Claims Officer

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - Understand the...

Role :Claims Adjudication Experience :2+years Type:Contract Location :Coimbatore, Chennai Shift :US shifts **Claims ExperienceIn this Role you will be Responsible For** - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing and escalate to...

Job Profile SummaryTo provide administrative and operational support to the claims team and carry out other assigned office tasks in alignment with the requirements of the client program.Primary Purpose: To assist in the creation and maintenance of Auto Liability (AL), General Liability (GL), and Property loss claims in the client system. Essential...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the Team The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

Job Description: Position Overview : The claim officer is responsible for reviewing, processing, and making recommendations on health insurance claims. The incumbent will ensure that claims are processed in accordance with company policies, procedures, and regulatory requirements. Key Responsibilities: - Review and analyze health insurance claims for...

We're looking for Field Officers to verify insurance claims **KEY RESPONSIBILITIES** - Meeting with claimant and hospitals to verify insurance claims. - Cross checking with doctors. - Maintain and improve quality of customer service by managing and developing relationships with customers. - Provide assistance with insurance related matters, including claims...

Overall Review: The Claim Assessor will handle insurance claims by verifying documents, assessing vehicle damages, and ensuring fair and timely claim settlements. The role involves close coordination with insurers, customers, and repairers while following company and policy guidelines. Responsibilities and Duties 1. Act as the point of contact between...