
Executive-appeal & Specialised Claims
2 days ago
**Claims Processing**:
- Monitor and convert the summons issued and intimation received at the location to claims by registering on the Claims Legal module within the given TAT.
- Make payments as required to the claimants within the TAT.
- Review the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region.
- Ensure that all regional team members follow the TAT
- **Data Maintenance & Reporting**:
- Collaborate with Execution and approval teams to maintain the accuracy of data entered in the system
- Share Claim payment status and claim growth analysis reports monthly.
- Ensure complete and clear documentation of all claims cases for the region by coordinating with the Operations; HAT; Motor, Agri & Non-Motor team;
- Supply the regional teams and advocates with pertinent documentation required for Consumer commissions matters; appeal cases i. e. high court matters
- **Team Management and Development**
- Provide recommendations to Team Members w.r.t. cases and guide them as and when required.
- Establish individual performance expectations and regularly review individual performance of the team
Engage with the team in a timely manner to understand the bottlenecks and the support their need
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Appeals Representative Associate
21 hours ago
Noida, Uttar Pradesh, India Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Claims Executive
21 hours ago
Varanasi, Uttar Pradesh, India ZenOnco.io Full timeThe Claims Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely assistance with their...
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Am - Claims
6 days ago
Lucknow, Uttar Pradesh, India Genpact Full timeGenpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...
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Executive Mass Health Claims
2 weeks ago
Lucknow, Uttar Pradesh, India bajajallianz Full timeCo-ordination and supervision of field medical and non medical team members for managing the network of around 1000 Hospitals in state of Gujrat - Liaison with Govt authorities. - Training of field medicos and non medicos for conducting medical and beneficiary audits - Doing the hospital and live audits Attending the meeting with state and district...
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Domain Trainee
6 days ago
Noida, Uttar Pradesh, India Genpact Full time**Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...
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Sr. Executive Medical Claim Scrutinizer
7 days ago
Noida, Uttar Pradesh, India Mancraft Consulting Full timeKEY RESPONSIBILITIES Handling of claim rejections claim related query over calls and emails Floor support Walk-in customers MEASURES of SUCCESS Satisfaction of customer Team satisfaction Learning and knowledge for team QUALIFICATION EXPERIENCE BPT Experienced claim adjudicator KEY COMPETENCIES SKILLS REQUIRED Professionalism interpersonal...
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Back Office Executive
21 hours ago
Lucknow, Uttar Pradesh, India KLCR Investigations Pvt. Ltd. Full timeKLCR Investigations Pvt. Ltd. is a Insurance Claims Investigation Company. This is a full-time Back Office Executive role located in Jankipuram Lucknow. As a Back Office Executive, your day-to-day tasks will involve recording of cases, documents management, coordinating with company executives and other Back Office Works/tasks. Pay: ₹10,000.00 -...
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Insurance Tpa
21 hours ago
Lucknow, Uttar Pradesh, India Stalwarts Servicios Full timeTo interact with hospital insurance patients. - Sending Pre-Authorization and getting approval for Cashless claims. - Cross checking Packages or tariff before sending to Insurance Company or TPA. - Educating patient about deduction on settlement. - To create awareness about reimbursement claims. (Pre, Post & Hospitalization) - Collecting claim support...
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Tpa Executive
21 hours ago
Varanasi, Uttar Pradesh, India ZenOnco.io Full timeThe TPA (Third Party Administrator) Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely...
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Onco Collections Specialist
2 weeks ago
Lucknow, Uttar Pradesh, India beBeeOncologyCollector Full time ₹ 14,00,000 - ₹ 24,00,000We are seeking a skilled Oncology Collector to join our team. This is a critical role that requires strong communication and problem-solving skills, as well as the ability to navigate complex billing and claims processes.Key Responsibilities:Establish and maintain positive relationships with insurance companies to ensure timely resolution of oncology-related...