Claims Administrator
2 months ago
**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 efficiently within established timelines.
Evaluate claim settlements and negotiate with relevant parties to ensure fair and reasonable outcomes.
Maintain accurate records of claims activities, correspondence, and settlement agreements.
Analyze claim trends and identify opportunities for process improvements.
Collaborate with internal teams, including underwriting and risk management, to mitigate potential losses and improve claims processes.
Provide support and guidance to junior claims staff as needed.
Stay updated with changes in insurance regulations and industry best practices.
**Requirements**:
Bachelor's degree in Business Administration, Finance, or related field.
Strong knowledge of insurance policies, coverage, and claims handling procedures.
Excellent analytical and problem-solving skills.
Exceptional communication and negotiation skills.
Ability to multitask and prioritize workload in a fast-paced environment.
Prior experience with insurance claims management software is preferred.
Certification in insurance or claims management is a plus.
**Salary**:
**Benefits**:
Competitive salary based on experience and qualifications.
Health insurance coverage.
Professional development opportunities.
Friendly and supportive work environment.
Opportunities for career advancement and growth within the company.
**Job Types**: Full-time, Permanent
Pay: From ₹30,000.00 per year
**Benefits**:
- Food provided
- Paid sick time
- Paid time off
Schedule:
- Day shift
- Monday to Friday
- Morning shift
- Rotational shift
- Weekend availability
Supplemental Pay:
- Performance bonus
- Yearly bonus
Work Location: In person
-
Claims Administrator
5 months ago
Vikhroli, Mumbai, Maharashtra, India Geo Fintech Full time**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...
-
Claims Administrator
5 months ago
Vikhroli, Mumbai, Maharashtra, India Geo Fintech Full time**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...
-
Claim Administrator
2 months ago
Mumbai, Maharashtra, India Assurant Full time**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...
-
Claims Administrator
7 months ago
Mumbai, India Assurant Full time·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 company practices and procedures ·Ensure Service partners work as per agreed SLA’s to meet service standards. ...
-
Claims Executive
5 months ago
Mumbai, Maharashtra, India Coverfox Insurance Broking Full time**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 Representative
2 months ago
Nagpur, Maharashtra, India Magnum insurance broking pvt ltd Full time**Key Responsibilities**: - Retrieve and review hospital documents required for claims processing. - Prepare and organize documentation for submission to TPAs. - Ensure all claims are submitted accurately and within designated timelines. - Maintain a comprehensive record of all claim submissions and follow up on outstanding documents. - Collaborate with the...
-
Claims Management Specialist
2 weeks ago
Mumbai, Maharashtra, India Hospital staff Full timeJob SummaryHospital Staff is seeking a skilled Claims Management Specialist to manage insurance claims and liaise with third-party administrators.Key ResponsibilitiesProcess and resolve medical claims efficientlyLiaise with third-party administrators to ensure smooth claim processingCandidates should have experience in insurance and medical claims...
-
TPA Claims Specialist
1 week ago
Mumbai, Maharashtra, India Hospital staff Full timeJob Title: TPA Claims SpecialistJob Summary: We are seeking a highly skilled TPA Claims Specialist to join our team at Hospital Staff. The successful candidate will be responsible for managing insurance claims, liaising with third-party administrators, and ensuring efficient and compliant claim processing.Key Responsibilities:Manage insurance claims from...
-
Claims Processing Executive
5 months ago
Airoli, Navi Mumbai, Maharashtra, India Buzzworks Business Services Pvt Ltd Full timeJob description We are Hiring for a Top MNC Company!!! **Position ; Us Healthcare Claim process** **Shift timing : Night Shift - US shift** **Work from Office (Both way cab facilities available)** **Salary: 19k CTC (Take Home - 14K)** **Location: Airoli, Navi Mumbai** - The Healthcare Operations vertical helps our clients drive breakthrough growth by...
-
Claims Resolution Specialist
3 weeks ago
Mumbai, Maharashtra, India Assurant Full timeJob SummaryWe are seeking a highly skilled Claims Administrator to join our team at Assurant. As a Claims Administrator, you will play a critical role in ensuring that claims are processed efficiently and effectively.Key ResponsibilitiesAdjudicate claims based on available information and estimates, ensuring that claims are valid and settlements are made in...
-
TPA Claims Coordinator
3 weeks ago
Mumbai, Maharashtra, India Hospital staff Full timeTPA Coordinator Job DescriptionHospital Staff provides 100% free job services. Post: TPA Coordinator Location: Hospital Salary: 18K to 20K depends on experience Experience: 1-5 yearsJob Summary:The TPA Coordinator will manage insurance claims, liaise with third-party administrators, and ensure efficient and compliant claim processing.Key...
-
TPA Claims Specialist
3 weeks ago
Mumbai, Maharashtra, India Hospital staff Full timeHospital Staff Job PostingWe are seeking a highly skilled TPA Claims Specialist to join our team at Borivili West Hospital.Job Summary:The TPA Claims Specialist will be responsible for managing insurance claims, liaising with third-party administrators, and ensuring efficient and compliant claim processing.Key Responsibilities:Manage insurance claims from...
-
Claims Manager
3 weeks ago
Mumbai, Maharashtra, India AXA Group Full timeClaims Manager Job DescriptionAbout the Role:We are seeking a highly skilled Claims Manager to join our team at AXA XL. As a Claims Manager, you will be responsible for handling claims for all lines of business, providing prompt and efficient service to clients, and meeting company objectives and targets.Key Responsibilities:Client servicing, liaison with...
-
Claims Specialist
4 days ago
Mumbai, Maharashtra, India AXA Group Full timeClaims SpecialistAXA XL is seeking a talented Claims Specialist to join our team in Mumbai, India. As a Claims Specialist, you will be responsible for handling claims for all lines of business, providing prompt and efficient service to clients, and meeting company objectives and targets.Key ResponsibilitiesClient servicing, liaison with underwriters, and...
-
Claims Manager
2 months ago
Mumbai, India AXA Group Full timeClaims Manager XLICSE, India Reinsurance Branch Mumbai, India XLICSE is an Ireland domiciled insurer with branches throughout the EU, as well as Australia, Hong Kong, Singapore and Malaysia. It primarily writes property, casualty and specialty insurance and facultative reinsurance for large national and multinational corporations and leading...
-
Claims Resolution Specialist
3 weeks ago
Mumbai, Maharashtra, India Assurant Full timeJob SummaryAs a Claims Administrator at Assurant, you will play a critical role in ensuring that claims are valid and settlements are made according to company practices and procedures.Key ResponsibilitiesAdjudicate claims with available details of defect and estimates, collecting, verifying, and analyzing information obtained during the claims...
-
Claims Manager
10 hours ago
Mumbai, Maharashtra, India AXA Group Full timeJob Title:Claims Manager - Reinsurance ExpertJob Summary:We are seeking a highly skilled Claims Manager - Reinsurance Expert to join our team at AXA Group. As a Claims Manager, you will be responsible for handling claims for all lines of business, providing prompt and efficient service to clients to meet company objectives and targets.Manage the adjustment...
-
Officer - Administration
6 months ago
Worli, Mumbai, Maharashtra, India KEC Full time**JOB DUTIES** **Job Summary - Involved in ongoing contract administration process as well as process of dispute resolution through arbitration and / or litigation**Key Accountabilities** - Develop reasonable jurisprudence pertaining to Law of Contracts and Law of Arbitration & Conciliation - Experience in Contract Administration of Residential Building...
-
Executive - Tpa
4 days ago
Vikhroli, Mumbai, Maharashtra, India Adi Arogyam Super Speciality Hospital Full timeManage and coordinate activities related to third-party administrators (TPAs) and other insurance companies. - Ensure that all claims are processed in a timely and accurate manner. - Monitor and review claims to ensure accuracy and compliance with insurance regulations. - Maintain accurate records of all claims and payments. - Negotiate with TPAs and other...
-
General Insurance Advisor
5 months ago
Vikhroli, Mumbai, Maharashtra, India Geo Fintech Full timeAs a General Insurance Executive, you will be responsible for various tasks related to the administration and management of general insurance policies. Your primary duties will include: 1. Client Interaction: Interacting with clients to understand their insurance needs, providing information about available policies, and assisting them in selecting...