Head - Accident & Health Claims
18 hours ago
TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic LeadershipBuild and drive end-to-end Accident & Health Claims strategy, frameworks and processes.Ensure compliance with latest health insurance regulations; implement process refinements.Lead the move towards paperless, automated claims settlement with superior TAT & customer experience.Design and monitor performance metrics for TPAs and internal claims teams.Collaborate with technology teams to build/enhance claims systems & automation.Build strong partnerships with external stakeholders: TPAs, investigators, hospitals, OSPs, providers.Drive continuous improvement, best practices, and customer-first delivery.Financial & Risk ManagementPartner with audit & fraud teams to implement fraud prevention and loss-mitigation frameworks.Manage claims budgets, average claims cost and cost-containment initiatives.Analyze ICR, medical data and portfolio trends; drive proactive risk control.Support product, U/W and actuarial teams with insights for guideline finalization.Lead periodic reporting for internal & regulatory stakeholders.Functional & Operational ExcellenceLead teams managing claims processing, customer queries, complaints, reserving & registration.Oversee adjudication of complex claims: indemnity, critical illness, accidental death.Manage network providers, evaluate & empanel TPAs/OSPs, drive performance management.Partner closely with product/business teams to strengthen service capability.People LeadershipDrive a culture of accountability, high performance and continuous learning.Set goals, mentor teams, review performance, and build future leaders in claims operations.Strengthen collaboration across cross-functional internal teams.Desired ProfileMBBS / BAMS / BHMS / B.Pharm preferred; or any graduate with health insurance certifications.15–20 years of experience in health insurance / TPA / wellness / healthcare domains.Strong exposure to claims operations, adjudication, medical review, fraud control, underwriting basics, hospital administration, and provider network management.Proven leadership in handling large teams and multi-stakeholder environments.Excellent analytical, communication, negotiation and people management skills.🔹 Key StakeholdersInternal: Product, U/W, Distribution, Customer Service, Technology, Compliance, FinanceExternal: TPAs, Hospitals, Investigators, Providers, Corporates, Customers
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Head - Accident & Health Claims
14 hours ago
Bangalore, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. 🔹 Key Responsibilities Strategic...
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Head - Accident & Health Claims
18 hours ago
Bangalore Urban, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic...
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Head - Accident & Health Claims
11 hours ago
Bangalore Urban, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic...
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Executive 2 - Health Insurance Claims
2 weeks ago
Bangalore, India Navi Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. Partnerships team to streamline coordination and uses data-driven insights and process automation to improve claim resolution speed and customer satisfaction. As an Executive – 2, Health Insurance Claims, you will play a critical...
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Claims Investigations Manager
3 weeks ago
bangalore, India SKD HEALTH ALLIED SERVICES Full timeAbout the Company SKD Health Allied Services is a reputed organization and a pioneer in the industry of claims investigations across south India and Maharashtra, having its offices at Chennai , Bangalore , Ernakulam , Madurai, Hyderabad and Pune Need talented, experienced doctors and para medics for the role of claims manager, who has a responsibility of...
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Executive 2 - Health Insurance Claims
2 weeks ago
bangalore, India Navi Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...
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Executive 2 - Health Insurance Claims
1 week ago
Bangalore, India Navi Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...
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Executive 2 - Health Insurance Claims
2 weeks ago
bangalore, India Navi Full timeAbout the TeamThe Claims team at Navi is responsible for delivering a fast, transparent, andcustomer-first claims experience. From initial intimation to final settlement—whethercashless or reimbursement—they manage the end-to-end process with a strong focuson accuracy and turnaround time. The team works closely with the HospitalPartnerships team to...
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Executive 2 - Health Insurance Claims
1 week ago
bangalore district, India Navi Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...
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Claims Specialist
2 weeks ago
Bangalore, India Plum Full timeAbout Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so...
