W | Claims operation_P

2 days ago


Pune, Maharashtra, India Black & White Full time ₹ 60,00,000 - ₹ 80,00,000 per year


Job Title :
Senior Analyst - Claim Operations

Qualification :
Commerce Graduate

Relevant Experience :
Years and above

Must 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 MS Office (especially Excel, Word, Outlook).
Excellent written and verbal communication skills.
Attention to detail and high degree of accuracy.
Analytical thinking and problem-solving skills.

Good Have Skills :
Experience in digital claims platforms or automation tools.

Roles and Responsibilities :
Process insurance claims (Health/Auto/Life/Property) in accordance with policy terms and conditions.
Validate claim documentation for accuracy and completeness.
Coordinate with internal departments (underwriting, finance, legal, customer service) for claim adjudication.
Interact with TPAs, surveyors, hospitals, or external vendors as needed for claim verification or follow-up.
Monitor claim turnaround times (TAT) and service level agreements (SLA).
Ensure regulatory and compliance guidelines (IRDAI or other regional regulators) are strictly followed.
Generate daily/weekly/monthly claim reports and support audit requests.
Identify process improvement areas to streamline claims processing and enhance customer satisfaction.
Assist in fraud detection and risk mitigation in claim handling.

Location :
Pune

CTC Range :
– 8LPA (Lakhs Per Annum)

Notice Period :
to 30 days

Mode of Interview :
Face To Face

Shift Timing :
Night shift

Mode of Work :
Hybrid

  • Accounts Officer

    14 hours ago


    Pune, India G & W Full time

    **Work Location** - Dapodi, Pune **Qualification** - Graduates/Post-Graduates(Commerce) + MBA( Finance) **Experience** - 3 to 5 Years **CTC Budget** - Upto 4,00,000 LPA **Role & Responsibility** - Knowledge of Material Accounting is a must. - Preparation of Budget and Tracking actual with budget. - Day to day handling of Sales Accounting & Debtors...


  • Pune, Maharashtra, India Mongoose Minds Private Limited Full time

    **Job Duties & Responsibilities** - To interact with hospital insurance patients. - Sending Pre-Authorization and getting approval for Cashless claims. - Cross checking Packages or tariff before sending to Insurance Company or TPA. - Educating patient about deduction on settlement. - To create awareness about reimbursement claims. (Pre, Post &...

  • Senior Executive

    4 weeks ago


    Pune, Maharashtra, India EXL Service Full time

    Position Title Associate Sr Associate A1 A2 Function Operations Reports to Assistant Manager Lead Assistant Manager Process Name RD Content ALE Complexity Level TBD Location -Pune Permanent Temporary Permanent Basic Function As an associate Sr Associate in Claims Processing your role is vital in ensuring accurate bill review and data...


  • Hyderabad, Pune, India Yash Technologies Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Our SAP service line is currently looking for SAP CS ProfessionalPlease go through below JD and if have the required please share your updated resume to discuss further to me at JOB DESCRIPTION :- SAP CS ..Customer Service ConsultantShould have a minimum of 5-7 years of in-depth knowledge of the SAP CS (Customer Service) module .Bachelors degree in Computer...

  • Quality Control

    2 weeks ago


    Pune, Maharashtra, India Alfa Laval Full time

    We are passionate about what we do and if you are too, come join us as an Quality Control Engineer and stay for the challenge!! Alfa Laval India is looking for a Quality Control Engineer to be based out of Baner,Pune location. This position is being created to ensure that the product quality is maintained throughout its manufacturing cycle and to achieve...

  • Branch Manager

    2 weeks ago


    Nanded, Pune, India ICICI Lombard Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    We at ICICI Lombard GIC is hiring for Branch Manager at Pune and NandedBranch: Pune and Nanded (Local Candidates Preferred)Role & responsibilitiesResponsible for managing a team of unit sales managers assigned, who in turn will be managing the agents/brokers.Implementing the sales plan to achieve the desired sales objective for the channel.Achieving assigned...

  • Buyer

    2 weeks ago


    Pune, India Air Products Full time

    **Job Description and Qualifications** **I. ** To **provide support for **admin, facilities, IT tools procurement** **III, NATURE AND SCOPE** This position is primarily responsible for providing and assisting support for all India procurement of Indirect purchase. As such, the incumbent indirects sourcing teams that are responsible for executing,...

  • Buyer

    2 weeks ago


    Pune, India Air Products Full time

    **Job Description and Qualifications** **I. ** To - **provide support for equipment/materials sourcing team** in the execution of the sourcing activities supporting the Capital Procurement (engineering, fabricated equipment’s, and materials) area as well as lead our efforts to manage the EPCm relationship in support of our project Procurement...


  • Pune, Maharashtra, India Avalara Full time

    What You ll DoWe are seeking an experienced Accounts Payable Analyst to join the team and support full cycle accounts payable and expense management including coding invoices obtaining approvals issuing payments and reviewing approving global expense claims in alignment with the Global Business Travel and Expense policy In addition the Accounts...

  • Buyer

    6 days ago


    Pune, India Air Products Full time

    **Job Description and Qualifications** **Job Description**: - ** I. ** To **provide support for equipment/materials sourcing team** in the execution of the sourcing activities supporting the Capital Procurement (engineering, fabricated equipment’s, and materials) area as well as lead our efforts to manage the EPCm relationship in support of our project...