Insurance Claims Specialist
2 weeks ago
Job Description Responsibilities This job is provided by apna.co Key Responsibilities: - Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. - Customer Interaction & Support: Communicate with policyholders, hospitals, and third-party administrators (TPAs) to explain claim decisions in a clear and professional manner. Handle escalated or complex customer service issues involving medical claims. Offer support and guidance on claim submission processes and documentation requirements. - Compliance & Documentation: Ensure all claims are processed in compliance with IRDAI regulations and internal guidelines. Maintain accurate records of claim assessments, approvals, denials, and communications.
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India insurance Full timeCompany Overview: We are a leading firm specializing in General Insurance Claims investigations, particularly in Personal Accident (PA), Group Personal Accident (GPA), and Workmen's Compensation (WC) claims. Our dedicated field team conducts thorough on- ground investigations, and we are seeking skilled back-office executives to prepare detailed narrative...
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Insurance Claims Executive
4 weeks ago
Mumbai, India BimaGuru Insurance Brokers Private Limited Full timeJob Description Job Description: Claims Executive Location: On-site Working Days: Monday to Friday Working Hours: 9:00 AM 5:30 PM Probation Period: 6 months (No paid leave during probation) Experience Required: 12 years Company Overview BimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help...
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Insurance Specialist
3 weeks ago
Vadodara, India Embark Insurance Brokers Pvt. Ltd. Full timeJob Description Company Description Embark Insurance Brokers Pvt. Ltd. is a team of passionate professionals with over 100 years of cumulative experience in the insurance and financial services sector. Founded on the belief in building relationships through trust and delivering consistent service excellence, we are committed to driving value through...
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Insurance Sales Specialist
2 weeks ago
Thane, India Shriram Life Insurance Full timeJob Description Company Description At Shriram Life Insurance, our purpose is to protect every Indian family, especially those most vulnerable to financial uncertainty, with the safety net of life insurance. We are driven by a customer-centric approach, offering affordable, high-quality solutions tailored for the average Indian. We pioneer digital solutions...
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Insurance Sales Specialist
6 days ago
Indore, Madhya Pradesh, India BIMA GARAGE Full time ₹ 6,00,000 - ₹ 12,00,000 per yearCompany DescriptionAt BIMA GARAGE, we are dedicated to making insurance claims a seamless process. We strive to make insurance simple for everyone and promote it as a critical financial tool for families. BIMA GARAGE offers tailor-made solutions for insurance holders, hospitals, and insurance companies, integrating the entire ecosystem into a single...
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Insurance Claims Specialist
2 weeks ago
Niranjanpur Circle, Indore, India Icici Lombard Full time ₹ 6,00,000 - ₹ 8,00,000 per yearKey Responsibilities: · Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. · Customer...
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Claims Manager
7 days ago
Mumbai, India Anand Rathi Insurance Brokers Ltd Full timeJob Description Function Purpose The Claims Function in our insurance broking company is designed to facilitate the efficient and accurate processing of insurance claims. This function aims to ensure timely resolution of claims, maintain client satisfaction, and uphold the credibility of the organization by adhering to ethical and legal standards. Role...
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Claims Executive
2 weeks ago
Indore, India ICICI Lombard Full timeJob Description Key Responsibilities - Medical Review Claims Adjudication: - Assess and validate medical claims based on clinical documentation and policy coverage. - Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. - Coordinate with internal medical teams to ensure accuracy in claims decision-making. -...
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Claims Specialist
2 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...
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Claims Officer
1 week ago
Indore, Madhya Pradesh, India Liberty General Insurance Ltd Full time ₹ 9,00,000 - ₹ 12,00,000 per yearClaims Officer Description Vendor Management Handling litigation claims Handling MIS & compliance related activities Handling corporate office activities Candidate must have: In depth technical knowledge of automobiles with experience in motor claim assessments & settlements for all products Good interpersonal skills Must be proactive...