Claims Officer

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...

Job Description:a.Managing Group health insurance section of the claims department.b.Coordinating and managing   TPAs who are working for Magma-HDI for GHI policies.Coordinating with TPAs for claim processing( settlement and Reputation).Coordinating with TPAs for maintaining clams TAT.Monthly deficiency review and claims outstanding review.Conducting TPA...

Key Responsibilities:Adjudicate medical, dental, and vision claims using the Facets platform.Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules.Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA).Identify discrepancies or issues in claims data and take...

Desktop InvestigationTrigger identification through data at intimation/Referral stageSocial media searchesCold calling using digital platformsIdentify key business people, link analysis Claim InvestigationAllocation of assigned claims to respective vendors with case relevant triggersFollow up for IR and TAT managementLevel 1 QC clearance & validate the...

Job Title : Senior Analyst - Claim OperationsQualification : Commerce GraduateRelevant Experience : Years and aboveMust Have Skills : Strong understanding of insurance claims processes and life cycle. Hands-on erience with claims management systems or platforms. Familiarity with regulatory and compliance requirements (e.g., IRDAI). Proficiency in...

The Impact You'll Make As our Claims Administrative Specialist, you'll play a key role in delivering great customer experiences by being the first point of contact for customers and supporting them with timely claim resolution.Your impact? You'll ensure smooth handling of customer claims by creating cases and complaints in CRM and ERP systems. Your work...

Requisition ID:46000Job Location(s):Pune, INEmployment Type:Full TimeSegment:Danfoss Power Solutions SegmentJob Function:Quality and Environment, Health and Safety (EHS)Work Location Type:On-siteThe Impact You'll MakeAs our Claims Administrative Specialist, you'll play a key role in delivering great customer experiences by being the first point of contact...

We're Hiring: Global Claims Coordinator| PuneLooking for a role that puts you at the center of global operations? Here's your chance to be part of a dynamic, internationally driven function that blendsprocess coordination, data management, and cross-functional collaboration.What you'll do:Coordinate and track claims processes across international...

Executives Job Description Position Title, Responsibility Level Advisor – Motor Claims Function Operations, Executive Reports to Assistant Manager – Operations Permanent/ Temporary Permanent Span of Control NA Location Noida - SEZ Basic Function This is a complexity level 3 Voice process. The role primarily involves dealing with end to end claims -...

Job Description:Job OverviewWe are  seeking a highly organised and self-motivated professional to join our Life & Health team as an Administrator Team Leader. In this role, you will provide leadership, guidance, and direction to a dedicated team, ensuring the achievement of key results and operational excellence. Your responsibilities will include...