Claims Executive
1 day ago
Greetings From **Link - K Insurance** **Tpa Pvt Ltd**
We are Third Party Administrators (TPA) in Health Insurance space having corporate office in Chennai.Incorporated in April 2023, we are licensed by Insurance Regulatory and Development Authority of India with License No. 038. We are empanelled by Insurance companies to service their policy holders. Our core services include extending cashless facility in our network of hospitals to the policy holders and processing claims.
We are Looking for **Claims executive** For our **Bangalore Branch office**.
Year of Experience : 1 to 3 Years
Education : Any Degree
Industry : Any Insurance or TPA Indusrty.
**Roles and Responsibility**
- Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.
- Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services
- Accurate data entry of bills into appropriate columns/fields
- Verify the accuracy of details entered at inward level and correcting wherever required.
- Processing the number of claims allocated. Prioritizing claims as required.
- Be updated about the new products and features in health policies
- Interaction with customer service team and help with any clarifications in billing
- Ensure clarity in communication to customers.
- Identify and report potential fraudulent claims, following established procedures and guidelines.Coordinate with doctors and CRMs to aid in assessing claims accurately.
- Maintain daily report of claims processed and report to team lead.
- Assist medical officers in responding to audit queries of insurers.
All the best
**Job Types**: Full-time, Permanent
Pay: ₹20,000.00 - ₹25,000.00 per month
**Benefits**:
- Provident Fund
Schedule:
- Day shift
**Experience**:
- Any TPA or Insurance Company: 1 year (required)
Work Location: In person
-
Claims Executive
6 days ago
Bengaluru, Pune, India Digit Insurance Full time ₹ 1,04,000 - ₹ 1,30,878 per yearProcess and review Life insurance claims, ensuring adherence to company policies and guidelines.Verify claim documentation, including Death certificate , Employment details, medical records to rule out cause of death and co-morbidities, PMR, FIR , and other supporting documents.Examine insurance applications and documents to ensure accuracy.Communicate with...
-
Customer Success Executive, Reimbursement Claim
2 weeks ago
Bengaluru, Karnataka, India Plum Benefits Full time**About 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;...
-
Health Claim Process
2 weeks ago
Bengaluru, Karnataka, India Eteam Full timeRole - US Health Claims Handler Role: Full timeExperience: 06months to 1yrSalary : L1: 3.3LPA, L2: 5 LPA, 1+ Yrs Location : Whitefield, Bangalore Work from Office Working Days : 5Days Job description - Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and...
-
Claims process executive
2 weeks ago
Bengaluru, India Thinkbridge Full timeAbout thinkbridgeWe are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our thinkstack accelerators. We started with the vision of being able to build amazing...
-
Claims Processing Executive
2 weeks ago
HSR Layout, Bengaluru, Karnataka, India Infomap Solutions Private Limited Full timeRegistration of Claims in Portal - Validate the Claims & ensure the arithmetical accuracy - Effectively communicating with stakeholders to provide updates, resolve queries, and address concerns. - Posting accounting entries in SAP - Reconciliation b/w SAP entries & Distributor Claim working - Ensure / Validate Invoice raised by the distributors are according...
-
Claims Executive
6 days ago
Bengaluru, Gurugram, India Axa Xl Full time ₹ 5,00,000 - ₹ 15,00,000 per yearRole & responsibilitiesAdjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS).Liaising with Claim handlers onshore, brokers, and underwriters.Manage all administration aspects of the claimPreferred candidate...
-
Tpa Claim Processing Executive
2 weeks ago
Bengaluru, Karnataka, India Watchyourhealth Full time**Job profile: TPA CLAIM PROCESSING helpdesk.** **We need people only from TPA Insurance Companies who has worked as a CRM helpdesk.(compulsory)** CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by...
-
Hiring For Claims handler
3 hours ago
Bengaluru, India Glympse Human Capital Services Full timeJob Description - Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. - Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for...
-
Claims Processor
7 days ago
Bengaluru, India Karthika Consulting & Solutions Pvt Ltd Full time**Job Title**:Sr. Executive - Insurance Adjudication **Function**:Insurance Adjudication **Job Type**:Full Time Job **Reports To**:Assistant Manager - Insurance Adjudication **Location**:Bengaluru (Kanakapura Main Road, JP Nagar 9th phase ) Medical Insurance Adjudication Department at **We Assist** has an important role of managing the relationship with...
-
Claim Process Administrator
2 weeks ago
Bengaluru, India Celeros Flow Technology Full time**JOB SUMMARY** This position will be based at the Bangalore office. The incumbent will play a key role in coordinating and managing claims for the Houston plant & support the internal Claims/ Warranty Log tool process. **PRINCIPAL DUTIES AND RESPONSIBILITIES** **Houston Claims** - Project manage all customer claims for the Houston facility from claim...