Claims Professional

24 hours ago

Pune, Maharashtra, India beBeeClaims Full time ₹ 1,04,000 - ₹ 1,30,878

Job Title: Claims Specialist

About the Role

We are seeking an experienced and skilled claims specialist to join our team. The successful candidate will be responsible for reviewing, coding, and assigning claims to appropriate diaries, acting as a point of contact for field operations regarding claim investigations, and investigating claim details, collecting evidence, and examining the facts of each case.

Key Responsibilities
  • Review, code, and assign claims to suitable documentation systems.
  • Serve as a liaison between field operations and claim investigation teams.
  • Analyze claim information, gather supporting evidence, and scrutinize case particulars.
  • Determine and set reserves on claims within delegated authority limits.
  • Cultivate relationships with claimants, witnesses, law enforcement, and medical professionals throughout the investigation and settlement process.
  • Negotiate and settle claims, obtaining necessary approvals.
  • Submit claims to Third-Party Administrators (TPAs), including litigated claims, along with required supporting documents.
  • Identify and report field-related trends or safety concerns to supervisors or Health, Safety, Security, and Environment (HSSE) personnel.
  • Produce reports or conduct analysis as assigned.
  • Maintain collaborative working relationships with internal teams and external partners, upholding our organization's mission, vision, values, and commitment to diversity.
Requirements
  • A minimum of 2 years of experience in claims or insurance.
  • Preferred 2 years of full-time claims adjusting experience.
  • Background in investigation or technical knowledge related to claims handling is advantageous.
  • Associate in Claims (AIC) certification or other relevant industry designations is desirable.
  • Excellent verbal and written communication skills are essential.
You Will Work With
  • Operations teams across the field
  • Third-Party Claims Administrators (TPAs)
  • Treasury, Finance, and Legal teams
  • HSSE team for addressing safety-related concerns

  • Claims Professional

    3 days ago

    Pune, Maharashtra, India beBeeAdjuster Full time ₹ 1,04,000 - ₹ 1,30,878

    Job TitleThe role of the claims professional will be to provide assistance in claim related activities.They will learn and follow best practices as well as claims requirements, standards and practices.They will interface with claimants, clients, vendors and other resources to obtain information and maintain effective communication.Additional...

  • Senior Claims Professional

    6 days ago

    Pune, Maharashtra, India beBeeClaims Full time ₹ 80,00,000 - ₹ 1,20,00,000

    Job Title:Senior Claims ProfessionalAbout the Role:We are seeking a highly skilled Senior Claims Professional to join our team. As a key member of our operations, you will be responsible for handling end-to-end claims and ensuring that all processes are executed in accordance with standard procedures.Key Responsibilities:- Handle inbound and outbound calls...

  • Lead Claims Professional

    7 days ago

    Pune, Maharashtra, India beBeeClaims Full time ₹ 8,00,000 - ₹ 10,00,000

    Senior ExecutiveWe are seeking a seasoned Senior Executive to join our team. As a key player in Claims Processing, you will be responsible for ensuring accurate bill review and data entry.Process transactions according to industry standardsMeet assigned targets as per service level agreements and internal standardsCreate and review spreadsheet-based...

  • Professional Claims Resolutions Specialist

    4 days ago

    Pune, Maharashtra, India beBeeOncology Full time ₹ 8,00,000 - ₹ 15,00,000

    We are seeking an experienced professional with a strong background in oncology billing and collections. The ideal candidate should have at least 3 years of experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions.Responsibilities:Contact insurance companies to follow up on oncology-related...

  • Guidewire Claims Professional

    2 days ago

    Pune, Maharashtra, India beBeeguidewire Full time ₹ 75,00,000 - ₹ 1,25,00,000

    Job Title: Guidewire Claim Center DeveloperAbout the PositionWe are seeking an experienced developer to join our team and work on Cloud Version implementation of Guidewire Claim Center.The ideal candidate will have recent experience (at least 2 years) working with Guidewire ClaimCenter and GW Claims Configuration.They should also hold GW Cloud certification...

  • Senior Medical Claims Professional

    3 days ago

    Pune, Maharashtra, India beBeeClaims Full time ₹ 1,04,000 - ₹ 1,30,878

    We are currently seeking a Claims Specialist with a strong background in medical and health insurance, particularly in corporate group medical policies.Key Responsibilities:The ideal candidate will handle end-to-end processing of reimbursement claims for corporate group medical policies.They will provide excellent customer service by addressing...

  • Expert Claim Processor

    1 day ago

    Pune, Maharashtra, India beBeeClaims Full time ₹ 12,00,000 - ₹ 15,00,000

    Senior Claims AnalystWe are seeking a highly skilled professional to manage and process life insurance and living benefits claims for Canadian customers.The ideal candidate will have:Excellent communication skills in EnglishFluency in French speaking and writingA minimum of 6+ years of relevant experience in Life Insurance/Living Benefits ClaimsThis is an...

  • Claims Administrator

    7 days ago

    Pune, Maharashtra, India Davies Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    Claims AdministratorApplication Deadline: 31 August 2025Department: Claims ManagementEmployment Type: Permanent - Full TimeLocation: PuneDescription At Davies Our people are at the heart of all we do, our values state that we succeed together, and it is this, that makes the business a great place to work You will be valued and supported and receive excellent...

  • Dedicated Claims Expert

    3 days ago

    Pune, Maharashtra, India beBeeClaims Full time ₹ 12,00,000 - ₹ 14,00,000

    Claim Specialist PositionWe are seeking a skilled professional to handle end-to-end processing of reimbursement claims for group medical corporate policies.The ideal candidate will have a strong background in medical and health insurance, particularly in policy terms and conditions.Handle claim assessments and processing with accuracy.Provide excellent...

  • Insurance Claims Specialist

    7 days ago

    Pune, Maharashtra, India beBeeHealthcare Full time

    Healthcare insurance professionals play a crucial role in ensuring that patients receive the medical care they need. As a Healthcare Claims Associate, you will be responsible for processing claims and providing support to members and healthcare providers.Key ResponsibilitiesProcess health insurance claims accurately and efficiently, ensuring compliance with...