Default claims processing/Filling

6 months ago


Mumbai, India 2coms Full time
Job Description for SME/PS 
Job Description of Subject Matter Expert 
 
Job Title:         SME 
Reporting to:Team Manager/Team leader, Operations 
 
Objectives 
The SME’s objective is to actively assist a team in accordance with laid down procedures to 
achieve and maintain requisite standards of quality and productivity.  He / she will report to 
the Team leader/Team Manager, Operations, who will be the first point of contact for any 
issues, questions, or concerns. 
 
Key Result Areas (KRAs) 
 
Leadership:   
The SME is responsible for maintaining constant process knowledge in the team.   
Responsible for maintaining and documenting all updates received from the business 
area.  
Will be a part of clients calls as required and will be responsible to update the teams 
alongside the Supervisors 
Responsible for cascading / providing training on new updates to all team members.  
Responsible for conducting the knowledge check.  
Responsible for suggesting and driving process improvements.  
Should have multi-tasking skills as a Trainer / QC / Processor and will conduct 
refresher trainings / handle Quality sessions on a need basis. 
Monitor and coach underperformers to improve their quality and efficiency. 
To be a part of the regular production and produce agreed numbers. 
Address and ensure resolution on all process related queries of the team members 
 
Essential   Functions: 
Review, analyze and ensure timely settlement of investor and mortgage insurance 
claims and managing claims to determine status and bring to closure and request 
extensions as needed. 
Must be updated with all investor guidelines in order to file claims. 
Document and maintain all system necessary for proper claim handling and follow-
up. 
Research issues and obtain proper supporting documentation in a timely manner as 
requested by the investor or mortgage insurance company. 
Monitor claim process reports to ensure all required responses are timely filed. 
Complete timely audits of all assigned claims to ensure all requirements have been 
met and claim process can be validated. 
 
Qualification:    
Diploma / Graduate any discipline. 
3 - 4 years of experience in BPO, U.S Mortgage/ Data Processing background.  
Previous experience with mortgage claim filing is a requirement. 
 

 

 
Minimum of 2 years in the Sr. Process Associate role. 
 
Skill Sets 
Good interpersonal skills 
Good written and verbal Communication skills 
Ability to coach 



  • Mumbai, India 2coms Full time

    Job...


  • Mumbai, India United Language Group Full time

    Posting Details Job Details Description Summary The Claims Processing Associate is responsible for processing the translated medical documentation according to the instructions provided. The Claims Processing Associate will review the Machine Translated (MT) output and fill the details in forms making sure to have the highest acceptance...

  • Claim Process

    6 months ago


    Navi Mumbai, India Alchemy Techsol Full time

    Basic Computer knowledge Excel knowledge id mustWFO/WFHShift timing- 5 PM to 3 AMCOMPLETE NIGHT SHIFTwork Exp- Fresher (0-6 Months)WFH as of now2way cab facilityBoundry limit 30 KMCommunicating with insurance agents and beneficiaries.Preparing claim forms and related documentation.Reviewing claim submissions and verifying the information.Recording and...


  • Mumbai, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full time

    CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...


  • Airoli, Navi Mumbai, Maharashtra, India Buzzworks Business Services Pvt Ltd Full time

    Job description We are Hiring for a Top MNC Company!!! **Position ; Us Healthcare Claim process** **Shift timing : Night Shift - US shift** **Work from Office (Both way cab facilities available)** **Salary: 19k CTC (Take Home - 14K)** **Location: Airoli, Navi Mumbai** - The Healthcare Operations vertical helps our clients drive breakthrough growth by...


  • Andheri, Mumbai, Maharashtra, India Watchyourhealth Full time

    **Job profile: CRM helpdesk.** CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure...


  • Mumbai, India A2Tech Consultants Full time

    **Job Description For Customer Support Executive (Insurance Claiming Process)** **Company Name: - Turtlemint** **Company Location: Andheri (East)** **Job Type : Full Time** **Company Profile**: **Turtlemint is an insuretech platform empowering insurance advisors **with digital tools to recommend the right **insurance products** to their clients....


  • Mumbai, India GenNext Strategy Advisors Full time

    Greetings from Gennext Strategy Advisors!!! Gennext Strategy Advisors is currently hiring for one of the Leading Industries. **Job Profile** **Position**:Claim Processing Executive (Immediate Joiner prefer) **Experience**:2 to 3 years **Salary**: 3 - 3.80 LPA **Location**: Bandra (Mumbai) **Job Description -** - Claim Accounting - PAN India Accounts...

  • Backend Support

    5 months ago


    Navi Mumbai, India Buzzworks Business Services Pvt Ltd Full time

    **We are Hiring for a Top MNC Company!!!** Designation**:Back End Support - Claim Process** Shift timing: Night Shift - US shift (8pm to 6 am) Cab facilities available Work from Office (Both way cab facilities available) **Salary**: 19k CTC (Take Home - 14K) Location: Airoli, Navi Mumbai **Job Description**: - The Healthcare Operations vertical helps...

  • Claims Translator

    2 weeks ago


    Mumbai, Maharashtra, India United Language Group Full time

    Job Description:United Language Group seeks a skilled Claims Translator to join their team. As a Medical Documentation Specialist, you will be responsible for processing translated medical documents with precision and accuracy.Key Responsibilities:Evaluate the quality of translated medical documents and identify areas for improvement.Process documents...

  • Claims Processor

    1 month ago


    Mumbai, Maharashtra, India United Language Group Full time

    Job SummaryWe are seeking a skilled Claims Processor to join our team at United Language Group. As a Claims Processor, you will be responsible for reviewing and processing translated medical documentation to ensure accuracy and quality.Key ResponsibilitiesEvaluate translated medical documents for quality and accuracyIdentify and process translated content...


  • Mumbai, Maharashtra, India LEADS 2 BUSINESS SOLUTIONS P LTD Full time

    **Urgent Opening for Team Leader - Blended Process ** Location: Malad & Thane **Salary: Up-to 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince **Claims Team Leader** **Role Description**: **- **Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. **Core Role...


  • Mumbai, Maharashtra, India LEADS 2 BUSINESS SOLUTIONS P LTD Full time

    **Urgent Opening for Team Leader - Blended Process ** Location: Malad & Thane **Salary: Up-to 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince **Claims Team Leader** **Role Description**: **- **Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. **Core Role...


  • Mumbai, India 2coms Full time

    Job Summary: As a Default Servicing and Management Specialist, you will be responsible for handling various aspects of default servicing and management for our client's US Consumer Loan business. This role involves working closely with the client's systems and processes to ensure accurate and timely updates related to bankruptcy, legal invoices,...

  • Claims Executive

    2 months ago


    Chembur, Mumbai, Maharashtra, India mumbairozgaar Pvt Ltd Full time

    We are currently hiring for Claims Executive for Leading Insurance Company. Role: Claims Executive (Backend Operations) Location: Chembur,Navi Mumbai Key Responsibilities: - Review and process insurance claims in a timely and accurate manner. - Assess the validity of claims by evaluating documentation, policy coverage, and other relevant information. -...

  • Claims Executive

    2 months ago


    Chembur, Mumbai, Maharashtra, India mumbairozgaar Pvt Ltd Full time

    We are currently hiring for Claims Executive for Leading Insurance Company. Role: Claims Executive (Backend Operations) Location: Chembur,Navi Mumbai Key Responsibilities: - Review and process insurance claims in a timely and accurate manner. - Assess the validity of claims by evaluating documentation, policy coverage, and other relevant information. -...