Claims Investigator

Job Title: Senior Claims InvestigatorJob SummaryWe are seeking a highly skilled Senior Claims Investigator to join our team at Prov HR Solutions Private Limited. The successful candidate will be responsible for analyzing and investigating complicated insurance claims to prevent fraud.Key Responsibilities:Analyze and investigate complicated insurance claims...

**Job description** **Roles and Responsibilities** 1. Acts as an interface between the TPA, Insurance Company and the hospital. 2. Responsible for investigation of suspicious claims. 3. Effective usage of Fraud control measures. 4. Act as a backend support to the TPA. 5. Responsible for data mining and analytics related to Fraud and Investigation...

**Claims Processing**: Review and process insurance claims in a timely manner, ensuring all required documentation is complete and accurate. - **Assessment**: Investigate claims by evaluating circumstances, gathering relevant information, and liaising with claimants, adjusters, and other stakeholders. - **Policy Compliance**: Ensure that claims are handled...

CTC=5.5lpa Location= Bengaluru Job Title: Claims Administrative/Third Party Administrative (in Healthcare company) Job Summary: We are seeking a detail-oriented and organized Claims Administrative to join our team. As a Claims Administrative, you will be responsible for providing administrative support to the claims department, ensuring efficient and...

CTC=5.5lpa Location= Bengaluru 6 Days working Job Title: Claims Administrative/Third Party Administrative (in Healthcare company) Job Summary: We are seeking a detail-oriented and organized Claims Administrative to join our team. As a Claims Administrative, you will be responsible for providing administrative support to the claims department, ensuring...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...

Communicating with clients and understanding the investigation requirements - Conducting in-depth research on various appointed cases - Gathering and analyzing evidence reports - Contacting and interrogating witnesses - Examining surveillance cameras and audios to gather evidence - Reviewing and authenticating insurance claims - Preparing and maintaining...

**Desktop Investigation** - Trigger identification through data at intimation/Referral stage - Social media searches - Cold calling using digital platforms - Identify key business people, link analysis **Claim Investigation** - Allocation of assigned claims to respective vendors with case relevant triggers - Follow up for IR and TAT management - Level 1 QC...

**Process Associate: Travel Claims** **Location: Bangalore/Chennai** Introduction: Established in 1993, YRGCARE is a premier non-government organization providing comprehensive HIV services in India. Its objective is to provide prevention, care, support, and treatment services for people living with HIV/AIDS, to prevent new infections, and to ensure that...

**Bengaluru** **Customer Success - Customer Success /** **Full Time /** **On-Site** **About this role**: - The job purpose of a Cashless Claims Team Associate 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...

**Claims operations** On monthly basis, monitor key performance parameters such as - Claims settlement TAT - Claim Settlement Ratio - Efficiency ratio, etc.; - Track deviations against set targets and identify reasons for deviations - Closely monitor and control the high ageing open claims, including co-insurance claims - Review the reserve revisions for...

Job SummaryAt Prov HR Solutions Private Limited, we are seeking a highly skilled Retail and Legal Claims professional to join our team. The successful candidate will be responsible for analyzing and investigating complicated insurance claims, performing site inspections, and providing court testimonies when necessary.Responsibilities:Conduct thorough...

**Grow your career with a growing organization** Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

Job Summary:As a Retail & Legal Claims Specialist, you will be responsible for analyzing and investigating complicated insurance claims to prevent fraud, performing site inspections, and providing court testimonies when necessary. You will also review and process new claims reports and court verdicts, maintain relationships with insurance departments and...

**Job description** **Role & responsibilities For Field Investigation Officer**: 1. Investigate the allotted claims 2. Visit hospitals, Meet patients, verify hospitalization ( Minimum 5 hospitals per day ) 3. Report observations with findings 4. Should be well versed with medical terms 5. Should know to speak Kannada and willing to travel Education -...

**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...

Experience - 1 + YearsLocations - Bangalore-MG Road, Thrissur, Mysore, Nashik, ChennaiPosition - Manager & Assistant ManagerCost Center - Litigation & TP ClaimsFunction - Retail & Legal ClaimsResponsibilities:Analyze and investigate complicated insurance claims to help prevent fraud.Perform detailed site inspections.If necessary, provide well-informed court...

Job Summary:We are seeking an Insurance Litigation Manager to join our team at Prov HR Solutions Private Limited. The ideal candidate will have a minimum of 1 year of experience in similar positions, with strong analytical and organizational skills. Excellent knowledge of the latest local, state and federal insurance-related policies is...

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

Job Title: Warranty Recovery Claims AnalystAGCO is seeking a highly skilled Warranty Recovery Claims Analyst to join our team. As a key member of our Commercial Recovery team, you will be responsible for the administration of warranty recovery claims, ensuring timely and efficient resolution of supplier warranty claims.Key Responsibilities:Review and process...