Health Claim Process
7 months ago
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 complexity for Property and Content damage and Liability/Injury claims.Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.Exercise judgement to determine liability by gathering and analyzing relevant facts, images; utilizing applicable coverages.Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs.Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement.Assess damages by calculating applicable damage or range of damages.Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits.Meet quality standards by following best practices.Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements.Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. -Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions.Ensure legal compliance by following federal laws and regulations, and internal control requirements
**Job Types**: Full-time, Permanent
**Salary**: ₹20,000.00 - ₹40,000.00 per month
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Night shift
- Rotational shift
Supplemental pay types:
- Joining bonus
- Performance bonus
Ability to Commute:
- Bangalore, Karnataka (required)
Work Location: In person
-
Claim Processer
7 months ago
Bengaluru, Karnataka, India Acko General Insurance Full time**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...
-
Claims Processing and Adjudication
5 days ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations)Location - BangaloreOnly Work from Office (No Hybrid, No Remote, No Work from Home)Position Overview:We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication with a...
-
Claims processing and adjudication
2 weeks ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations)Location - BangaloreOnly Work from Office (No Hybrid, No Remote, No Work from Home)Position Overview :We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication with...
-
Health Insurance Process Associate
1 day ago
Bengaluru, Karnataka, India Medverve Healthcare Full timeDesignation: Health Insurance Process Associate Experience: Fresher Qualification: Any Degree Location: AMCH Hospital, Shampur, Bangalore **Job Description**: - Knowledge in Computers like MS Office. - Claim Quality Check. - Claim Processing. - Knowledge on Government Schemes & Insurance. - Knowledge on Excel. Pay: From ₹15,000.00 per...
-
Claims Processing and Adjudication
6 days ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations)Location - BangaloreOnly Work from Office (No Hybrid, No Remote, No Work from Home)Position Overview :We are seeking a skilledSenior Executive - India HRO Benefits and Claims Processingwith 5–6 years of hands-on experience in managingbenefits and claims adjudicationwith a strong...
-
Claims Executive
2 months ago
Bengaluru, Karnataka, India Link K Insurance TPA Pvt Ltd Full timeGreetings 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...
-
Medical Officer
2 weeks ago
Bengaluru, India Vidal Health Full time**Roles and Responsibilites**: - Processing of Claims with verification and Settlement with Customer Accounts. - Evaluation of customer/Claims and posting accordingly. - Resolving Claims related queries and discrepancies, Follow up and respond to queries of Customers. - Approving and Rejection of Payments to the Customers with all verification. - Updating...
-
Medical Officer
6 hours ago
Bengaluru, India Vidal Health Full time**Roles and Responsibilites**: - Processing of Claims with verification and Settlement with Customer Accounts. - Evaluation of customer/Claims and posting accordingly. - Resolving Claims related queries and discrepancies, Follow up and respond to queries of Customers. - Approving and Rejection of Payments to the Customers with all verification. - Updating...
-
Insurance Claims Process
4 months ago
HSR Layout, Bengaluru, Karnataka, India ZealCross Private Limited Full time**Job Types**: Full-time, Permanent Pay: ₹25,000.00 - ₹30,000.00 per month **Benefits**: - Health insurance - Provident Fund Schedule: - Day shift Application Question(s): - Immediate joiner **Experience**: - total work: 1 year (required) - Insurance claim process: 1 year (required) **Language**: - English (required) Work Location: In person
-
Claims Processing and Adjudication
7 days ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations)Location - BangaloreOnly Work from Office (No Hybrid, No Remote, No Work from Home)Position Overview: We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication with a...
-
Claims Processing and Adjudication
6 days ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations) Location - Bangalore Only Work from Office (No Hybrid, No Remote, No Work from Home) Position Overview : We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication...
-
Claims Processing and Adjudication
7 days ago
Bengaluru, India Tata Consultancy Services Full timeTCS Bangalore is Hiring for Claims Processing and Adjudication (HRO Operations)Location - BangaloreOnly Work from Office (No Hybrid, No Remote, No Work from Home)Position Overview: We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication with a...
-
Claims Associate
1 month ago
Bengaluru, Karnataka, India Get Paz Solutions Private Limited Full timeAbout the job**Company Description** Pazcare is an Employee Benefits Stack designed for the Modern Indian Workforce, located in Bengaluru. Our mission is to empower employers by providing tailor-made benefits that cater to every employee's need. We offer top-notch insurance, food & fuel benefits, easy health checkups, and more, all seamlessly integrated...
-
Claims Associate
3 months ago
Bengaluru, Karnataka, India Nova Benefits Insurance Brokers Full time**Location - Bangalore**: **CTC - 4-5 LPA**: **Nova Benefits** is on a mission to provide the best in class health and wellness benefits for employees in India. We envision that a vast majority of the county's population will get better access to high-quality healthcare through their employers. We are a tech-first company and believe that technology can make...
-
Executive- Reimbursement Claim
3 months ago
Bengaluru, Karnataka, India Plum Benefits Full time**Bengaluru** **Customer Success - 7. Customer Success /** **Full Time /** **On-Site** **About Plum** Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. - Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of...
-
Claims Processing Executive
7 months ago
HSR Layout, Bengaluru, Karnataka, India Infomap Solutions Private Limited Full timeRegistration of Claims in Portal - Validate the Claims & ensure the arithmetical accuracy - Effectively communicating with stakeholders to provide updates, resolve queries, and address concerns. - Posting accounting entries in SAP - Reconciliation b/w SAP entries & Distributor Claim working - Ensure / Validate Invoice raised by the distributors are according...
-
Claims - Helpdesk Executive - Bangalore
6 days ago
Bengaluru, India Loop Health Full timeWe are looking for a fulltime in office member at our Bangalore Office, who will look after all our paper work when it comes to Claims department. As a claims administrator, you should have attention to details and be up to date with all the documents that are to be procured **Role and Responsibilities**: - Receive Claim Files and add file details as per...
-
Health Claims Associate Gsc’s
7 months ago
Bengaluru, Karnataka, India HSBC Full time-Job description **Some careers shine brighter than others.** If you’re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further. HSBC is one...
-
Process Associate
7 months ago
Bengaluru, Karnataka, India Y.R. Gaitonde Centre for AIDS Research and Education (YRG CARE) Full time**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...
-
Claims Executive
5 months ago
Jayanagar, Bengaluru, Karnataka, India Basket Options Pvt. Ltd Full time**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...