Claim Processing Executive

Job Description:Claims ExecutiveLocation:On-siteWorking Days:Monday to FridayWorking Hours:9:00 AM – 5:30 PMProbation Period:6 months (No paid leave during probation)Experience Required:1–2 yearsCompany OverviewBimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help clients secure their...

Designation: Executive MIS & Claim ProcessingBusiness Vertical: OperationsLocation: Andheri West, MumbaiKey ResponsibilitiesDevelop and maintain dashboards and reports for finance and operations teams.Analyze data trends and provide actionable insightsEnsure data integrity across systems and perform regular checksCollaborate with Finance teams to optimize...

Desired Candidate ProfileProficiency in MS Office applications (Excel, Word) for data entry and record-keeping purposes.Strong understanding of insurance claims, transaction processing, and US insurance industry practices.Bachelor's degree in any specialization (B.A/B.B.A/B.M.S.).

Roles and ResponsibilitiesHandle health claims from receipt to settlement, ensuring timely processing and quality service delivery.Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity.Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the claims...

Job Title: Claims ExpertWe are seeking an experienced Cross-Functional Claims Expert to design and implement effective claims processing solutions using Duck Creek Claims V10/V11/V12.Key Responsibilities:Develop and maintain custom configuration for Claims Centre, leveraging expertise in .Net and .Net Framework.Collaborate with stakeholders to configure and...

Lead a team of field investigators/vendors for ground-level investigations, claims verification and case management.Coordinate with the field team to ensure efficient claim processing, quality control and timely completion of tasks.Oversee end-to-end claim settlement/rejection processes including life and health insurance claims.Collaborate with the legal,...

Roles and ResponsibilitiesReview medical records, claims forms, and other documentation to determine eligible benefits.Determine actions to be taken on claims (e.g., pay, decline, request additional documents).Follow up with providers for missing information and resolve claim discrepancies.Maintain accurate records of all interactions and decisions made...

Claims Management OpportunityWe are seeking a detail-oriented professional to join our offshore claims management team as an Executive/Senior Executive. This role involves assisting in the processing of claims efficiently and accurately while ensuring compliance with company policies and procedures.This is a contractual role for a long-term project, with an...

Claim Processing ExecutiveThis role is focused on delivering exceptional customer experiences through effective claim processing and communication.Key Responsibilities:Implement CRM solutions to support clients with their claims needs.Handle client inquiries related to policy coverage and claim processing, providing clear guidance and support.Guide users in...

Responsible for handling cargo claims.Responsible for the management and administration of all claims filed Globally.Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for...