Claim Reviewer

**Greetings from Sagility.** - **Interpret all types of Medical records**: - **CPT & ICD 9 & 10 Coding**: - Interpret medical necessity in contrast to clinical policies / guidelines - **Interpret medical data and provide accurate clinical review**: - **Identify Cost Savings within Medical Claims**: - **Itemized bill review (IBR) for Institutional...

**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...

About the job**Company Description** Pazcare is an Employee Benefits Stack designed for the Modern Indian Workforce, located in Bengaluru. Our mission is to empower employers by providing tailor-made benefits that cater to every employee's need. We offer top-notch insurance, food & fuel benefits, easy health checkups, and more, all seamlessly integrated...

**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...

**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...

**Job Description** - Leads Claims team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically, responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow for the team. Supervises the accurate and timely...

**Requisition Template ***: Government Claims department deals with FHA and VA insured loans. Team specifically works to recover Expenses for all FHA/VA insured loans that liquidate by way of foreclosure sale, deed-in-lieu or pre-foreclosure sale (short sale). Govt. Claims dept. is a vital component to the post-default liquidation process and is the final...

**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...

**Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...

About Navi Navi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is...

About Navi Navi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is dedicated...

**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...

Review claims submissions, obtain and verify information ensuring the timely and accurate resolution to the claims. Problem-solving skills. Proficient in English. Excellent knowledge of MS Office. Pay: ₹14,000.00 - ₹15,000.00 per month Schedule: - Day shift - Night shift **Education**: - Bachelor's (preferred) **Experience**: - total work: 1...

Registration of Claims in Portal - Validate the Claims & ensure the arithmetical accuracy - Effectively communicating with stakeholders to provide updates, resolve queries, and address concerns. - Posting accounting entries in SAP - Reconciliation b/w SAP entries & Distributor Claim working - Ensure / Validate Invoice raised by the distributors are according...

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,...

Experience - 1 + YearsLocations - Bangalore-MG Road, Thrissur, Mysore, Nashik, ChennaiPosition - Manager & Assistant ManagerCost Center - Litigation & TP ClaimsFunction - Retail & Legal ClaimsResponsibilities:Analyze and investigate complicated insurance claims to help prevent fraud.Perform detailed site inspections.If necessary, provide well-informed court...

**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,...

**Claim Administrator, Assurant-GCC, India** Provide overall excellent customer service and problem resolution in the AGA Contact Center. **What will be my duties and responsibilities in this job?** - Executes effective processes to manage data entry and data integrity for all customer/client transactions such as payments and claims - Review incoming...

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,...

**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,...