain capabilities —backed by more than a century of leadership in cement, building materials, packaging, and chemicals.Sustainable product...
