Claims Executive

Hiring Claims Executive for billing of medical claims. Candidate must have experience in tpa industry.

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

Roles and ResponsibilitiesManage insurance claims from receipt to settlement, ensuring timely and accurate processing.Conduct thorough analysis of claim documents, including medical records, police reports, and other relevant documentation.Identify potential fraud risks and take necessary actions to mitigate them.Collaborate with internal stakeholders, such...

Responsibilities:Register insurance claims with complete, accurate detailsUpdate claims tracker regularlyCollect and follow up on required documentsPrepare monthly & quarterly MIS reportsCoordinate with teams for data accuracy & issue resolution

Job Description Zonal Claims Administrator- ZOCAClaims ProcessesEach zone shall have a ZOCA responsible for claims functions at Zonal level and reporting into the Regional Claims Head.ZOCA shall co-ordinate with Regional claims team and HO Claims to ensure that claims processing of Cashless and Reimbursement claims are smooth and effective.Claims are...

Hi ConnectionsTeamware is hiring forJr.Analyst roleExperience:2+yearsLocation:MumbaiNP:Immediate joinersDuties and Responsibilities include: Manage secure fund transfers, ensure tax compliance, and prepare reports for courts and stakeholders detailing the process, status and outcomes Managing and executing payments to qualified claimants using wires,...

Team Management & OperationsSupervise and guide a team of claims executives handling commercial lines claims.Allocate workloads, set priorities, and ensure adherence to service level timelines.Review claim files for accuracy, completeness, and compliance with internal and regulatory standards.Conduct regular team meetings and performance reviews.2. Claims...

JD Account Management- Senior ExecutiveJob Responsibilities: Client ServicingReceive and check claim documents for completeness and advice employeesregarding pending documents, if any.Track and control documents to ensure TAT of claims/cards as per SLA.Feedback from Insurers and Corporates.Additional revenue opportunities from existing Corporates.Respond to...

JD Account Management- Senior ExecutiveJob Responsibilities: Client ServicingReceive and check claim documents for completeness and advice employeesregarding pending documents, if any.Track and control documents to ensure TAT of claims/cards as per SLA.Feedback from Insurers and Corporates.Additional revenue opportunities from existing Corporates.Respond to...

Job Title: Data ExecutiveDivision:  Settlement AdministrationDepartment: OperationsLocation: Mumbai {npowai}looking for immediate joinerintrested cdd's please share resmes to Settlement Administration services provides comprehensive expertise in complex settlement administration for class actions, mass torts, and regulatory and government administrations....