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 handled INTERACTIONS:--Internal Clients: Endorsement team Onboarding team Products & engineering- Claims teams Support Inbound Account Management -External Clients: Insurers Client HR’s Hospitals Who 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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Claims Specialist
5 days ago
bangalore, India Plum Full timeAbout 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...
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Claims Specialist
1 week ago
Bangalore, India Plum Full timeAbout 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...
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[Immediate Start] Claims Resolution Specialist
3 weeks ago
Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru...
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Insurance Specialist
1 day ago
bangalore, India Scry AI Full timePosition: Insurance Specialist (SME – Claims, Underwriting & Compliance)Location: India (Remote)Employment Type: Full-TimeSchedule: Monday to Friday, Day ShiftExperience: 2+ Years in Insurance Operations, Claims Management, or Underwriting (experience with AI-driven insurance or digital tools preferred)Company DescriptionScry AI is a research-led...
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Insurance Specialist
1 day ago
bangalore, India Scry AI Full timePosition: Insurance Specialist (SME – Claims, Underwriting & Compliance) Location: India (Remote) Employment Type: Full-Time Schedule: Monday to Friday, Day Shift Experience: 2+ Years in Insurance Operations, Claims Management, or Underwriting (experience with AI-driven insurance or digital tools preferred) Company Description Scry AI is a research-led...
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Experienced Billing RCM
5 days ago
bangalore, India My Care International Full timePosition: Experienced Billing RCM (Physicians/Hospital/Lab)Location: RemoteExperience: 3 to 5 yearsShift time: 07:30 pm to 05:30 am IST (10 Hour Night Shift)Workdays: 5 working daysSalary: 35+Company Overview: My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support...
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Procurement Specialist
5 days ago
bangalore, India SD Industries, LLC Full timeLocation: 100% RemoteJob Type: Full TimeShift Time: 5:30 PM IST to 3:30 AM ISTIndustry: Construction & FabricationRequirement: Immediate joiner - one weekAbout the role:We’re looking for a detail-oriented Procurement Specialist to manage procurement operations, ensuring timely delivery of quality materials while optimizing costs. If you have experience in...
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Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru...
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Bangalore, Karnataka, India DXC Technology Full timeCollibra Data Governance Specialist Job Location Hyderabad Bangalore Chennai Kolkata Noida Gurgaon Pune Indore Mumbai Required Skills 5 - 15 years of experience in data governance and or metadata management Hands-on experience with Collibra Data Governance Center Collibra DGC including workflow configuration cataloging and operating model customization...
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Lead Specialist, Regulatory Affairs
3 weeks ago
Bangalore, Karnataka, India GE Healthcare Full timeSummary Join GE HealthCare as a Lead Specialist in Regulatory Affairs and play a pivotal role in shaping the future of medical imaging This global leadership position offers the opportunity to drive regulatory strategies and lead cross-functional teams to bring innovative X-ray imaging products to market Be part of a dynamic environment where your...
