Claims Executive

2 days ago

Gurgaon, Haryana, India RHB Banking Group Full time ₹ 5,00,000 - ₹ 15,00,000 per year

Primary Objective

  • Responsible to handle the following (listed) portfolios and ensure all the related claims are fairly & promptly settled in accordance with the Company's guidelines / Claims Manual, BNM & PIAM guidelines.
  • Personal Accident and Medical claims​

Key Responsibilities

  • Ensure prompt processing of claims including appointment of adjusters.
  • Arrange bordereaux meeting with panel of adjusters on monthly basis.
  • Report to Unit Head/ Head, BA/FA on performance of panel Adjusters on quarterly basis.
  • Verify, assess and approve promptly all claims within authority and for claims exceeding authority to process, recommend and submit to Unit Head/ Head, BA/FA for approval.
  • To refer immediately any complaints received from Customers, Branches, BNM, PIAM, OFS and Intermediaries to Unit Head/ Head, BA/FA so that these are promptly and effectively monitored and resolved within the time frame.
  • To ensure all claims suspected having fraud elements or in violation of policy conditions are brought to attention of Head, BA/FA & in his/ her absence to HOD/ CEO.
  • Ensure all necessary advices to Treaty Reinsurers/ XOL are adhered to as laid down under the Reinsurance agreement.
  • To ensure all recoveries are actively pursued.
  • To monitor and review all files including aging cases effectively and within the time frame.
  • To monitor and review files on yearly basis. 
  • Any other duties as may be assigned by the Company from time to time. 

  • Guidewire Claim Center Developer

    2 weeks ago

    Gurgaon, Haryana, India Weekday AI Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    This role is for one of the Weekday's clientsSalary range: Rs Rs ie INR 15-30 LPA)Min Experience: 5 yearsLocation: Remote (India), Gurugram, GurgaonJobType: full-timeWe are looking for an experienced Guidewire Claim Center Developer with strong technical expertise in configuration, integration, and development within the Guidewire ecosystem. The ideal...

  • Guidewire Claim Center Developer

    2 weeks ago

    Gurgaon, Haryana, India Weekday AI Full time ₹ 31,50,000 - ₹ 63,00,000 per year

    This role is for one of the Weekday's clientsSalary range: Rs Rs ie INR 15-30 LPA)Min Experience: 5 yearsLocation: Remote (India), Gurugram, GurgaonJobType: full-time We are looking for an experienced Guidewire Claim Center Developer with strong technical expertise in configuration, integration, and development within the Guidewire ecosystem. The ideal...

  • Insurance Executive

    2 weeks ago

    Gurgaon, Haryana, India Big Boy Toyz. Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    Job description:Job Title: Insurance ExecutiveLocation: GurgaonEmployment Type: Full-TimeLUXURY CARS -INSURANCE or Claims and EndorsementsA luxury automobile claims insurance executive manages insurance policies specifically tailored for high-end, luxury vehicles.This role involves:Managing claims: Investigating claims cases, alerting supervisors to...

  • Senior Executive

    5 days ago

    Gurgaon, Haryana, India Mamaearth Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    About Honasa:Honasa Consumer Limited (HCL) is the fastest-growing Beauty & Personal Care house of brands, building the FMCG conglomerate of the future. Rooted in the values of Honesty, Natural ingredients, and Safe care, HCL meets the evolving needs of todays consumers through innovation, direct-to-consumer marketing, and efficient e-commerce fulfillment....

  • Executive

    5 days ago

    Gurgaon, Haryana, India Vidal Health Insurance Full time ₹ 25,00,000 - ₹ 35,00,000 per year

    Vidal Health Insurance TPA is hiring for Executive for Client ServicingKey Responsibilities:1. Management of query related to Claims and Cashless at Level 1.2.Reports on top corporate/insurance companies/brokers to be reviewed with Leadership TeamFulfilment of SLAs of top stakeholders for the respective region.Oversee timely submission of MIS...

  • Operations Executive

    2 days ago

    Gurgaon, Haryana, India ClaimBuddy Technologies Pvt Ltd Full time ₹ 2,50,000 - ₹ 4,00,000 per year

    Job Designation-: Insurance OperationsRoles & Responsibilities-:Candidates should have worked in the Hospital Insurance desk (Most Important)Provide Medical opinion for Health Insurance ClaimsProcessing of Cashless Requests & Health Insurance Claim DocumentsProficient with medical terms & system.Understanding of Policy terms & conditions & Various Protocols...

  • TPA Senior Executive

    2 days ago

    Gurgaon, Haryana, India ClaimBuddy Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Roles & Responsibilities-:·      Candidates should have worked in the Hospital Insurance desk (Most Important)·      Provide Medical opinion for Health Insurance Claims·      Processing of Cashless Requests & Health Insurance Claim Documents·      Proficient with medical terms & systems.·      Understanding of Policy terms...

  • Tpa Executive

    4 days ago

    Gurgaon, Haryana, India Idd Research Solutions Full time ₹ 40,00,000 - ₹ 1,20,00,000 per year

    Roles and ResponsibilitiesManage claims processing, adjudication, and settlement for corporate clients.Ensure accurate documentation of all processes related to insurance claims.Coordinate with healthcare providers for smooth claim settlements.Process bills, refunds, and other financial transactions efficiently.Handle enrollment procedures for new clients...

  • Customer Service Executive

    6 days ago

    Gurgaon, Haryana, India Vidal Health Insurance TPA Private Limited Full time ₹ 1,80,000 - ₹ 3,00,000 per year

    *Designation-Executive in CRM for Client ServicingJob Location: GurgaonUdhyog ViharImmediate Joiner required.Job Description:Key Responsibilities:1. Handling queries from Employees of Big Corporate and resolve the concern with coordination through emails and calls.Oversee timely submission of data5.. Oversee department functions like the Customer Care,...

  • Senior Executive

    1 week ago

    Gurgaon, Haryana, India OM Logistics Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Accounting & Financial Reporting Record and review day-to-day accounting transactions in ERP systems. Prepare monthly, quarterly, and annual financial statements Balance Sheet, P&L, and Cash Flow. Execute month-end and year-end closing activities with accurate journal postings. Maintain and update the Fixed Asset Register (FAR) including capitalization,...