Claims Post Executive

3 months ago


Wagle Estate Thane Maharashtra, India Paramount Health Services & Insurance TPA Pvt Ltd Full time

. The Claims Executive will be responsible for accurately and efficiently processing claims, ensuring that claims are handled in compliance with company policies and industry regulations.

**Key Responsibilities**:

- Receive and review claims, verifying accuracy and completeness.
- Determine the validity of claims and process them in a timely manner.
- Investigate and evaluate claims by gathering necessary information.
- Collaborate with internal departments to ensure smooth claims processing.
- Analyze and interpret policy terms and coverage.
- Identify and escalate fraudulent or suspicious claims.
- Maintain detailed records and documentation for each claim.

Pay: ₹13,000.00 - ₹15,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

Supplemental Pay:

- Yearly bonus

Work Location: In person

Application Deadline: 30/09/2024
Expected Start Date: 03/10/2024


  • Medical Claims

    6 months ago


    Malad, Mumbai, Maharashtra, India Dr Claims Full time

    Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

  • Medical Claims

    2 months ago


    Malad, Mumbai, Maharashtra, India Dr Claims Full time

    Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

  • Claim Executive

    4 months ago


    Thane R.S., Thane, Maharashtra, India JV Resume India Pvt Ltd Nagpur Full time

    M/s JV Resume India Pvt Ltd Free Placement Job Profile - Claim Executive Location - Thane Qualification - Any Graduate Experience - 2 to 5 years Salary - 35000 to 45000 Roles and Responsibilities - 1. Facilitate insurance claim 2. Handle high - volume claim processing, including, documents review, data entry and investigation 3. Research, analyze...

  • Claims Executive

    6 months ago


    Thane, India Review Insurance Brokers Pvt Ltd Full time

    1)Scrutiny of claim documents like claim form, discharge card, final bill, etc. 2) Maintaining claim records 3) Discuss and help customers to resolve any queries generated in the claims process. 4). Follow up with insurers and claims team for settlement of claims 5) Claim intimation of GPA, WC, GTL claims Required Skills - well spoken and written English,...

  • Claims Executive

    6 months ago


    Mumbai, Maharashtra, India Coverfox Insurance Broking Full time

    **Position Overview**: **Key Responsibilities**: **Process Improvement**: Analyse current post-sales processes, identify inefficiencies, and develop and implement streamlined procedures to enhance operational effectiveness. Continuously monitor and optimise processes to ensure efficient customer onboarding, policy servicing, claims processing, and...

  • Claims Executive

    6 months ago


    Mumbai, Maharashtra, India Tresbien HR Staffing Full time

    Greetings! Urgently required Claims Executive for a Insurance Co. Location - Vidyavihar-Mumbai Exp - 1 Year Qualification - Any Graduate ( TPA experience Only apply) Job Profile - Should have knowledge of Cashless claims processing, required TPA Experience only Adjudication of claims on technical basis. - Computing of non-admissible items as per policy...

  • Am Claims

    7 months ago


    Thane, India Acumont Solutions Private Limited Full time

    We Are hiringAM Claim Location: Thane, Mumbai Experience : 3 to 10 years Qualification : BAMS, BHMS, MBBS, BDS Working Days : 5 Day Key Challenges for the role - Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products - Understanding of Claims systems (process flow & System fields) - Health, PA & Travel - Experience in...

  • Claims specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title : Senior Executive - Wellness OPD ClaimsExperience Required : 1+ yearsLocation : ThaneJob Overview :We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title : Senior Executive - Wellness OPD ClaimsExperience Required : 1+ yearsLocation : ThaneJob Overview :We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title : Senior Executive - Wellness OPD ClaimsExperience Required : 1+ yearsLocation : ThaneJob Overview :We are looking for aSenior Executive – Claim Processingto join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...


  • Thane, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...

  • Payment Posting

    3 months ago


    Mumbai, Maharashtra, India Applogiq Full time

    **Job Title**: Payment Posting Reconciliation Specialist **Experience**: 3+ Years **Location**: Mumbai **Walk-In Interview** Accurately post payments to patient accounts or customer accounts from various sources such as insurance companies, customers, or third-party payers. - Minimum 3+ years of hands-on experience in the end-to-end Revenue Cycle Management...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title: Senior Executive - Wellness OPD ClaimsExperience Required: 1+ yearsLocation: ThaneJob Overview:We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title: Senior Executive - Wellness OPD ClaimsExperience Required: 1+ yearsLocation: ThaneJob Overview:We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title : Senior Executive - Wellness OPD Claims Experience Required : 1+ years Location : Thane Job Overview : We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines,...

  • Claims Specialist

    3 weeks ago


    Thane, India Livlong 365 Full time

    Job Title : Senior Executive - Wellness OPD Claims Experience Required : 1+ years Location : Thane Job Overview : We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company...

  • Claims Executive

    3 months ago


    Andheri, Mumbai, Maharashtra, India INTINERI INFOSOL PVT LTD Full time

    **Profile : Claim Settlement (FMCG ) - Commercial Executive** **LOCATION** - West Zonal Officer, Marol, Andheri East, Mumbai. **Budget **- 6 LPA **Age** - Below 35 years. **Reporting will be**: - Manager-Commercial **Minimum: 5 years’ Experience** **JOB DESCRIPTION** **KEY RESPONSIBILITIES**: - In depth knowledge of Export Claims procedures. -...

  • Claims Executive

    6 months ago


    Andheri, Mumbai, Maharashtra, India Europ Assistance Full time

    Position Title: Claims Executive Role Purpose: To assist the EA India Operations Team in managing claims arising from travel insurance policies sold by various insurers Key Responsibility Areas: Understand the travel insurance policy terms and conditions of various insurers Register Travel claims on system Process Travel claims as per the policy...

  • Claims Executive

    6 months ago


    Thane, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Thane, India Livlong 365 Full time

    Job Title: Senior Executive - Wellness OPD ClaimsExperience Required: 1+ yearsLocation: ThaneJob Overview:We are looking for a Senior Executive – Claim Processing to join our dynamic OPD (Outpatient Department) Wellness Operations team. The ideal candidate will have strong experience in managing OPD claims in line with company guidelines, insurance...