589 Claims Analyst jobs in India

Senior Claims Analyst

400601 Thane, Maharashtra ₹75000 Annually WhatJobs

Posted 8 days ago

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Job Description

full-time
Our client is seeking a highly analytical and detail-oriented Senior Claims Analyst to join their dynamic insurance team in **Thane, Maharashtra, IN**. This role is crucial for ensuring the accurate and efficient processing of insurance claims, upholding company standards, and contributing to overall operational excellence. The Senior Claims Analyst will be responsible for investigating complex insurance claims, assessing coverage, determining liability, and negotiating settlements within authorized limits. You will work closely with policyholders, legal counsel, and internal departments to gather necessary information, conduct thorough reviews of documentation, and provide clear, concise explanations of claim decisions.

Key responsibilities include:
  • Reviewing and processing a high volume of insurance claims, ensuring adherence to policy terms and conditions.
  • Conducting in-depth investigations into claim validity, gathering evidence, and interviewing relevant parties.
  • Analyzing policy language to determine coverage and identify potential fraud indicators.
  • Calculating claim settlements and negotiating fair resolutions with claimants and their representatives.
  • Maintaining accurate and detailed claim records in the company's claims management system.
  • Collaborating with adjusters, underwriters, and legal teams on complex or litigated claims.
  • Providing guidance and mentorship to junior claims staff.
  • Identifying trends and patterns in claims data to recommend process improvements.
  • Ensuring compliance with all relevant regulations and industry best practices.
The ideal candidate will possess a Bachelor's degree in Business Administration, Finance, or a related field, coupled with a minimum of 5 years of experience in insurance claims processing. Strong understanding of insurance principles, policy interpretation, and claims handling procedures is essential. Excellent communication, negotiation, and problem-solving skills are required. Proficiency in claims management software and Microsoft Office Suite is expected. A commitment to ethical practices and a customer-centric approach are paramount for success in this role.
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Senior Claims Analyst

110001 Delhi, Delhi ₹75000 Annually WhatJobs

Posted 9 days ago

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Job Description

full-time
Our client is seeking a highly motivated and experienced Senior Claims Analyst to join their dynamic insurance team in Delhi, Delhi, IN . The ideal candidate will possess a strong understanding of insurance policies, claims processing, and regulatory compliance. This role involves detailed investigation, assessment, and resolution of complex insurance claims across various lines of business. Responsibilities include reviewing claim forms and supporting documentation, verifying policy coverage, conducting thorough investigations to determine liability and damages, negotiating settlements with claimants and legal representatives, and ensuring compliance with all relevant insurance laws and company policies. The Senior Claims Analyst will also be responsible for mentoring junior team members, contributing to process improvement initiatives, and maintaining accurate and detailed claim records. Exceptional analytical, problem-solving, and communication skills are essential. The ability to work effectively in a fast-paced environment, manage multiple priorities, and maintain a high level of accuracy is crucial. This hybrid position offers a blend of in-office collaboration and remote work flexibility, fostering a productive and balanced work environment. The successful candidate will have a proven track record in claims management, a commitment to customer service, and the ability to adapt to evolving industry standards. This is an excellent opportunity for a skilled professional to make a significant impact within a leading organization and contribute to the overall success of the claims department.
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Senior Claims Analyst

411001 Pune, Maharashtra ₹55000 Annually WhatJobs

Posted 9 days ago

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Job Description

full-time
Our client, a reputable leader in the insurance sector, is seeking an experienced and detail-oriented Senior Claims Analyst to join their fully remote team. This role is crucial for ensuring the efficient and accurate processing of insurance claims, maintaining high standards of customer service, and adhering to all regulatory requirements. You will be responsible for investigating complex claims, making fair and informed decisions, and providing expert guidance to both claimants and junior team members. The ideal candidate possesses a strong understanding of insurance policies, excellent analytical skills, and a proven ability to manage responsibilities effectively in a remote work environment.

Key Responsibilities:
  • Investigate, evaluate, and settle insurance claims in accordance with policy provisions and company guidelines.
  • Analyze claim details, gather necessary documentation, and assess liability and coverage.
  • Communicate effectively with policyholders, claimants, witnesses, and other relevant parties.
  • Make well-reasoned decisions on claim validity and payout amounts.
  • Identify potential fraud indicators and escalate as necessary.
  • Ensure compliance with all state and federal insurance regulations.
  • Provide guidance and mentorship to junior claims adjusters and analysts.
  • Maintain accurate and thorough claim files and documentation.
  • Contribute to the development and improvement of claims processing procedures.
  • Stay updated on industry trends, policy changes, and regulatory updates.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Minimum of 4-6 years of experience in insurance claims processing, analysis, or adjustment.
  • In-depth knowledge of various insurance policies (e.g., auto, property, casualty).
  • Strong analytical, investigative, and problem-solving skills.
  • Excellent communication, negotiation, and interpersonal skills.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
  • Strong understanding of ethical practices and regulatory compliance in the insurance industry.
  • Detail-oriented with a commitment to accuracy.
  • Relevant insurance designations or certifications (e.g., AIC, CPCU) are a strong advantage.
This is a fully remote position, allowing for flexibility and work-life balance. Our client is committed to building a supportive and collaborative remote work culture. You will have the opportunity to work on challenging claims, utilize your expertise to ensure fairness and accuracy, and contribute to the smooth operation of a leading insurance provider. We are seeking a self-motivated, ethical, and client-focused individual who can excel in an autonomous work environment. The role's primary geographic focus is Pune, Maharashtra, IN , but it is a fully remote position, open to qualified candidates regardless of their immediate location.

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Senior Claims Analyst

570004 Mysore, Karnataka ₹650000 Annually WhatJobs

Posted 12 days ago

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Job Description

full-time
Our client is seeking a highly experienced and analytical Senior Claims Analyst to join their dynamic remote team. This role is pivotal in ensuring the accurate and efficient processing of insurance claims, contributing to overall customer satisfaction and financial integrity. You will be responsible for investigating complex claims, identifying potential fraud, and making informed decisions regarding claim adjudication. This is a fully remote position, offering the flexibility to work from anywhere in India.

Responsibilities:
  • Investigate, evaluate, and adjudicate complex insurance claims in accordance with policy provisions and company guidelines.
  • Gather and analyze detailed information from various sources, including policyholders, witnesses, and external experts.
  • Determine coverage, liability, and damages, and negotiate settlements with claimants and legal representatives.
  • Identify and escalate potential fraudulent claims for further investigation by the Special Investigations Unit.
  • Maintain accurate and comprehensive claim files, documenting all activities, decisions, and communications.
  • Provide clear and concise explanations of claim decisions to policyholders and relevant parties.
  • Collaborate with underwriting, legal, and other departments to ensure a cohesive approach to claims management.
  • Mentor and provide guidance to junior claims adjusters and team members.
  • Stay updated on industry trends, regulatory changes, and best practices in claims handling.
  • Contribute to the development and implementation of process improvements to enhance efficiency and effectiveness.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Minimum of 5 years of experience in insurance claims handling, with a strong focus on property and casualty or general liability.
  • Proven ability to analyze complex data, make sound judgments, and negotiate effectively.
  • Excellent written and verbal communication skills, with the ability to explain technical information clearly.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Strong problem-solving skills and attention to detail.
  • Ability to work independently and manage a caseload effectively in a remote environment.
  • Relevant professional certifications (e.g., CPCU, AIC) are a plus.
  • Demonstrated ability to adapt to a changing regulatory and market landscape.
This is an exceptional opportunity to leverage your expertise in a challenging and rewarding remote role. If you are a detail-oriented professional with a passion for insurance and a commitment to excellence, we encourage you to apply. The ideal candidate will be proactive, possess a strong ethical compass, and thrive in a collaborative, decentralized work environment. We are committed to fostering a diverse and inclusive workplace and welcome applications from all qualified individuals. This role operates within the heart of our strategic remote operations, offering significant growth potential for dedicated professionals. You will be instrumental in upholding the trust placed in us by our policyholders through diligent and fair claims processing. Join our innovative team and make a tangible impact. The ability to manage your time effectively and maintain high productivity in a home-based setting is essential for success. Embrace the future of work with us, contributing to a seamless claims experience for our valued customers. The chosen candidate will benefit from continuous learning opportunities and a supportive remote culture designed to help you excel.
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Senior Claims Analyst

395007 Surat, Gujarat ₹750000 Annually WhatJobs

Posted 12 days ago

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Job Description

full-time
Our client, a leading entity in the insurance sector, is seeking a highly analytical and experienced Senior Claims Analyst to join their dynamic team in **Surat, Gujarat, IN**. This pivotal role involves the comprehensive management and assessment of complex insurance claims, ensuring accuracy, compliance, and customer satisfaction. The successful candidate will be instrumental in evaluating policy coverage, investigating claim circumstances, and determining liability and settlement amounts. Key responsibilities include conducting thorough reviews of claim documentation, interviewing claimants and witnesses, and collaborating with legal counsel and external adjusters when necessary. You will also be responsible for identifying potential fraud indicators and escalating suspicious cases for further investigation. This position requires a deep understanding of insurance principles, regulatory requirements, and risk management. The Senior Claims Analyst will mentor junior team members, contribute to process improvements, and help develop best practices within the claims department. You will maintain detailed and accurate records of all claim activities within the company's systems. A strong commitment to ethical practices and a customer-centric approach are paramount. This role offers a hybrid work model, blending the benefits of in-office collaboration and remote flexibility, within our client's state-of-the-art facilities located in the vibrant city of **Surat, Gujarat, IN**. The ideal candidate will possess exceptional communication skills, both written and verbal, and the ability to explain complex policy terms and claim decisions clearly. A proven track record of success in managing a diverse caseload and achieving departmental objectives is essential. Join us to make a significant impact in a challenging and rewarding environment.
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Senior Claims Analyst

110001 Delhi, Delhi ₹80000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client is seeking a highly motivated and experienced Senior Claims Analyst to join their dynamic team. This role is pivotal in ensuring the efficient and accurate processing of insurance claims, contributing significantly to customer satisfaction and operational excellence. As a fully remote position, you will have the opportunity to work from anywhere within India, collaborating closely with a dispersed team through cutting-edge digital platforms. Your primary responsibilities will include the in-depth investigation and assessment of complex insurance claims, verifying policy coverage, and determining claim validity. You will be expected to interpret policy documents, analyze evidence, and make sound judgments to settle claims in accordance with company guidelines and regulatory requirements. A key aspect of this role involves liaising with policyholders, claimants, and third-party representatives to gather necessary information and provide clear, concise updates. You will also play a crucial role in identifying potential fraud, escalating suspicious cases, and contributing to the development of fraud detection strategies. Furthermore, this position requires you to mentor and guide junior claims handlers, review their work, and provide constructive feedback to foster professional development. You will be involved in process improvement initiatives, suggesting and implementing enhancements to streamline workflows and improve turnaround times. Maintaining detailed and accurate records of all claim activities is essential, ensuring compliance with all legal and company standards. The ideal candidate will possess a Bachelor's degree in Insurance, Business Administration, or a related field. A minimum of 5 years of progressive experience in insurance claims handling, with a proven track record of managing complex cases, is required. Exceptional analytical and problem-solving skills, with a keen eye for detail, are paramount. Strong communication, negotiation, and interpersonal skills are necessary to effectively interact with diverse stakeholders. Proficiency in claims management software and a solid understanding of insurance principles and practices are a must. This is a remote-first role, demanding self-discipline, excellent time management, and the ability to thrive in an independent work environment. You should be adept at using virtual collaboration tools and be comfortable working autonomously while remaining an integral part of a collaborative team. If you are a dedicated professional with a passion for the insurance industry and a desire to make a significant impact from the comfort of your home office, we encourage you to apply. This is an exceptional opportunity to advance your career in a challenging yet rewarding field.
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Senior Claims Analyst

520001 Krishna, Andhra Pradesh ₹70000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client is seeking an experienced Senior Claims Analyst to join their fully remote insurance team. This pivotal role involves the detailed investigation, evaluation, and resolution of complex insurance claims, ensuring adherence to policy terms and conditions while providing exceptional customer service. The successful candidate will possess a strong analytical mindset, in-depth knowledge of insurance policies and regulations, and a commitment to fair and timely claim settlements. This is an excellent opportunity for a seasoned professional to contribute to a leading insurance provider from the comfort of their home office.

Responsibilities:
  • Investigate and analyze complex insurance claims across various policy types.
  • Determine coverage, liability, and damages based on policy terms, conditions, and applicable laws.
  • Communicate effectively with policyholders, claimants, legal counsel, and other parties involved in the claims process.
  • Negotiate claim settlements within authorized limits.
  • Manage a caseload of claims, ensuring timely processing and resolution.
  • Maintain accurate and detailed claim files and documentation.
  • Identify potential fraud indicators and escalate suspicious claims for further investigation.
  • Provide expert guidance and support to junior claims adjusters.
  • Stay updated on industry best practices, regulatory changes, and evolving claims management techniques.
  • Contribute to the development and refinement of claims handling procedures.

This role is based in Vijayawada, Andhra Pradesh, IN but is fully remote. A Bachelor's degree in Business Administration, Finance, Law, or a related field is preferred. Professional certifications such as CPCU (Chartered Property Casualty Underwriter) are highly advantageous. A minimum of 5 years of experience in claims adjusting or claims analysis within the insurance industry is required. Strong understanding of insurance law and regulatory compliance is essential.
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Senior Claims Analyst

600001 Chennai, Tamil Nadu ₹70000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client, a leading name in the insurance sector, is actively seeking a highly experienced Senior Claims Analyst to join their remote team. This is an exceptional opportunity for a dedicated professional to leverage their expertise in managing and processing complex insurance claims from initiation to resolution. You will be responsible for thorough investigation, accurate assessment, and timely settlement of claims across various lines of business. This role requires an in-depth understanding of insurance policies, legal requirements, and industry best practices. You will conduct detailed reviews of claim documentation, assess liability, determine coverage, and negotiate settlements with claimants and legal representatives. The ability to identify potential fraud and manage subrogation opportunities is also crucial. This position involves collaborating closely with policyholders, agents, legal counsel, and internal departments to ensure a fair and efficient claims process. You will also be tasked with mentoring junior claims staff, providing guidance on complex cases, and contributing to the development of departmental procedures and training materials. Maintaining meticulous records and ensuring compliance with regulatory standards are paramount. A keen eye for detail, strong analytical skills, and exceptional communication abilities are essential for success. You will play a key role in maintaining customer satisfaction and upholding the company's reputation for integrity and fairness. The ideal candidate will possess a proactive approach to problem-solving and a commitment to continuous professional development within the insurance industry. This fully remote position offers the flexibility to work from home while making a significant impact.

Responsibilities:
  • Investigate, evaluate, and settle complex insurance claims.
  • Interpret insurance policies and determine coverage.
  • Assess liability and calculate claim values.
  • Negotiate settlements with claimants and their representatives.
  • Identify and manage subrogation opportunities and potential fraud.
  • Collaborate with policyholders, agents, and legal counsel.
  • Mentor and guide junior claims analysts.
  • Develop and refine claims processing procedures.
  • Ensure compliance with all regulatory requirements.
  • Maintain accurate and detailed claim files and records.
  • Contribute to claims training programs.
  • Provide exceptional customer service throughout the claims process.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 5 years of experience in insurance claims handling.
  • Proven expertise in evaluating and settling complex claims.
  • Strong knowledge of insurance law and regulations.
  • Excellent analytical, negotiation, and decision-making skills.
  • Exceptional communication and interpersonal abilities.
  • Ability to work independently and manage a caseload effectively.
  • Relevant insurance certifications are a plus.
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Remote Insurance Claims Analyst

440002 Nagpur, Maharashtra ₹50000 Annually WhatJobs

Posted 1 day ago

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Job Description

full-time
Our client, a prominent insurance provider, is actively seeking a detail-oriented and analytical Remote Insurance Claims Analyst to join our fully remote claims processing team. This position offers the flexibility to work from home while playing a critical role in assessing and processing insurance claims efficiently and accurately. You will be responsible for reviewing claim submissions, verifying policy coverage, investigating claim details, and determining payout amounts in accordance with company policies and regulatory guidelines. The ideal candidate possesses a strong understanding of insurance principles, excellent analytical skills, and a commitment to providing fair and timely resolutions to policyholders. Responsibilities include communicating with policyholders, agents, and other parties to gather necessary information, documenting all claim activities meticulously, and ensuring compliance with industry standards. Proficiency in using claims management software and a keen eye for detail are essential. This is a remote-first role, requiring strong organizational skills, self-discipline, and the ability to manage your workload effectively. You must be adept at interpreting policy documents and making informed decisions. We value integrity, customer focus, and a proactive approach to problem-solving. Join a reputable organization that is committed to supporting its remote workforce with the tools and resources needed to excel. Your contribution will be vital in ensuring customer satisfaction and maintaining the integrity of our claims process. Key responsibilities include:
  • Reviewing and processing insurance claims in a timely and accurate manner.
  • Verifying policy coverage and determining eligibility for claims.
  • Investigating claim details, including gathering documentation and statements.
  • Assessing damages and calculating appropriate claim settlements.
  • Communicating with policyholders, claimants, and relevant third parties.
  • Ensuring compliance with insurance laws, regulations, and company policies.
  • Documenting all claim activities, decisions, and communications in the claims system.
  • Identifying potential fraudulent claims and escalating them for further investigation.
  • Maintaining accurate records and preparing claim reports.
  • Providing excellent customer service to policyholders throughout the claims process.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field, or equivalent experience.
  • Minimum of 2-4 years of experience in insurance claims handling or processing.
  • Knowledge of insurance policies, procedures, and relevant legal/regulatory frameworks.
  • Strong analytical, investigative, and problem-solving skills.
  • Excellent attention to detail and accuracy.
  • Proficiency in claims management software and MS Office Suite.
  • Strong written and verbal communication skills.
  • Ability to work independently and manage time effectively in a remote environment.
  • High degree of integrity and ethical conduct.
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Lead Insurance Claims Analyst

800001 Patna, Bihar ₹70000 Monthly WhatJobs

Posted 14 days ago

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Job Description

full-time
Our client, a leading name in the insurance industry, is seeking a highly experienced and analytical Lead Insurance Claims Analyst to join their fully remote operations. This is a pivotal role where you will remotely oversee complex claims processes, analyze data trends, and contribute to the strategic development of claims management. You will be instrumental in ensuring efficiency, accuracy, and customer satisfaction across a broad spectrum of insurance products. This position requires a proactive individual with exceptional analytical skills and a deep understanding of insurance regulations and claims handling.

Responsibilities:
  • Analyze large volumes of claims data to identify trends, patterns, and potential areas for improvement in claims processing and risk management.
  • Develop and implement strategies to optimize claims handling efficiency and reduce loss ratios.
  • Conduct thorough reviews of complex claims, ensuring compliance with policy terms, conditions, and regulatory requirements.
  • Provide expert guidance and mentorship to junior claims adjusters and analysts.
  • Collaborate with underwriting, actuarial, and legal departments to address complex claims issues and develop appropriate solutions.
  • Create detailed reports and presentations for senior management on claims performance, emerging risks, and strategic recommendations.
  • Contribute to the development and refinement of claims handling best practices and standard operating procedures.
  • Utilize advanced analytics tools and software to support data-driven decision-making.
  • Monitor industry best practices and regulatory changes to ensure the company remains compliant and competitive.
  • Manage relationships with third-party service providers involved in the claims process.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Risk Management, or a related field.
  • Minimum of 7 years of progressive experience in insurance claims analysis and management.
  • Proven track record in analyzing complex insurance claims across various lines of business (e.g., property, casualty, auto, health).
  • In-depth knowledge of insurance principles, policies, and regulatory frameworks.
  • Strong analytical and quantitative skills, with proficiency in data analysis tools (e.g., Excel, SQL, R, Python).
  • Excellent report writing and presentation skills.
  • Demonstrated leadership abilities and experience in mentoring team members.
  • Ability to work independently and collaboratively in a fully remote setting.
  • Strong understanding of risk assessment and mitigation strategies.
  • Exceptional problem-solving and decision-making capabilities.
This is a full-time, remote position offering a competitive compensation package, extensive benefits, and significant opportunities for professional growth within a well-established insurance organization. If you are a strategic thinker with a passion for the insurance sector and thrive in a remote work environment, we encourage you to apply. Your expertise will be highly valued from **Patna, Bihar, IN**.
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