Head - Accident & Health Claims
3 days ago
TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.Key ResponsibilitiesStrategic LeadershipBuild and drive end-to-end Accident & Health Claims strategy , frameworks and processes.Ensure compliance with latest health insurance regulations; implement process refinements.Lead the move towards paperless, automated claims settlement with superior TAT & customer experience.Design and monitor performance metrics for TPAs and internal claims teams.Collaborate with technology teams to build/enhance claims systems & automation .Build strong partnerships with external stakeholders: TPAs, investigators, hospitals, OSPs, providers .Drive continuous improvement, best practices, and customer-first delivery.Financial & Risk ManagementPartner with audit & fraud teams to implement fraud prevention and loss-mitigation frameworks .Manage claims budgets, average claims cost and cost-containment initiatives.Analyze ICR , medical data and portfolio trends; drive proactive risk control.Support product, U/W and actuarial teams with insights for guideline finalization.Lead periodic reporting for internal & regulatory stakeholders.Functional & Operational ExcellenceLead teams managing claims processing, customer queries, complaints, reserving & registration.Oversee adjudication of complex claims: indemnity, critical illness, accidental death .Manage network providers, evaluate & empanel TPAs/OSPs, drive performance management.Partner closely with product/business teams to strengthen service capability.People LeadershipDrive a culture of accountability, high performance and continuous learning.Set goals, mentor teams, review performance, and build future leaders in claims operations.Strengthen collaboration across cross-functional internal teams.Desired ProfileMBBS / BAMS / BHMS / B.Pharm preferred; or any graduate with health insurance certifications.15–20 years of experience in health insurance / TPA / wellness / healthcare domains.Strong exposure to claims operations, adjudication, medical review, fraud control, underwriting basics, hospital administration, and provider network management .Proven leadership in handling large teams and multi-stakeholder environments.Excellent analytical, communication, negotiation and people management skills.Key StakeholdersInternal: Product, U/W, Distribution, Customer Service, Technology, Compliance, FinanceExternal: TPAs, Hospitals, Investigators, Providers, Corporates, Customers
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Head - Accident & Health Claims
3 days ago
Bengaluru, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic...
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Head - Accident & Health Claims
3 days ago
Bengaluru, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic...
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Head - Accident & Health Claims
3 days ago
Bengaluru, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic...
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Head - Accident & Health Claims
4 days ago
Bengaluru, Karnataka, India Taglynk Full time ₹ 12,00,000 - ₹ 36,00,000 per yearTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to driveAccident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise inhealth insurance claims, fraud mitigation, provider network management and regulatory compliance. Key ResponsibilitiesStrategic...
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Health Claims Professional
2 weeks ago
Bengaluru, Karnataka, India Digit Insurance Full time ₹ 12,00,000 - ₹ 24,00,000 per yearJob Title: Quality and Process Manager Health Claims OperationsLocation: BangaloreDepartment: Health Claims OperationsReports To: Head of Health ClaimsEmployment Type:Full-TimeJob SummaryWe are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within our Health Claims...
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OPD Health Claim Processing
2 weeks ago
Bengaluru, Karnataka, India ACKO Full time ₹ 2,00,000 - ₹ 6,00,000 per yearJob Description – OPD Health Claims Processing(MR)Key Skills & CompetenciesKnowledge of health insurance policy coverage, exclusions, and claim processing.Familiarity with claim categories (IPD/OPD/Pre-post health claims processing).Basic understanding of medical terminology and treatment protocols.Strong attention to detail and analytical skills.Good...
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HNI desk head
2 weeks ago
Bengaluru, Karnataka, India Zigsaw Full time ₹ 12,00,000 - ₹ 24,00,000 per yearJob Specifications Profile HNI Desk Head Designation AVP & amp above PRIMARY JOB RESPONSIBILITIES Acquisition of HNI & amp Ultra HNI clients with primary focus on generation of broking revenue through Equity / Commodity / Currency market segments. Recruit Train & amp Retain Team members - HNI Relationship Managers and HNI Advisors for the stated HNI...
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Executive 2 - Health Insurance Claims
3 weeks ago
Bengaluru, India Whatjobs IN C2 Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...
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Executive 2 - Health Insurance Claims
2 weeks ago
Bengaluru, India Navi Full timeAbout the TeamThe Claims team at Navi is responsible for delivering a fast, transparent, andcustomer-first claims experience. From initial intimation to final settlement—whethercashless or reimbursement—they manage the end-to-end process with a strong focuson accuracy and turnaround time. The team works closely with the HospitalPartnerships team to...
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Hiring For Supplemental Health Claims
2 weeks ago
Bengaluru, Karnataka, India Expert Staffing Solutions New Delhi Full time ₹ 4,00,000 - ₹ 6,00,000 per yearJob Description: Under direct supervision, the Associate is responsible for the timely and accurate posting and imaging of new claims. This includes accessing various systems, both internal and external, for eligibility. Other assignments can include managing incoming email inboxes, bulk uploading of claims and managing automated claims kick outs. The...