Claims Adjuster

A Claims Adjuster is a professional responsible for evaluating and processing insurance claims to determine the extent of an insurer’s liability and ensure that settlements are fair and in line with policy conditions. Key Responsibilities - Investigate insurance claims by interviewing claimants, witnesses, and professionals such as mechanics, contractors,...

**Age limit: 20 to 30.**: - **Investigate Claims**: Gather facts and evidence, such as police reports, witness statements, and surveillance video, to understand the details of a claim. - **Evaluate Policies**: Review the claimant's insurance policy to determine the extent of coverage and the company's liability. - **Assess Damages**: Inspect damaged...

As an Investigator for Claims, your role involves investigating claims by gathering facts and evidence such as police reports, witness statements, and surveillance videos to understand the details of each claim. You will also be responsible for evaluating claimant's insurance policies to determine coverage extent and the company's liability. Key...

Age limit: 20 to 30.Investigate Claims: Gather facts and evidence, such as police reports, witness statements, and surveillance video, to understand the details of a claim.Evaluate Policies: Review the claimant's insurance policy to determine the extent of coverage and the company's liability.Assess Damages: Inspect damaged property, vehicles, or businesses...

**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 management as necessary. - Responsible for the coordination and resolution of the administrative denials and appeals - Ability to resolve claims...

Claim Review & Investigation: Examine incoming claims to verify their accuracy, completeness, and legitimacy. Policy Verification: Confirm that claims fall under the terms and conditions of the relevant insurance policy or contract. Compliance: Ensure all claims processing and settlements comply with company policies, industry standards, and legal...

Role & responsibilities:Review incoming claims for accuracy, completeness, and eligibility under policy coverage.Verify customer details, policy information, and supporting documentation.Visiting loss site, provide inputs on loss minimization.Maintaining Claims MIS Sheet.Assess claims against policy terms and identify discrepancies or missing...

**Role**: HC & Insurance Operations Associate **Shift Timings**: 6 PM-4 AM IST (AR SHIFT) **Location**: Chennai/Coimbatore (Currently Remote) **Double vaccination required** **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims...

**Adjudication - Claim Examiner** **Job Title**: Claim Examiner "Adjudication" **Location**: Chennai **Job Type**: Full-Time **Shift**: Day Shift “Based on the Client Requirement” **Gender**: Male/ Female **Experience**: Fresher - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic of...

**Roles and Responsibilities**: - 2-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA) and institutional (UB) claims - Knowledge in handling authorization, COB, duplicate and pricing process - Knowledge of healthcare insurance policy concepts including in network, out of network providers,...