Claims Office Executive

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

About the RoleWe are looking for a full-time in office member, who will look after all documentation work when it comes to Claims department. As a Claims Executive, you should have attention to details and be up to date with all the documents that are to be procured.What you will be doing:Receive Claim Files and add file details as per Loop's internal...

Sejal Insurance Broking Ltd is hiring for a Claim Executive at Kandivali location.Min 2 Years in health Insurance ClaimSalary: 15-20 K PM (Negotiable depending on Experiance and Interview Performance)JD:Claims ManagementIntimation of ClaimsArrangment of claim files as per the Insurance Company guidelineScanning every documents and maintaining the data base...

Process 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...

**Description**: **Key Responsibilities**: - Manage the full lifecycle of travel insurance claims, from registration to final settlement. - Assess the nature and extent of loss based on the provided documentation and policy terms. - Take ownership of claims through to the settlement stage, ensuring accurate assessment of loss and calculation of payable...

Claims operations On monthly basis monitor key performance parameters such as - Claims settlement TAT Claim Settlement Ratio Efficiency ratio etc Track deviations against set targets and identify reasons for deviations Closely monitor and control the high ageing open claims including co-insurance claims Review the reserve revisions for Non Motor...

Key Responsibilities: 1) Claims Processing: Learn and follow the established claims processing procedures. Review and validate insurance claims for accuracy and completeness. Input and update claim information in the company's database. 2) Policy Interpretation: Develop a solid understanding of insurance policies and coverage details. Interpret policy...

Investigate suspicious insurance claims, including those that are suspected to have stemmed from fraud, criminal activity, arson, falsified documents, or unnecessary medical procedures. - Consult hospital records. - Examine photographs and statements. - Listen to or watch audio or video surveillance. - Record data and statements in report. - Obtain...

We are currently hiring for Claims Executive for Leading Insurance Company. Role: Claims Executive (Backend Operations) Location: Chembur,Navi Mumbai Key Responsibilities: - Review and process insurance claims in a timely and accurate manner. - Assess the validity of claims by evaluating documentation, policy coverage, and other relevant information. -...

We are looking for a detail-oriented and proactive **Account Claim Executive** to manage and process financial claims, reconcile discrepancies, and ensure timely resolution of outstanding issues. This role involves close coordination with vendors, clients, and internal departments to handle debit/credit notes, return claims, and ensure proper documentation...