Claims Officer- Distributor Claims

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 /...

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 /...

Job Description Key roles & responsibilities: - Distributors Rebate Claims Processing - Verification of claims against the sales data / invoices & approvals in Distributor ERP and CN processing in SAP Franchisee Payments - Processing Determination of month end provisioning and passing journal vouchers Coordination with Distributors for Claim submission and...

**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. -...

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...

KRAs:Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievanceScrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients)Serve as a point of contact for clients during claims, providing clarifications on...

KRAs: Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievance Scrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients) Serve as a point of contact for clients during claims, providing clarifications on...

KRAs: Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievance Scrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients) Serve as a point of contact for clients during claims, providing clarifications...

KRAs:Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievanceScrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients)Serve as a point of contact for clients during claims, providing clarifications on...

KRAs:Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievanceScrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients)Serve as a point of contact for clients during claims, providing clarifications on...

KRAs:Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievanceScrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients)Serve as a point of contact for clients during claims, providing clarifications on...

**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 Administrator, Assurant-India** This position is responsible for effective management of claims from the time of intimation through closure with the goal of achieving target SLAs and delivering exceptional customer service. Key duties include oversite in assignment of a service network partner to each claim, confirming customers receive...

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...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

Processing of cashless claim request received from hospital Consult the policy, check hospital records and examine property harm to find out the extent. Check and compile the claims with policy and procedures Handling all claim grievance effectively **Job Types**: Full-time, Permanent **Salary**: From ₹13,000.00 per month **Benefits**: - Health...

Processing of cashless claim request received from hospital Consult the policy, check hospital records and examine property harm to find out the extent. Check and compile the claims with policy and procedures Handling all claim grievance effectively **Job Types**: Full-time, Permanent **Salary**: From ₹13,000.00 per month **Benefits**: - Health...

**This position is responsible for the delivery of exceptional customer service through claims review as per SLA.** - Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to...