Claims Audit

Roles and Responsibilities: - 1) facilitate insurance claims. 2) Handle high-volume claim processing, including document review, data entry, and investigation. 3) Research, analyze, and resolve claims and process payments follow-ups. 4) Provide superior customer service to internal and external customers via phone, 5) Research and validate benefits,...

**Healthcare Manager** **Responsibilities**: - Handling ICICI Lombard customers on ground within policy terms in sync with hospitals and to drive savings by bill audits and negotiation with the hospitals for the locations - Mumbai, Ahmedabad, Kolkata, Delhi, Faridabad, Gurgaon, Noida and Ghaziabad. - Handling 7-10 hospital in vicinity by as and when...

Healthcare Manager **Responsibilities**: Handling ICICI Lombard customers on ground within policy terms in sync with hospitals and to drive savings by bill audits and negotiation with the hospitals for the locations - Mumbai, Ahmedabad, Kolkata, Delhi, Faridabad, Gurgaon, Noida and Ghaziabad. Handling 7-10 hospital in vicinity by as and when required...

**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...

To have sound knowledge about the Insurance claims and claims documentation. - Maintains expertise in the industry practices, and specific organizational factors of quality assurance &claims audit end-to-end i.e., Closed File Review (CFR) & Open File Review (OFR). - To provide suitable suggestions for the improvement in the process based on the CFR/OFR...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

**Urgent Opening for Team Leader - Blended Process ** Location: Malad & Thane **Salary: Up-to 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince **Claims Team Leader** **Role Description**: **- **Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. **Core Role...

**Urgent Opening for Team Leader - Blended Process ** Location: Malad & Thane **Salary: Up-to 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince **Claims Team Leader** **Role Description**: **- **Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. **Core Role...

Greetings from Tresbien HR! Hiring! Urgently required Doctors -Health Claims Investigator. TPA Co - Health Insurance. Exp - 3 Years + Location - Vidyavihar, Mumbai (1 Minute walking from station) Qualification - MBBS, BAMS, BHMS, BDS Note - "TPA Doctors only apply" Job Profile - Ø Responsibility of Pan India Investigation Operations & controlling &...

Dear All, Urgently hiring for a leading life Insurance company. Job Location: Mumbai. Job Role: Claims Payout. Industry Preference: Life Insurance Only **Roles and Responsibilities** - Manage Company initiated payouts function in the Claims department - Need Excellent knowledge about Lifeasia, Products & CRM Surround system to ensure precision in...

Non-Motor Claims Scrutiny and claims processing for settlement - Coinsurance Claims Process, - Reconciliation of Incoming Coinsurance Claims - Branch Office / Other Insurers Claims Query handling - Coordination with IT Department for Bugs and Developments - Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team - Coinsurance Claims...

Roles and Responsibilities: 1) facilitate insurance claims.2) Handle high-volume claim processing, including document review, data entry, andinvestigation.3) Research, analyze, and resolve claims and process payments follow-ups.4) Provide superior customer service to internal and external customers via phone,5) Research and validate benefits, address...

**All Risk Claims Management**: - Implement Claims SOP within the team and service network and ensure adherence of the same in region - Monitoring day to day claims activities and ensure claim settlement as per agreed TAT at region - Guide and direct the team member in handling critical claims - End to End claims processing, approving/repudiating claims...

SHJP-586 Claims Handler for Vikhroli,Mumbai **Requirements**: - Processing of Client figures into our system in line with specified key performance indicators and contractual conditions - Acknowledge and action client’s instructions in a timely manner and communicate pertinent information as necessary - Where applicable, ensure prompt chasing of accounts...

Accounts handling the reimbursement, claim settlement and checking of expenses bills like Mobile Bills, Food Expenses, Travelling Expenses, domestics claims. - Received and review employee reimbursement claims for accuracy and completeness. - Ensure all submitted expenses are in line with company policies and guidelines. - Verify the authenticity of receipts...

**NAME **Open Position **DEPTARTMENT**:Administration **TITLE **Claims Examiner **STATUS**:Full-time **REPORTS TO**:Manager of TPA Operations **CLASSIFICATION **Non-Exempt **JOB SUMMARY/ORGANIZATIONAL IMPACT**:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality...

**Job ID **:2205****: **Audit & Assurance** a) Ensuring submission of management comments within timeline of report issuance by Audit team in collaboration with respective Functions/Audit team. b) Root cause identification of the audit issue and fixing the issue by implementation of controls/process/SOP. d) Timely closure of Audit Committee Meeting deck...