Claims Executive

2 days ago

Bengaluru Pune, India Digit Insurance Full time ₹ 1,04,000 - ₹ 1,30,878 per year
  • Process and review Life insurance claims, ensuring adherence to company policies and guidelines.
  • Verify claim documentation, including Death certificate , Employment details, medical records to rule out cause of death and co-morbidities, PMR, FIR , and other supporting documents.
  • Examine insurance applications and documents to ensure accuracy.
  • Communicate with claimants to obtain necessary information and explain the claim process.
  • Assess the validity and coverage of claims, determining eligibility for reimbursement or settlement.
  • Collaborate with claimants, insurance agents, and medical professionals to gather necessary information and resolve any claim-related queries or issues.
  • Keep claim files organized, documenting all actions and decisions.
  • Decision-Making: Determine claim payouts by verifying coverage and assessing the insurance policy.
  • Collaborate with internal teams, such as underwriters and legal departments, to evaluate complex claims and ensure compliance with regulatory requirements.
  • Keep up-to-date with insurance industry trends, policies, and regulations related to Life insurance claims.

Requirements:

  • DOCTORS Preferable. Degree in BMS/BAHMS/MBBS, etc (medical background)
  • Previous experience in Life claims processing or a similar role within the insurance industry.
  • In-depth knowledge of insurance principles, policies, and procedures, specifically related to Life Term insurance.
  • Strong understanding of Life claim processing and settlement methodologies.
  • Excellent analytical and problem-solving skills, with the ability to make sound decisions regarding claim eligibility and coverage.

    Attention to detail and accuracy in reviewing and processing claim documentation.
  • Exceptional communication skills to interact effectively with claimants, insurance agents, and internal stakeholders.

    Proficient in using relevant software applications and tools for claim processing and record-keeping.
  • Ability to work independently, manage multiple tasks, and prioritize workload effectively.
  • Familiarity with regulatory guidelines and compliance requirements related to Life insurance claims.

In addition to the above requirements, as an executive-level profile, the ideal candidate should also possess:

  • Leadership skills to oversee and mentor a team of claims processors. Proven experience in managing and optimizing claims processing workflows.
  • Strong problem-solving and decision-making abilities, particularly in complex or high-value claim scenarios.
  • Excellent interpersonal skills to collaborate with senior management, stakeholders, and external partners.
  • Demonstrated ability to analyse data, generate reports, and present findings to senior executives.
  • Knowledge of strategic planning and business development concepts within the insurance industry.

  • Claims office executive

    2 weeks ago

    Pune, Maharashtra, India Organo Mart Full time

    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...

  • Cashless Claims Executive

    2 weeks ago

    Bengaluru, Karnataka, India Al Fahad Enterprises Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionAl Fahad Enterprises is a diversified company involved in various businesses, including Tour & Travels, Organic Products, and many other services. We are committed to providing high-quality services and products to our clients, ensuring their satisfaction and trust in our brand. Our dynamic and growing company seeks talented individuals to...

  • Commercial Claims Executive

    2 weeks ago

    Bengaluru, Karnataka, India Disha Capital Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    ü Job Summary:TheCommercial Claims Executiveis responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in claims handling.ü Roles &...

  • Claims process executive

    7 days ago

    Bengaluru, India Thinkbridge Full time

    About thinkbridgeWe are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our thinkstack accelerators. We started with the vision of being able to build amazing...

  • Claims Executive

    2 days ago

    Bengaluru, Gurugram, India Axa Xl Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Role & responsibilitiesAdjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS).Liaising with Claim handlers onshore, brokers, and underwriters.Manage all administration aspects of the claimPreferred candidate...

  • Motor Claims Executive

    2 weeks ago

    Bengaluru, Karnataka, India Vidpro Consultancy Services Full time ₹ 2,00,000 - ₹ 8,00,000 per year

    Our client is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy,our Client value proposition of Welcome Change focuses on offerings that make insurance simple and hassle-free With features such as zero commission, zero paperwork,...

  • Health Claims Assessor

    7 days ago

    Pune, Maharashtra, India Bajaj Allianz Life Insurance Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Executive Health Claims Assessment DescriptionClaim registration – On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for...

  • Claims Processor

    2 days ago

    Bengaluru, India Karthika Consulting & Solutions Pvt Ltd Full time

    **Job Title**:Sr. Executive - Insurance Adjudication **Function**:Insurance Adjudication **Job Type**:Full Time Job **Reports To**:Assistant Manager - Insurance Adjudication **Location**:Bengaluru (Kanakapura Main Road, JP Nagar 9th phase ) Medical Insurance Adjudication Department at **We Assist** has an important role of managing the relationship with...

  • Claim Process Administrator

    6 days ago

    Bengaluru, India Celeros Flow Technology Full time

    **JOB SUMMARY** This position will be based at the Bangalore office. The incumbent will play a key role in coordinating and managing claims for the Houston plant & support the internal Claims/ Warranty Log tool process. **PRINCIPAL DUTIES AND RESPONSIBILITIES** **Houston Claims** - Project manage all customer claims for the Houston facility from claim...

  • Claims Executive- Commercial Lines

    2 weeks ago

    Ulsoor, Bengaluru, Karnataka, India Disha Capital Insurance Brokers Full time

    **Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...