Claims Specialist
22 hours ago
Job Description Job Purpose: The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines. Primary Job Responsibilities: Scrutinization & Claim Status Updation: - Review claim documents for completeness and accuracy. - Update claim status on the ARIBL Claim Portal based on received documents. - Flag discrepancies or missing information for timely resolution. MIS Maintenance & Analytics: - Maintain a comprehensive MIS for all claims, ensuring data accuracy. - Generate analytical reports to track claim trends and performance metrics. TAT Management for Claim Clearance: - Ensure that all claims are processed within the defined Turnaround Time (TAT). - Coordinate with internal teams and external stakeholders to expedite settlements. Handling Queries & Claimant Assistance: - Address email queries from claimants, Client, and other stakeholders. - Attend to personal visits from claimants at desk, providing necessary guidance and support. Presentation & Awareness Program Preparation: - Prepare PowerPoint presentations (PPTs) for seminars, awareness programs, and training sessions. - Conduct workshops or training to educate stakeholders about the GPA claim process. PAN-India Claimant Visits (As Required): - Travel across India to meet claimants, assisting with awareness of the policy, and resolution of issues. - Liaise with regional and corporate SBI offices to facilitate smooth claim processing. Key Skills & Competencies: Strong knowledge of insurance claim processing and documentation. Proficiency in MIS management, reporting, and analytics. Ability to handle customer queries with professionalism and empathy. Strong coordination and follow-up skills to ensure timely claim resolution. Presentation and training skills to conduct awareness programs. Willingness to travel PAN India as per business requirements.
-
Claims Specialist
2 hours ago
Mumbai Metropolitan Region, India Smart Employment Services Full time ₹ 6,00,000 - ₹ 8,00,000 per yearCompany DescriptionSmart Employment Services specializes in permanent placements and temporary staffing for diverse industries and roles, ranging from junior to senior levels. We excel in providing tailored solutions for large-scale or ongoing recruitment needs. Our Executive Search services include comprehensive mapping and research, offering clients...
-
Claims Specialist
17 hours ago
Pune, Maharashtra, India, Maharashtra Tech Mahindra Full timeTitle: Claims Specialist and Product OwnerExperience: 10+ yearsLocation: Pune and TrivandramWorking Mode: Hybrid, 3 days a week from OfficeDomain: BankingNotice Period: 30 DaysRole Overview:We are seeking a dynamic and experienced (Senior) Claims Specialist and Product Owner to join our team at Allianz Technology, India. This role is pivotal in bridging the...
-
Claims Specialist
3 days ago
Mumbai, India, Quantanite Full time ₹ 40,00,000 - ₹ 1,20,00,000 per yearDuties & Essential Functions:Reasonable accommodation may be made to enable individuals withdisabilities to perform job-related functions. Review claims for assigned offices and ensure submission within a timely manner. Perform quality control checks on patient accounts for accurate billing. Review and analyze denial queues to identify...
-
Claim Inspector
4 hours ago
India Driver Logistics Full timeClaims inspector / scrap handlers review claims to verify both the claimant and claim adjuster followed due process during the investigation and reporting phase of a case. Claims examiners ensure compliance and approve or deny claims while assisting adjusters when needed. They diligently review reports to ensure that no errors have been made in the appraisal...
-
Claims Specialist
17 hours ago
Mumbai, Maharashtra, India, Maharashtra Anand Rathi Insurance Brokers Ltd Full timeJob Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...
-
Billing/Claims Submissions Specialist
17 hours ago
Noida, Uttar Pradesh, India, Ghaziabad Gentell Full timeCompany DescriptionGentell is a leading global provider of innovative, efficient, and affordable wound care solutions tailored to meet the individualized needs of patients in nursing homes, hospices, and hospitals. With clinical specialists across the United States and Canada, we offer expert recommendations and education to support proper use of wound care...
-
Product Owner
2 weeks ago
Pune, India NMS Consultant Full timeJob Description Role Overview: We are seeking a dynamic and experienced (Senior) Claims Specialist and Product Owner to join our team at Global Organization, India. This role is pivotal in bridging the gap between strategic initiatives and operational execution the insurance market. You will collaborate with a diverse team of Claims Specialists, Product...
-
Product Owner
2 weeks ago
Mumbai, India NMS Consultant Full timeRole Overview:We are seeking a dynamic and experienced (Senior) Claims Specialist and ProductOwner to join our team at Global Organization, India. This role is pivotal in bridging thegap between strategic initiatives and operational execution the insurance market. Youwill collaborate with a diverse team of Claims Specialists, Product Owners, ProductManagers,...
-
Veterinary Insurance Claims Specialist
1 week ago
Hyderabad, India QUADRANTECH PVT. LTD. Full timeJob Description Location: Hyderabad (Hybrid) Work Hours 9:00 AM 06:00 PM Experience Required 02 years in veterinary/medical insurance claims processing or related domain Who We Are Quadrantech Pvt. Ltd. is a trusted partner offering comprehensive IT, BPO, and cybersecurity services, with strong expertise in healthcare and insurance administration. Guided by...
-
Claims Specialist
17 hours ago
Ranchi, Jharkhand, India, Jharkhand Anand Rathi Insurance Brokers Ltd Full timePrimary Job Responsibilities:Scrutinization & Claim Status Updation:Review claim documents for completeness and accuracy.Update claim status on the ARIBL Claim Portal based on received documents.Flag discrepancies or missing information for timely resolution.MIS Maintenance & Analytics:Maintain a comprehensive MIS for all claims, ensuring data...