
Insurance Claims Specialist
19 hours ago
The Claims Function in our organization is designed to facilitate efficient and accurate insurance claims processing.
Job DescriptionThis role involves effectively managing the claims process for clients, ensuring a smooth and fair settlement of claims. The job requires reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process.
Key responsibilities include:
- Claims Processing:
- Accurately review and process claims in adherence to established protocols and guidelines.
- Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.
- Client Advocacy:
- Act as the main point of contact for clients during the claims process, providing timely updates and information.
- Advocate for clients' interests and rights, ensuring a fair and just settlement of claims.
- Settlement and Compromise:
- Engage in substantiating the claim to the insurers to secure optimal claim settlements for clients.
- Ensure that settlements are fair and appropriate, considering policy terms, legal requirements, and clients' expectations.
- Insurance Knowledge:
- Possesses a strong understanding of insurance policies, coverages, and claims processing.
- Familiarity with insurance regulations, industry standards, and claims-related legal aspects.
- Technical Qualifications
- Licentiate / Associate / Fellow of Insurance Institute preferred
- Communication and Interpersonal Skills:
- Demonstrates clear and effective communication, both written and verbal, to convey complex information to clients and internal stakeholders.
- Exhibits strong interpersonal skills to manage client interactions with empathy and professionalism.
- Analytical Thinking and Problem-Solving:
- Utilizes analytical skills to assess claim details, policy information, and relevant documents to make informed decisions.
- Identifies potential challenges and develops effective solutions to ensure smooth claims processing.
- Educational Background: A bachelor's degree in business, insurance, finance, or a related field is preferred.
- Experience: Prior experience in claims processing, claims handling, or related roles within the insurance industry is advantageous.
-
Insurance Claims Specialist
4 days ago
Kolkata, West Bengal, India beBeeClaims Full time ₹ 12,00,000 - ₹ 15,40,000Job OpportunityWe are seeking a skilled Claims Analyst to join our team. This role is ideal for someone with a strong understanding of property and casualty insurance principles.The successful candidate will have excellent analytical and communication skills, as well as the ability to work collaboratively in a team environment.This is an exciting opportunity...
-
Dental Insurance Claims Professional
4 days ago
Kolkata, West Bengal, India beBeeClaims Full time ₹ 40,00,000 - ₹ 55,00,000At many dental practices, comprehensive solutions for dental billing and insurance claims are essential. Our team of experts has extensive experience in implementing these solutions, spanning design, development, marketing, promotions & SEO, finance, and consulting.Our organization is seeking a skilled Billing & Claims Specialist with dental insurance...
-
Insurance Claims Processor
1 week ago
Kolkata, West Bengal, India beBeeClaims Full time ₹ 80,00,000 - ₹ 1,00,00,000Claims Management RoleThe Claims Manager is responsible for the efficient and accurate processing of insurance claims, ensuring timely resolution, client satisfaction, and upholding the organization's credibility.This role requires strong analytical skills to assess claim details, policy information, and relevant documents to make informed decisions....
-
Claims Manager
2 weeks ago
Kolkata, West Bengal, India Anand Rathi Insurance Brokers Ltd Full timeClaims RoleFunction PurposeThe 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 PurposeThe...
-
Claims Manager
1 week ago
Kolkata, West Bengal, India Anand Rathi Insurance Brokers Ltd Full timeClaims Role 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 Purpose...
-
Claims Manager
3 days ago
Kolkata, West Bengal, India Anand Rathi Insurance Brokers Ltd Full timeClaims RoleFunction PurposeThe 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 PurposeThe...
-
Claims Resolution Specialist
1 week ago
Kolkata, West Bengal, India beBeeClaimResolution Full time ₹ 1,04,000 - ₹ 1,30,878Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. This role involves the handling and vetting of non-motor and motor claim files across various lines of business, including examining, inquiring, investigating, verifying, and checking upon the preparation of claim management information systems (MIS) for...
-
Health Insurance Claims Reviewer
1 week ago
Kolkata, West Bengal, India beBeeInsurance Full time ₹ 6,00,000 - ₹ 10,10,000We are seeking a detail-oriented and analytical professional to fill the role of Health Insurance Claims Reviewer.Key Responsibilities:Evaluate health insurance claims with accuracy and fairness.Verify policy coverage, eligibility, and supporting documents.Collaborate with hospitals, TPAs, and policyholders for efficient claim settlement.Maintain accurate...
-
Medical Claims Specialist
1 hour ago
Kolkata, West Bengal, India beBeeClaims Full time ₹ 9,00,000 - ₹ 12,00,000Job OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team. In this role, you will be responsible for submitting and following up on medical claims with insurance companies to ensure timely payment for services rendered by healthcare providers.Key Responsibilities:Verify patient insurance coverage and benefitsPrepare and submit...
-
Insurance Claims Resolution Specialist
2 days ago
Kolkata, West Bengal, India beBeeFraud Full time ₹ 76,80,000 - ₹ 1,01,20,000Claims Settlement Professional RoleThe claims settlement professional will oversee the entire claims settlement process from submission to final resolution. This involves assessing claims, investigating their validity, coordinating with adjusters, and ensuring timely and fair settlements.Key Responsibilities Include:Claims ProcessingReview submitted...