Health Claim Officer

About the RoleWe are looking for a full-time in office member, who will look after all documentation work when it comes to Claims department. As a Claims Executive, you should have attention to details and be up to date with all the documents that are to be procured.What you will be doing:Receive Claim Files and add file details as per Loop's internal...

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...

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...

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...

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...

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...

Role & responsibilitiesWe are a leading Insurance consultancy company in Pune. We are currently seeking a Back Office Assistant to manage the following responsibilities:* Health and motor insurance claims processing* Insurance policy renewals (no direct sales, no telecalling)* Management of insurance company portals* Customer interaction for follow-up and...

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...

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...

We're Hiring: Global Claims Coordinator| PuneLooking for a role that puts you at the center of global operations? Here's your chance to be part of a dynamic, internationally driven function that blendsprocess coordination, data management, and cross-functional collaboration.What you'll do:Coordinate and track claims processes across international...