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...

As an Investigator for Claims, your role involves investigating claims by gathering facts and evidence such as police reports, witness statements, and surveillance videos to understand the details of each claim. You will also be responsible for evaluating claimant's insurance policies to determine coverage extent and the company's liability. Key...

Department - LegalLocation: Shared Service Centre, IndiaJob purposeSeaLead is a global shipping line connecting emerging markets with major economies through container shipping and liner services. Founded in 2017 and headquartered in Singapore. SeaLead initially started with feeder services and then expanded into long-haul liner services over time. Operating...

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...

Analytical Skills: Ability to analyze complex data, identify trends, and provide recommendations. Attention to Detail: Meticulous in reviewing documents and processing claims to prevent errors. Communication: Strong verbal and written skills to communicate effectively with providers, policyholders, and internal teams. Technical Skills: Proficiency with...

Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...

Regional Head-ILM-Health Description Desktop InvestigationTrigger identification through data at intimation/Referral stage Social media searches Cold calling using digital platforms Identify key business people, link analysis Claim InvestigationAllocation of assigned claims to respective vendors with case relevant triggers Follow up for...