Claim Management Role

We're looking for a dynamic Claims Manager to handle end-to-end claims across health, motor, property, and 'll be the bridge between clients, insurers, TPAs, and internal teams ensuring smooth, timely settlements and top-notch service.

Salary - 5.5 lpaExp - 2-4 yearsRole DescriptionThis is a full-time on-site role for a Claims Specialist, located in Pune. The Claims Specialist will be responsible for managing and processing insurance claims, handling claim discrepancies, and ensuring timely settlements. The role involves daily tasks such as reviewing and analyzing claim submissions,...

Claims Associate Non-Medical AssessmentCompany: GoDigit General InsuranceDepartment: Health Claims – Non-Medical AssessmentEducational Qualification: B. Pharma, M. Pharma, Pharma DPosition OverviewThe Claims Associate – Non-Medical will be responsible for processing health insurance claims efficiently and accurately while maintaining high standards of...

This Opportunity is with a leading Insurance company for their office in Pune locationRole: Claim operationsExperience: 3 YearsJob Description:ESSENTIAL RESPONSIBILITIES:Describe the essential responsibilities in order of importance: Begin each responsibility with an action verb.Claims ReportingEvaluate claims to ensure sufficient information is available...

Role: Knowledge Lead ClaimsLocation: PuneShift : 6PM to 3AMNote: It is an Individual Contributor Role***************************************************IMMEDIATE JOINERS REQUIREDSend your updated CV directly to: ****************************************************Job Description:Strong understanding of Banking and services.Incorporates product knowledge into...

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...

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...

Seeking a male candidate with TPA/investigation agency experience, expertise in Mediclaim investigation/verification, team handling, client communication, and TAT management. Focus on reimbursement and cashless claims. Strong leadership required.

Salary - upto 4-5lpa2+yrs of experienceRole DescriptionThis is a full-time on-site role located in Pune for a Claims Office Executive - TPA Insurance. The Claims Office Executive will handle day-to-day administrative tasks, assist with customer service inquiries, and conduct office administration tasks. They will also be responsible for accounting tasks and...

Location: PuneLanguages Required: Hindi (Fluent) and English (Fluent) both Mandatorily requiredRole DescriptionThis is a full-time on-site role for a TPA Reimbursement Claims Specialist based in Pune. The TPA Reimbursement Claims Specialist will handle daily tasks including managing claims, coordinating with insurance providers, and processing...