Claims Investigation Executive

Job Title: Senior Claims InvestigatorJob SummaryWe are seeking a highly skilled Senior Claims Investigator to join our team at Prov HR Solutions Private Limited. The successful candidate will be responsible for analyzing and investigating complicated insurance claims to prevent fraud.Key Responsibilities:Analyze and investigate complicated insurance claims...

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...

**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...

Job Summary:We are seeking an experienced Claims Investigator & Negotiator to join our team at Prov HR Solutions Private Limited. This role involves analyzing and investigating complicated insurance claims, performing site inspections, and providing expert testimonies in court if necessary.Responsibilities:Analyze and investigate claims data to identify...

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...

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...

**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...

**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...

Communicating with clients and understanding the investigation requirements - Conducting in-depth research on various appointed cases - Gathering and analyzing evidence reports - Contacting and interrogating witnesses - Examining surveillance cameras and audios to gather evidence - Reviewing and authenticating insurance claims - Preparing and maintaining...

Selling partner risk operations investigator will be responsible for a wide range of duties related to the investigation and Elimination of online ecommerce risk. They will have experience in the ecommerce payments space, previous trust and safety experience and experience succeeding in a customer-driven workplace. Investigators will be analytical and...

**Desktop Investigation** - Trigger identification through data at intimation/Referral stage - Social media searches - Cold calling using digital platforms - Identify key business people, link analysis **Claim Investigation** - Allocation of assigned claims to respective vendors with case relevant triggers - Follow up for IR and TAT management - Level 1 QC...

**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...

**Bengaluru** **Customer Success - Customer Success /** **Full Time /** **On-Site** **About this role**: - The job purpose of a Cashless Claims Team Associate is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed...

Job SummaryAt Prov HR Solutions Private Limited, we are seeking a highly skilled Retail and Legal Claims professional to join our team. The successful candidate will be responsible for analyzing and investigating complicated insurance claims, performing site inspections, and providing court testimonies when necessary.Responsibilities:Conduct thorough...

**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...

Job profile: CRM helpdesk. 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...

**Grow your career with a growing organization** Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

Job Summary:As a Retail & Legal Claims Specialist, you will be responsible for analyzing and investigating complicated insurance claims to prevent fraud, performing site inspections, and providing court testimonies when necessary. You will also review and process new claims reports and court verdicts, maintain relationships with insurance departments and...

**Responsibilities** As an insurance claims handler, you'll typically need to: - process new insurance claims notifications - provide advice on making a claim and the processes involved - collect accurate information and documents to proceed with a claim - analyse a claim made by a policymaker to establish whether it satisfies the policy conditions - guide...