Claims Officer

22 hours ago

Elamakkara Kochi Kerala, India Regiis Insurance Brokers Private Limited Full time

**Job Summary**:
The Claims Officer will be responsible for managing end-to-end claims processing, ensuring accurate and timely settlement, maintaining claims-related MIS, and assisting with underwriting tasks. The role requires coordination with insurers, clients, and internal teams to facilitate smooth claim resolution while upholding compliance and quality standards.

**Key Responsibilities (KRA):1. Claims Management**
- Process and manage claims from intimation to final settlement.
- Verify claim documents and ensure completeness before submission to insurers.
- Liaise with insurers, surveyors, and TPAs to expedite claim resolutions.
- Conduct claims assessment and analyze claim patterns to mitigate risks.
- Handle client queries related to claims and provide proactive updates.

**2. MIS Management & Reporting**
- Maintain and update claims data in the MIS system.
- Generate periodic reports on claim trends, settlement timelines, and outstanding cases.
- Provide analytical insights based on claim reports for decision-making.
- Ensure data accuracy and compliance with regulatory requirements.

**3. Underwriting Support**
- Assist in reviewing policy documents and underwriting proposals.
- Analyze claim history to provide underwriting recommendations.
- Coordinate with underwriters to ensure risk assessment aligns with claim trends.
- Ensure adherence to underwriting guidelines and risk appetite.

**4. Compliance & Documentation**
- Ensure all claims adhere to regulatory and company guidelines.
- Maintain detailed documentation of claims and underwriting records.
- Support internal and external audits with necessary reports and evidence.

**5. Stakeholder Coordination**
- Coordinate with clients, insurers, legal teams, and surveyors for claim settlements.
- Educate clients on claim processes and documentation requirements.
- Work closely with internal teams to improve claim turnaround time.

**Qualifications & Experience**:

- Bachelor's degree.
- Knowledge in Insurance, Finance, Business, or a related field is preferred.
- 0-5 years of experience in claims management within an insurance or broking company.
- Strong knowledge of underwriting principles and claim processes.
- Experience with MIS tools and data analytics for claim monitoring.
- Excellent communication and negotiation skills.
- Proficiency in MS Excel, insurance software, and reporting tools.

**Job Types**: Full-time, Permanent

Pay: ₹240,000.00 - ₹300,000.00 per year

**Benefits**:

- Cell phone reimbursement
- Health insurance
- Leave encashment
- Life insurance
- Paid sick time
- Provident Fund

Schedule:

- Day shift
- Morning shift

Supplemental Pay:

- Commission pay
- Performance bonus
- Yearly bonus

Work Location: In person

**Speak with the employer**
+91 7510755578

  • Insurance Claim Support

    2 weeks ago

    Kochi, Kerala, India Advenxa Pvt.Ltd Full time

    **Hiring Insurance -Claims Support L2** Location: Infopark, Kakkand (Work from Office) Experience: Minimum 1.5 years in **Insurance back-office processes, preferably in Claims support** **Educational Requirements**: - Graduates or Postgraduates, preferably with a Commerce background. - Joining Date: Immediate (4th or 5th October 2024) **Basic...

  • Medical Officer – TPA Claim Process

    3 weeks ago

    Kochi, India Nucleon Health Full time

    Job Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: Vadodara Reporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...

  • Claim Submission Officer

    1 week ago

    Kochi, India Healthcare Careers Full time

    Assess claim settlement within the designated authority limit. Attend to claim investigations. Attend to policyholders, claimants, and intermediaries inquiries. Communicate claims decisions clearly. Oversee claims daily operations. Provide quality service to all intermediaries and clients. Experience: Good Knowledge in XML **Job Types**: Full-time, Regular...

  • Front Office Executive

    5 days ago

    Kochi, Kerala, India SEVEN SIGMA HEALTHCARE SOLUTIONS PVT LTD Full time

    front office executive for Seven Sigma, a leading RCM company dealing with health insurance processing and claiming for hospitals. Work Location: In person

  • Liaisoning Officer

    5 days ago

    Kochi, Kerala, India Affable Management Services Full time

    **Liaisoning Officer (M) - 1 Nos (0 to 1 year experience)** Minimum one year experience in liaisoning. Profile:Liaising with Government authorities, Renewal of licenses,Renewal of Medical Insurance of laborers annually, Insurance claim, Coordination of online government tenders and documentations Qualification: Any graduate. Job Location: Kakkanad,...

  • Hiring Field Officer mediclaims

    1 week ago

    Kadavanthara, Kochi, Kerala, India Optimus Medical Services Pvt Ltd Full time

    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...

  • Executive Insurance

    5 days ago

    Kochi, Kerala, India Lakeshore Hospital and Research Centre Full time

    **Key Responsibilities**: - Coordinate with patients, TPAs, and insurance companies for pre-authorizations, approvals, and claim settlements. - Verify insurance details and ensure accuracy of patient documentation. - Process and track cashless and reimbursement claims efficiently. - Ensure timely submission and follow-up of insurance claims. - Maintain...

  • Hiring Payment Posting Associate- Us Health

    5 days ago

    Kochi, Kerala, India Cascade Revenue Management Full time

    **Responsibilities**: - Deliver Daily targets for payment posting transactions. - Recording all payment posting production and transaction processing parameters and generate monthly MIS statements for review process documentation - Participate in internal audits under guidance of TL Execute correction / corrective / preventive actions based on audit...

  • Front Office Executive

    1 week ago

    Kochi, Kerala, India Milestone Career Planner Full time

    **Job Title**: Front Office Executive **Location**: Edappally **Job Summary**: The Front Office Executive serves as the face of the clinic, managing client interactions, scheduling appointments, and providing administrative support to ensure the efficient operation of the clinic. This role requires strong communication skills, a friendly demeanor, and the...

  • Warranty Executive/in-charge

    1 week ago

    Kochi, Kerala, India Autobahn Trucking Corporation Pvt. Ltd. Full time

    _**Roles & Responsibility**_ - Responsible for warranty decision for the product defects reported to workshop. - Detail reporting of complaint, investigation and rectification for vehicles under warranty. - Follow up with DICV for warranty claim settlement & reimbursement. - Upkeep of warranty claim documents for regular dealer audits. - Coordinate with...