Executive Health Claims Assessment
7 months ago
Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents
- Reserve Setting:
- Need to do the proper reserve setting on system based on the claim documents
- Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions - On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc.
- Co-ordination with Branch Offices/Clients/Hospitals for requirements - Need to have follow up with branches office/clients/hospitals for additional documents whenever require
- NEFT Updation - Updation of customer/insured NEFT details on system while processing the claims
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Medical Claims
5 months ago
Malad, Mumbai, Maharashtra, India Dr Claims Full timeVerify 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 /...
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Medical Claims
1 month ago
Malad, Mumbai, Maharashtra, India Dr Claims Full timeVerify 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 /...
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Health Claims Specialist
4 days ago
mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full timeKRAs: 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...
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Health claims specialist
4 days ago
Mumbai, India Shrigoda Insurance Brokers Limited Full timeKRAs: 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...
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Health Claims Specialist
4 days ago
mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full timeKRAs: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...
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Health Claims Specialist
4 days ago
Mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full timeKRAs: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...
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Health Claims Specialist
4 days ago
Mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full timeKRAs: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...
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Claims Executive
5 months ago
Mumbai, India Talent Corner HR Services Pvt Ltd Full timeJob opening for claim executive position in a reputed Insurance and Loss Assessor Location: Mumbai Job description: Documentation of all claims from different sites of all over India. Making Assessments of Thefts, Material Damage and Other claims as per the documents and as per the policy guidelines. Interacting with the Insurance Company for the Queries...
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Claim Executive
6 months ago
Mumbai, India Tresbien HR Consultancy Full timeHi Urgent Opening for Claim Executive with a leading TPA in health Insurance at Marol Andheri Please find below requirement: - Designation **:Claim Executive** **Location - Marol Andheri** **Job Profile** **-** - **Processing** **of claim files**: - **Handling queries related to the claims.**: - **Co-ordination with Providers Department for solving...
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Claim Processing Executive
6 months ago
Mumbai, India A2Tech Consultants Full time**Job Description For Customer Support Executive (Insurance Claiming Process)** **Company Name: - Turtlemint** **Company Location: Andheri (East)** **Job Type : Full Time** **Company Profile**: **Turtlemint is an insuretech platform empowering insurance advisors **with digital tools to recommend the right **insurance products** to their clients....
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Health Claims Specialist
4 days ago
Mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full timeKRAs: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...
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Claims Executive insurance Chembur
2 months ago
Chembur, Mumbai, Maharashtra, India Transformatrix LLP Full time**We are Hiring !!** **For a Insurance KPO Firm located in Chembur.** **Role: Claims Executive** **Job Location: Chembur (Travelling to client place in Malad required)** **Key Responsibilities**: - **Review and process insurance claims** in a timely and accurate manner. - Assess the **validity of claims** by evaluating documentation, policy coverage, and...
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Claims Executive
2 months ago
Andheri, Mumbai, Maharashtra, India INTINERI INFOSOL PVT LTD Full time**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. -...
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Claims Executive
6 months ago
Mumbai, India Talent Corner HR Services Pvt Ltd Full timeJob opening for claim executive (Non-Motor) position in a reputed Insurance and Loss Assessor Location: Mumbai Should have 2-3 yrs. experience in a relevant field. Job description: Documentation of all claims from different sites of all over India. Making Assessments of Thefts, Material Damage and Other claims as per the documents and as per the policy...
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Claims Processing Executive
5 months ago
Mumbai, India Watchyourhealth.com India Private Limited Full timeCRM 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 seamless cashless and priority...
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Claim Executive
6 months ago
Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeProcessing 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...
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Claims Executive
2 months ago
Chembur, Mumbai, Maharashtra, India Transformatrix LLP Full time**We are Hiring !!** **For a Insurance KPO Firm located in Chembur.** **Role: Claims Executive (OPERATIONS)** **Job Location: Chembur (Travelling to client place in Malad required)** **Key Responsibilities**: - **Review and process insurance claims** in a timely and accurate manner. - Assess the **validity of claims** by evaluating documentation, policy...
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Claim Executive
6 months ago
Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeProcessing 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...
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Claims Executive
5 months ago
Andheri, Mumbai, Maharashtra, India BEAUTY GARAGE INDIA PVT.LTD Full timeUrgently required **Claims Executive (beauty Care Industry Only).** **Salary Range: 18k to 20k** **Immediate Joiner or 15 days notice period** **Job description** 1) Follow up with distributor and super stockiest for secondary sales. 2) Tp provide claim reports to Management, NSM, ASM as per their requirements. 3) Settlement and discounting of claims...
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Claims Processing Executive
5 months ago
Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full timeCRM 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 seamless cashless and priority...