Insurance Claims Specialist

Company DescriptionAt BIMA GARAGE, we are dedicated to making insurance claims a seamless process. We strive to make insurance simple for everyone and promote it as a critical financial tool for families. BIMA GARAGE offers tailor-made solutions for insurance holders, hospitals, and insurance companies, integrating the entire ecosystem into a single...

Job Description Responsibilities This job is provided by apna.co Key Responsibilities: - Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure...

Claims Officer Description Vendor Management Handling litigation claims Handling MIS & compliance related activities Handling corporate office activities Candidate must have: In depth technical knowledge of automobiles with experience in motor claim assessments & settlements for all products Good interpersonal skills Must be proactive...

Executive-Appeal & Specialised Claims DescriptionReview the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region. Propose the amount that needs to be reserved for each case after consultation with claims team to the based on case facts Collect all evidences relevant to the case in coordination with...

Job Description Key Responsibilities - Medical Review Claims Adjudication: - Assess and validate medical claims based on clinical documentation and policy coverage. - Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. - Coordinate with internal medical teams to ensure accuracy in claims decision-making. -...

Job Summary:We are seeking a detail-oriented and experienced Claim & Quality Auditor to ensure accuracy, compliance, and efficiency across the claims process. The ideal candidate will be responsible for reviewing claim files, identifying process gaps, ensuring adherence to company and regulatory standards, and recommending corrective actions to improve...

Job Title: Team Lead – Claims AdjudicationLocation: IndoreExperience: 5–8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead roleKey Responsibilities:Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met.Monitor team performance, allocate workload, and ensure timely processing...

**Job Summary**: **Key Responsibilities**: - Conduct regular audits of insurance claims (health, life, motor, or general) to ensure compliance with internal policies and regulatory guidelines. - Review claim documentation, approvals, and settlements for accuracy, completeness, and consistency. - Identify discrepancies, errors, or potential fraud and provide...

Receive and check claim documents for completeness and advise employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. **Non voice coordinator**: Maintain weekly reports on claims and queries and the...

Receive and check claim documents for completeness and advise employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. **Non voice coordinator**: Maintain weekly reports on claims and queries and the...