See more Collapse

▷ Immediate Start: Claims Specialist

1 month ago

Bengaluru, India Sutherland Full time
Claims Handler

Experience: 0.6 months to 4 years (Entry Level position)

Location: Whitefield, Bangalore (WFO)

Shift :Rotational

Shift Timing: 3.30pm-12am / 6am-3pm

Job description

Sutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you

Preferred

- Handled International Calls - Added Advantage- P&C Insurance- Experience includes processing First Notice of Loss (FNOL), Claims Settlement and Claims Adjudication- Claims experience in Property and Casualty.- Property Damage, Motor Damage, Bodily Injury- Personal lines, Commercial lines + Claims- Claims experience in US Insurance, UK Insurance

In this role, you will get to:

· Document claims accurately, adhering to best practices for low to moderate exposure and complexity in Property, Content, and Liability/Injury claims.

· Exercise judgment for policy verification and coverage determination, analyzing applicable coverages.

· Determine liability through the gathering and analysis of relevant facts and images.

· Identify anomalies and patterns to detect fraudulent claims, referring them to the SIU team as per SOPs.

· Own the claims resolution process from initiation to settlement, ensuring timely resolution.

· Assess damages by calculating applicable damage or range of damages.

· Negotiate claim settlements, establishing appropriate negotiation strategies within authority limits.

· Meet quality standards through adherence to best practices.

· Ensure data integrity, proper documentation of claim files, and compliance with regulatory requirements.

· Uphold customer satisfaction by proactive communication, responding to inquiries, and following customer protocols.

· Ensure legal compliance with federal laws, regulations, and internal control requirements.

Qualifications

Our most successful candidates will have the following:

· Diploma/bachelor’s degree with 6 - 36 months of Experience.

· Experience in P&C Claims dealing with damage, liability, or injury claims.

· Excellent verbal and written communication skills; proficient reading skills.

· Good knowledge of Insurance claims end-to-end value chain activities, challenges, and best practices.

· Good knowledge of evaluating injuries and damage using market tools and technology.

· General knowledge of the coverages available under the damage protection, liability policy, and some common exclusions.

· Results-driven, ability to multi-task, pay attention to detail and follow procedures.

· Proven leadership and time management skills in a team environment.

· Extensive knowledge of internet technology

· Flexible to switch between voice and non-voice tasks.

· Flexibility to work in a 24*7 environment with rotational week offs.

We Will Give You

· Skills for life: how to solve problems, how to adapt to change, and how to tough it out in the face of adversity.

· The chance to work with people who will become your second family.

· A workplace that’s never boring.

· The opportunity to make someone’s day, every day.

· Rewards and recognition as you blaze your trail and ignite your career.

Please share your updated resume

We have other current jobs related to this field that you can find below

  • Claims Specialist

    1 week ago

    Bengaluru, Karnataka, India Sutherland Full time

    Claims HandlerExperience:0.6 months to 4 years(Entry Level position)Location:Whitefield, Bangalore ( WFO )Shift :RotationalShift Timing:3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Specialist

    1 week ago

    Bengaluru, Karnataka, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position) Location: Whitefield, Bangalore (WFO ) Shift :Rotational Shift Timing: 3.30pm-12am / 6am-3pm Job description Sutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the...

  • Claims Specialist

    1 month ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Specialist

    3 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Specialist

    3 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Specialist

    1 month ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Specialist

    3 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position) Location: Whitefield, Bangalore (WFO ) Shift :Rotational Shift Timing: 3.30pm-12am / 6am-3pm Job description Sutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have...

  • Insurance Claims Handler

    3 weeks ago

    Bengaluru, India Trovech Infotech Private Limited Full time

    **Responsibilities** As an insurance claims handler, you'll typically need to: - process new insurance claims notifications - provide advice on making a claim and the processes involved - collect accurate information and documents to proceed with a claim - analyse a claim made by a policymaker to establish whether it satisfies the policy conditions - guide...

  • Duckcreek Claims Developer

    3 weeks ago

    Bengaluru, India Coforge Full time

    Job Description Position- Duckcreek Claims Development / Configuration Role - Senior Developer / Technical Analyst /Technology Specialist / Team Lead Experience - 3 to 12 Yrs. Job Location - Greater Noida, Mumbai, Pune, Bangalore & Hyderabad Job Timing-  12:00 pm to 8:30 pm Mandate Skill-  Duckcreek Claims, Dot Net & Dot net...

  • Claims Specialist

    1 day ago

    Bengaluru, India EXL Full time

    Job Description:- Responsible for adjudication the US healthcare Claims.- Reviewing claims processing policies and guidelines.- Reviewing Physician/Hospital contract for correct payment method.- Reviewing the proper precertification for the claims.- Analyzing historical claims for member and provider for correct adjudication.- Adhere to all client and...

  • Claims Specialist

    7 days ago

    Bengaluru, India EXL Full time

    Job Description:Responsible for adjudication the US healthcare Claims.Reviewing claims processing policies and guidelines.Reviewing Physician/Hospital contract for correct payment method.Reviewing the proper precertification for the claims.Analyzing historical claims for member and provider for correct adjudication.Adhere to all client and company policies...

  • Claims Specialist

    1 week ago

    Bengaluru, Karnataka, India EXL Full time

    Job Description: Responsible for adjudication the US healthcare Claims.Reviewing claims processing policies and guidelines.Reviewing Physician/Hospital contract for correct payment method.Reviewing the proper precertification for the claims.Analyzing historical claims for member and provider for correct adjudication.Adhere to all client and company policies...

  • Claims Specialist

    1 week ago

    Bengaluru, Karnataka, India EXL Full time

    Job Description: Responsible for adjudication the US healthcare Claims.Reviewing claims processing policies and guidelines.Reviewing Physician/Hospital contract for correct payment method.Reviewing the proper precertification for the claims.Analyzing historical claims for member and provider for correct adjudication.Adhere to all client and company policies...

  • Claims Specialist

    1 week ago

    Bengaluru, India EXL Full time

    Job Description: Responsible for adjudication the US healthcare Claims.Reviewing claims processing policies and guidelines.Reviewing Physician/Hospital contract for correct payment method.Reviewing the proper precertification for the claims.Analyzing historical claims for member and provider for correct adjudication.Adhere to all client and company policies...

  • Claims Specialist

    7 days ago

    Bengaluru, India EXL Full time

    Job Description: Responsible for adjudication the US healthcare Claims.Reviewing claims processing policies and guidelines.Reviewing Physician/Hospital contract for correct payment method.Reviewing the proper precertification for the claims.Analyzing historical claims for member and provider for correct adjudication.Adhere to all client and company policies...

  • Duckcreek Claims

    1 week ago

    Bengaluru, Karnataka, India Coforge Full time

    Job Description Duckcreek Claims Developer & Specialist RR / Job ID - Skill - Duckcreek, Claims, Claim Configuration, Implementation, .Net Insurance & P&C. Job Locations - Greater Noida, Bengaluru, Hyderabad, Mumbai, Pune & Bhubaneswar Experience - Years. Description – Candidate should have strong experience on Duck creek...

  • Duckcreek Claims Developer

    1 week ago

    Bengaluru, Karnataka, India Coforge Full time

    Job Description Position- Duckcreek Claims Development / Configuration Role - Senior Developer / Technical Analyst /Technology Specialist / Team Lead Experience - 3 to 12 Yrs. Job Location - Greater Noida, Mumbai, Pune, Bangalore & Hyderabad Job Timing- 12:00 pm to 8:30 pm Mandate Skill- Duckcreek Claims, Dot Net & Dot net Framework. ...

  • Duckcreek Claims ||Developer ||Specialist ||Lead ||Multiple Location

    2 months ago

    Bengaluru, India Coforge Full time

    Job Description Duckcreek Claims Developer & Specialist RR / Job ID - Skill - Duckcreek, Claims, Claim Configuration, Implementation, .Net Insurance & P&C. Job Locations - Greater Noida, Bengaluru, Hyderabad, Mumbai, Pune & Bhubaneswar Experience -  2 - 14 Years. Description – Candidate should have strong experience...

  • DuckCreek Claims Tester

    1 week ago

    Bengaluru, Karnataka, India Coforge Ltd. Full time

    Job Description:- Position- Duckcreek Claims Testing Role - Senior Test Engineer / Test Analyst /Test Specialist Job Location - Greater Noida, Mumbai, Pune, Bangalore & Hyderabad Job Timing- 12:00 pm to 8:30 pm Mandate Skill- Duckcreek Claims, Dot Net & Dot net Framework. Knowledge of Duck Creek Claims System and other corresponding workflow transactions....

  • Claims Adjudication

    3 weeks ago

    Bengaluru, India CIEL HR Services Full time

    **Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...