Claims Investigations Manager

About the CompanySKD Health Allied Services is a reputed organization and a pioneer in the industry of claims investigations across south India and Maharashtra, having its offices at Chennai , Bangalore , Ernakulam , Madurai, Hyderabad and PuneNeed talented, experienced doctors and para medics for the role of claims manager, who has a responsibility of...

Claim Review & Investigation: Examine incoming claims to verify their accuracy, completeness, and legitimacy. Policy Verification: Confirm that claims fall under the terms and conditions of the relevant insurance policy or contract. Compliance: Ensure all claims processing and settlements comply with company policies, industry standards, and legal...

Age limit: 20 to 30.Investigate Claims: Gather facts and evidence, such as police reports, witness statements, and surveillance video, to understand the details of a claim.Evaluate Policies: Review the claimant's insurance policy to determine the extent of coverage and the company's liability.Assess Damages: Inspect damaged property, vehicles, or businesses...

Primary DetailsTime Type: Full timeWorker Type: EmployeeTo process the settlement of insurance claims in compliance to the Company's policy and guidelines.Primary Responsibilities Strategy and PlanningNilPolicy, Process and ProceduresMaintaining current knowledge of insurance guidelines and policy changes and modificationsEnvironmental Awareness/Customer...

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

Role & responsibilitiesWhat Youll DoReview, compare, and claim/release music video/audio recording copyright claims on digital sharing platforms to ensure that user-generated content does not violate the copyright of our client's assets.Review the client's music video assets against an elaborate checklist and a set of guidelines and approve/reject claims...

· Resolving customer queries within TAT and ensuring smooth claim process· Providing information to the customers and to respond to their claim related queries· Coordinating with the customers/agents for cashless claim settlement· Coordinating with internal stakeholders like enrolment,· Account management, claims, investigation, support team to settle...

Job descriptionTeam Executive - Claims AdjudicationLocation : Chennai, NavalurRoles & Responsibilities:In-depth Knowledge and Experience in the US Health Care Payer System.4 - 9 years of experience in Claims Adjudication. With over 1 year of experience as a on paper Team leaderProven track record in managing processes, streamlining workflows and excellent...

OverviewCoding Denial Supervisor to provide direction to a team of Coding Denial Specialists, who are responsible for working on assigned claim edits and rejection work queues. The Coding Denial Supervisor will ensure timely investigation and resolution of health plan denials. Additionally, the Coding Denial Supervisor will assist in determining appropriate...

Here we are looking for professionals who is having the exp in credit card fraud investigation and raising the red flags in any suspicious activities. A card fraud / dispute claims analyst investigates customer disputes and resolves disputed transactions to raise a chargeback request with the merchant.Location- ChennaiShift- have to be flexible