Manager- Medical Claims

4 days ago

Gurugram, India Care Insurance Full time

Job Description : Reimbursement & Cashless Claims Specialist


Job Summary: The Reimbursement & Cashless Claims Specialist is responsible for managing and processing reimbursement claims accurately and efficiently. This role involves verifying the completeness and accuracy of claims, liaising with internal departments and external partners, and ensuring compliance with company policies and regulatory requirements. The specialist will handle claims inquiries, resolve discrepancies, and maintain detailed records to support the financial integrity of the organization.


Key Responsibilities:


  • Claims Processing:
  • Review and process reimbursement claims.
  • Ensure all required documentation is provided and accurately completed.
  • Enter claim information into the financial system for processing and payment.


  • Verification and Compliance:
  • Verify the authenticity and accuracy of submitted claims.
  • Ensure claims comply with company policies, procedures, and regulatory requirements.
  • Identify and investigate discrepancies or potential fraudulent claims.


  • Customer Service:
  • Respond to inquiries from employees, clients, and other stakeholders regarding reimbursement policies and claim status.


Skills:

  • Strong analytical and problem-solving skills.
  • Excellent attention to detail and organizational abilities.
  • Effective communication and interpersonal skills.



Preferred Qualifications:

Graduate in BAMS, BUMS, BPT ,BHMS and BDS.


Minimum 1 year of experience of claims processing is required.

Location - Gurugram. (Work from Office)

  • Medical Claims Processor

    1 month ago

    Gurugram, India ClaimBuddy Full time

    Company DescriptionClaimBuddy is a MediClaim support company based in Gurugram, offering one-stop solutions for claim assistance for patients and hospitals. The company is dedicated to streamlining insurance claims processes through technology and efficient operations.Role DescriptionThis is a full-time on-site role for a Medical Claims Processor at...

  • Manager- Medical Claims

    4 days ago

    Gurugram, India Care Insurance Full time

    Job Description: Reimbursement & Cashless Claims SpecialistJob Summary: The Reimbursement & Cashless Claims Specialist is responsible for managing and processing reimbursement claims accurately and efficiently. This role involves verifying the completeness and accuracy of claims, liaising with internal departments and external partners, and ensuring...

  • Manager- Medical Claims

    4 days ago

    Gurugram, India Care Insurance Full time

    Job Description: Reimbursement & Cashless Claims SpecialistJob Summary: The Reimbursement & Cashless Claims Specialist is responsible for managing and processing reimbursement claims accurately and efficiently. This role involves verifying the completeness and accuracy of claims, liaising with internal departments and external partners, and ensuring...

  • Care Insurance | Manager- Medical Claims

    4 days ago

    gurugram, India Care Insurance Full time

    Job Description: Reimbursement & Cashless Claims SpecialistJob Summary: The Reimbursement & Cashless Claims Specialist is responsible for managing and processing reimbursement claims accurately and efficiently. This role involves verifying the completeness and accuracy of claims, liaising with internal departments and external partners, and ensuring...

  • Claims Manager

    3 days ago

    Gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd.Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs.Job...

  • Claims Manager

    3 days ago

    Gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd.Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs.Job...

  • Claims Manager

    4 weeks ago

    Gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd. Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs. Job...

  • Claims Manager

    4 weeks ago

    Gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd.Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs.Job Description:...

  • Process Associate- Insurance claims

    5 months ago

    Gurugram, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • PrishaPolicy | Claims Manager

    3 days ago

    gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd.Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs.Job...

  • Manager - IT Claims

    8 months ago

    Gurugram, India Max Life Insurance Full time

    KEY RESPONSIBILITIES Control and monitor process and ensure compliance with MLI norms Define/document cross-linkages amongst all departments to ensure better and smooth handoffs. Closely monitor production defects/ complaints data to ensure that appropriate feedback is given in system design. Ensure work is closely coordinated with Third Party...

  • Medical Officer

    2 weeks ago

    Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full time

    Vidal is hiring for the position of Medical Officer (non-clinical role),Kindly connect if you are interested through whats app or call - 9971006988-HR-Vidal Health Insurance TPA Pvt Ltd. **Qualification: BHMS/BAMS/BDS/BUMS only** **Work from office** Shift timings: 9:30am-5:30pm(Monday-Saturday) Department - Reimbursement (Claims) Designation - Medical...

  • Chief Manager- Claims

    1 week ago

    Gurugram, India Axis Max Life Insurance Limited Full time

    JOB SUMMARY Responsible for the direction, control and management of business processing operations for Individual and Group claims.Develop efficient and sustainable operations support processes for Max Life claims.Identifying customer preferences and working towards meeting/ exceeding customer satisfaction KEY RESPONSIBILITIESControl and monitor claims...

  • Chief Manager- Claims

    1 week ago

    Gurugram, India Axis Max Life Insurance Limited Full time

    JOB SUMMARY Responsible for the direction, control and management of business processing operations for Individual and Group claims.Develop efficient and sustainable operations support processes for Max Life claims.Identifying customer preferences and working towards meeting/ exceeding customer satisfaction KEY RESPONSIBILITIESControl and monitor claims...

  • PrishaPolicy | Claims Manager | gurugram

    4 weeks ago

    gurugram, India PrishaPolicy Full time

    About Prisha Insurance Brokers Pvt. Ltd. Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs. Job...

  • Analyst - Claims

    8 months ago

    Gurugram, India AXA Group Full time

    Analyst – Claims Gurgaon, Haryana, India As a Claims Analyst, you ‘ll perform various functions which primarily involve analyzing, advising, and managing claims for various lines of business. The emphasis of your job is on reviewing claims filed by policyholders for completeness and accuracy, as well as establishing that the damages are covered by...

  • Doctors Tpa Claims

    6 months ago

    Gurugram, Haryana, India Tresbien HR Staffing Full time

    Greetings! **Urgently required Doctors (Freshers Welcome) BAMS\BHMS\BDS for a TPA Insurance.** **Exp - 1 Year TPA OR Freshers can apply( Interns NEED NOT Apply)** **Freshers will be provided Training.** **Job Location - Gurgaon - Udyog Vihar.** **Job Description-** **Roles & Responsibility.** **This is a Full time Job (Co. Payroll Job)** - Medical...

  • Process Associate, Insurance Claims

    4 months ago

    Gurugram, Haryana, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Process Associate, Insurance Claims

    2 days ago

    Gurugram, Haryana, India Genpact Full time

    _Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Analyst - Claims

    4 months ago

    Gurugram, India AXA Group Full time

    Analyst - Claims Gurugram, Haryana, India Global Claims Quality Assurance (“QA”) form part of the Global Claims Team. The QA and DA team’s core aim is to assist Claims audit functions by providing support and expertise to all internal and external quality-related activity. The focus of the Global QA Framework is to improve claims outcomes through...