Claims Associate

3 days ago


Chennai, Tamil Nadu, India QBE Full time ₹ 2,00,000 - ₹ 8,00,000 per year

Primary Details

Time Type: Full timeWorker Type: EmployeeTo process the settlement of insurance claims in compliance to the Company's policy and guidelines.

Primary Responsibilities

  • Strategy and Planning
  • Nil
  • Policy, Process and Procedures
  • Maintaining current knowledge of insurance guidelines and policy changes and modifications
  • Environmental Awareness/Customer Focus
  • Maintain good relationships with the insured, agents, service providers and other internal counterparts
  • Respond to requests in accordance with service standards
  • Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
  • Technical Performance
  • Receiving, recording and processing all incoming insurance claims
  • Interpreting basic policy coverage's and determining if coverage's apply to claims submitted, escalating issues as needed
  • Setting reserves and settling claims in the most cost effective manner and ensuring timely issuance of disbursements
  • Identifying suspicious or potentially fraudulent claims, notifying supervisor, arranging investigation and briefing solicitors if further action is to be taken
  • People Management
  • Nil

Preferred Competencies/Skills

  • Good communication and interpersonal skills
  • Sound PC skills with fast and accurate typing
  • Able to work independently and ensure quality service standard provided

Preferred Education Specifics

  • Tertiary education

Preferred Experience

  • Minimum 3+ years' experience in insurance services

Preferred Licenses/Certifications

  • Professional qualification in insurance or related disciplines

Preferred Knowledge

  • Basic claims knowledge and understanding of insurance

QBE Cultural DNA

  • Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) – because we know it's not just what we do that matters, it's how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
  • We are customer-focused
  • We are technical experts
  • We are inclusive
  • We are fast-paced
  • We are courageous
  • We are accountable
  • We are a team
  • All employees are expected to adhere to QBE's Code of Ethics and Conduct and apply sound risk management practices

US Only - Disclaimer

  • To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

Global Disclaimer

  • The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.

Skills:

How to Apply:

To submit your application, click "Apply" and follow the step by step process.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.



  • Chennai, Tamil Nadu, India Sutherland Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Kindly Mention "Thrisha HR" on top of your resumeRole & Responsibilities:Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules.Claims Specialists spend their entire day working through the...


  • Chennai, Tamil Nadu, India HTC Global Services Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Role & responsibilitiesDocument IndexingPrinting documents into Image Right folders and labeling the pagesMedicare ComplianceVerifying Medicare status of claimants and reporting of claimsDeductible Reimbursement InvoicingTrack and manage collection of delinquent deductible payments from members.Qualifications/Requirements:Excellent written and verbal...

  • BPO Associate

    1 week ago


    Chennai, Tamil Nadu, India Khutub tools Full time ₹ 2,80,000 - ₹ 9,83,292 per year

    Customer Interaction: Engage with customers to address queries, complaints, and concerns through various communication channels, such as phone, email, and chat.Problem Resolution: Actively listen to customers, understand their needs, and provide timely and effective solutions for issues related to products or services.Information Dissemination: Furnish...


  • Chennai, Tamil Nadu, India, Tamil Nadu Tata Consultancy Services Full time

    Greetings from TCS!!!Job Role: Guidewire Claim Center.Total IT Experience: 3-7 YearsInterview Mode: Virtual (MS Teams).Work Location: Chennai / puneJD:Role: Guidewire Claim Center developerMust-Have:Guidewire ClaimCenter Development (Configuration/Integration)Good to Have:J2EE/C++ to understand code and write/Modify existing applicationResponsibility of /...


  • Chennai, Tamil Nadu, India NTT DATA Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    PROVIDER DATA MANAGEMENT - GRADE 5 Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. Candidate should...


  • Chennai, Tamil Nadu, India NTT DATA Global Delivery Services Ltd Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    HC & Insurance Operations Senior Rep PROVIDER DATA MANAGEMENT - GRADE 5 HC & INSURANCE OPERATIONS SENIOR ASSOCIATE Position Overview: At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring...

  • AR Associate

    2 weeks ago


    Chennai, Tamil Nadu, India Hrcs Services Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Company: HRCS Services Pvt. Ltd.Department: Revenue Cycle Management (RCM)Location: ChennaiReports To: Team Leader / Operations Manager ARAbout HRCS Services Pvt. Ltd.HRCS is a leading healthcare revenue cycle management partner, delivering accurate, compliant, and efficient billing solutions to US healthcare providers. We specialize in AR follow-up, denial...


  • Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 4,00,000 - ₹ 8,00,000 per year

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

  • Sr Associate

    1 week ago


    Chennai, Tamil Nadu, India CHRYSELYS Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    As a Senior Associate, you will work closely with internal and external stakeholders and deliver high quality analytics solutions to real-world Pharma commercial organization's business problems. You will bring deep Pharma / Healthcare domain expertise and use cloud data tools to help solve complex problemsKey Responsibilities:Collaborate with internal teams...


  • Chennai, Tamil Nadu, India Guidehouse Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    We are hiring Associate -AR Callers with a minimum of 1 year experience in Voice process - denial management.Roles & Responsibilities:Initiate calls requesting status of claims in queue.Contact insurance companies for further explanation of denials and underpaymentsTake appropriate action on claims to guarantee resolution.Ensure accurate and timely follow-up...