Claim Officer

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - Understand the...

Greetings From **Link - K Insurance** **Tpa Pvt Ltd** We are Third Party Administrators (TPA) in Health Insurance space having corporate office in Chennai.Incorporated in April 2023, we are licensed by Insurance Regulatory and Development Authority of India with License No. 038. We are empanelled by Insurance companies to service their policy holders. Our...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**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...

**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...

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...

We are looking for Field Officer with 0-2 years of Experience. Location : Bangalore Travelling: 90% Two Wheeler : Must to travel within city Limits Travel Reimbursement : Claim settled within a week **Responsibilities**: - Will be responsible to conduct verification of various insurance claims such as Health Insurance claim, Life Insurance Claims and...

Role - US Health Claims Handler Role: Full timeExperience: 06months to 1yrSalary : L1: 3.3LPA, L2: 5 LPA, 1+ Yrs Location : Whitefield, Bangalore Work from Office Working Days : 5Days Job description - Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

**Job Description** - Leads Claims team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically, responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow for the team. Supervises the accurate and timely...

**Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...

**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...

**Claims Executive - EB** - **Job Summary**: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

**Job Duties & Responsibilities** - Play as an intermediate role Between the Insurance co. and Hospital and the Team. - Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. - Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the...

Review claims submissions, obtain and verify information ensuring the timely and accurate resolution to the claims. Problem-solving skills. Proficient in English. Excellent knowledge of MS Office. Pay: ₹14,000.00 - ₹15,000.00 per month Schedule: - Day shift - Night shift **Education**: - Bachelor's (preferred) **Experience**: - total work: 1...

Job Location: BangaloreJob Type: Permanent.Must have worked in Insurance Voice- Motor Insurance, Property & Casualty, AR Caller, Claims, Marine Claims, Claims Adjudication, Claim Settlement.Years of experience for 3 years - 8 YearsSalary- Analyst- 3.50 LPA-7 LPANotice Period- Immediate - 15 Days only.Qualification- Any Graduate & Postgraduate (Regular...

**Claim Administrator, Assurant-GCC, India** Provide overall excellent customer service and problem resolution in the AGA Contact Center. **What will be my duties and responsibilities in this job?** - Executes effective processes to manage data entry and data integrity for all customer/client transactions such as payments and claims - Review incoming...

**JOB SUMMARY** This position will be based at the Bangalore office. The incumbent will play a key role in coordinating and managing claims for the Houston plant & support the internal Claims/ Warranty Log tool process. **PRINCIPAL DUTIES AND RESPONSIBILITIES** **Houston Claims** - Project manage all customer claims for the Houston facility from claim...