Claims Office Executive

Job Description:Ensure accurate claim pay-out 100% compliance & the processing of claims within TAT? Responsible to maintain monthly disposal, Settlement, and claim inventory as per defined process? Being updated with policy terms and conditions to ensure prudent adjudication of claims.? Attention to detail with regards to the identification of fraud...

Job Description:a.Managing Group health insurance section of the claims department.b.Coordinating and managing   TPAs who are working for Magma-HDI for GHI policies.Coordinating with TPAs for claim processing( settlement and Reputation).Coordinating with TPAs for maintaining clams TAT.Monthly deficiency review and claims outstanding review.Conducting TPA...

Company DescriptionAl Fahad Enterprises is a multifaceted business organization with a strong presence in diverse industries. The company operates in sectors such as Tour & Travel services, Organic Products, and other essential services. With a commitment to quality and customer satisfaction, Al Fahad Enterprises provides innovative solutions tailored to...

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...

Desktop InvestigationTrigger identification through data at intimation/Referral stageSocial media searchesCold calling using digital platformsIdentify key business people, link analysis Claim InvestigationAllocation of assigned claims to respective vendors with case relevant triggersFollow up for IR and TAT managementLevel 1 QC clearance & validate the...

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...

Job Description : SPA Claims - 3 Years - Night Shift - Pune Location: PuneDiscipline: Sales & MarketingJob type: PermanentContact name: Nandini NarulaContact email: Job ref: 75777Published: about 11 hours agoSenior Process Associate - US Insurance Claims - 3 Years - Pune Location: Pune We are hiring for a Senior Process Associate in Insurance Claims with...

Executives Job Description Position Title, Responsibility Level Advisor – Motor Claims Function Operations, Executive Reports to Assistant Manager – Operations Permanent/ Temporary Permanent Span of Control NA Location Noida - SEZ Basic Function This is a complexity level 3 Voice process. The role primarily involves dealing with end to end claims -...

The Impact You'll Make As our Claims Administrative Specialist, you'll play a key role in delivering great customer experiences by being the first point of contact for customers and supporting them with timely claim resolution.Your impact? You'll ensure smooth handling of customer claims by creating cases and complaints in CRM and ERP systems. Your work...

Requisition ID:46000Job Location(s):Pune, INEmployment Type:Full TimeSegment:Danfoss Power Solutions SegmentJob Function:Quality and Environment, Health and Safety (EHS)Work Location Type:On-siteThe Impact You'll MakeAs our Claims Administrative Specialist, you'll play a key role in delivering great customer experiences by being the first point of contact...