475 Claims Handling jobs in India
Claims Processor
Pune, Maharashtra
Exela Technologies
Posted today
Job Viewed
Job Description
Pune, IN-MH- Position TypeFull Time
- Requisition ID10592
- Level of Education- Years of Experience2+ to 5 Years
**About Exela**
Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.
**Health & Wellness**
We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.
**Military Hiring**:
Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty.
Managing a claim from the start through to settlement, making decisions on the extent and validity of a claim, and checking for any potential fraudulent activity. You'll coordinate services that may be required by policyholders following an accident or incident
Essential Functions and Responsibilities
1. Processes the daily transaction of the company. Updating them constantly to ensure that they are effectively maintained.
2. Prepares invoice batches for data entry, and enter payment invoices into the data bank.
3. Verify if office transactions comply with its financial procedures and policies
4. Processes the backup reports, oversees and record the check run weekly, prepares for mailing, and ensures proper recording after mailing
5. Maintenance and monitoring of the general ledger.
6. Update files and their corresponding number in the file system.
Key Skills
- Persuasive communication skills necessary to collect essential information, answer questions, and direct callers to appropriate personnel in a professional and courteous manner
- Developed interpersonal skills necessary to establish and maintain effective working relationships with co-workers, other business areas and government agencies as required
- Planning and organizational skills necessary to coordinate workload around complex, multiple assignments
- Minimum Qualifications
- High School Diploma or equivalent
- 1 year of accounting experience
- Additional Desired Qualifications
- Associate’s degree in accounting
- Physical Requirements
Physical demands with activity or condition requiring a considerable amount of time include sitting and typing/keyboarding using a computer (i.e., keyboard, mouse, and monitor) or adding machine. Physical demands may include walking, carrying, reaching, standing, and stooping. May require occasional lifting/lowering, pushing, or pulling up to 25 lbs.
**Disclaimer**:
Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
- Requisition ID10592
- Level of Education- Years of Experience2+ to 5 Years
**About Exela**
Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.
**Health & Wellness**
We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.
**Military Hiring**:
Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty.
Managing a claim from the start through to settlement, making decisions on the extent and validity of a claim, and checking for any potential fraudulent activity. You'll coordinate services that may be required by policyholders following an accident or incident
Essential Functions and Responsibilities
1. Processes the daily transaction of the company. Updating them constantly to ensure that they are effectively maintained.
2. Prepares invoice batches for data entry, and enter payment invoices into the data bank.
3. Verify if office transactions comply with its financial procedures and policies
4. Processes the backup reports, oversees and record the check run weekly, prepares for mailing, and ensures proper recording after mailing
5. Maintenance and monitoring of the general ledger.
6. Update files and their corresponding number in the file system.
Key Skills
- Persuasive communication skills necessary to collect essential information, answer questions, and direct callers to appropriate personnel in a professional and courteous manner
- Developed interpersonal skills necessary to establish and maintain effective working relationships with co-workers, other business areas and government agencies as required
- Planning and organizational skills necessary to coordinate workload around complex, multiple assignments
- Minimum Qualifications
- High School Diploma or equivalent
- 1 year of accounting experience
- Additional Desired Qualifications
- Associate’s degree in accounting
- Physical Requirements
Physical demands with activity or condition requiring a considerable amount of time include sitting and typing/keyboarding using a computer (i.e., keyboard, mouse, and monitor) or adding machine. Physical demands may include walking, carrying, reaching, standing, and stooping. May require occasional lifting/lowering, pushing, or pulling up to 25 lbs.
**Disclaimer**:
Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
This advertiser has chosen not to accept applicants from your region.
0
Claims Processor/medical Officer
Bengaluru, Karnataka
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED
Posted today
Job Viewed
Job Description
Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
- Scrutinize the claims, as per the terms and conditions of the insurance policy
- Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
- Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Coordinate with the LCM team in case of higher billing and with the provider team in case of non availability of tariff.
- Approve or deny the claims as per the terms and conditions within the TAT.
- Handle escalations and responding to mails accordingly.
**This is a WFO (Work From Office) role only.**
**Salary**: ₹270,000.00 - ₹400,000.00 per year
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Rotational shift
Application Question(s):
- Current CTC
- Expected CTC
License/Certification:
- BAMS,BHMS & Bsc nursing (required)
Work Location: In person
- Scrutinize the claims, as per the terms and conditions of the insurance policy
- Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
- Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Coordinate with the LCM team in case of higher billing and with the provider team in case of non availability of tariff.
- Approve or deny the claims as per the terms and conditions within the TAT.
- Handle escalations and responding to mails accordingly.
**This is a WFO (Work From Office) role only.**
**Salary**: ₹270,000.00 - ₹400,000.00 per year
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Rotational shift
Application Question(s):
- Current CTC
- Expected CTC
License/Certification:
- BAMS,BHMS & Bsc nursing (required)
Work Location: In person
This advertiser has chosen not to accept applicants from your region.
1
Insurance Claims Adjuster
400601 Thane, Maharashtra
₹65000 Annually
WhatJobs
Posted today
Job Viewed
Job Description
Our client is seeking a diligent and empathetic Insurance Claims Adjuster to join their team in **Thane, Maharashtra, IN**. This role is responsible for investigating, evaluating, and negotiating insurance claims to ensure fair and timely settlements. The ideal candidate will possess strong analytical skills, excellent customer service abilities, and a thorough understanding of insurance policies and claims processes.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims by gathering information from policyholders, witnesses, and other relevant sources.
- Analyze policy coverage and assess damages or losses incurred.
- Determine the extent of the company's liability and negotiate settlements with claimants.
- Prepare detailed reports documenting claim investigations, findings, and recommendations.
- Maintain accurate and organized claim files using company software systems.
- Ensure compliance with all relevant insurance regulations and company procedures.
- Provide clear and timely communication to policyholders throughout the claims process.
- Collaborate with legal counsel, repair facilities, and other service providers as needed.
- Identify potential fraud and follow established protocols for investigation.
- Continuously update knowledge of insurance products and claims handling best practices.
- Bachelor's degree in Business, Finance, or a related field, or equivalent work experience.
- Minimum of 3 years of experience in insurance claims adjustment.
- Strong understanding of insurance policies, claims investigation, and negotiation techniques.
- Excellent analytical and critical thinking skills.
- Exceptional interpersonal and communication abilities, both written and verbal.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage multiple claims simultaneously.
- Strong negotiation and conflict-resolution skills.
- Customer-focused approach with a commitment to service excellence.
- Valid driver's license and willingness to travel to claim sites as required.
This advertiser has chosen not to accept applicants from your region.
2
Insurance Claims Adjuster
201001 Noida, Uttar Pradesh
₹50000 Annually
WhatJobs
Posted today
Job Viewed
Job Description
Our client is seeking a diligent and empathetic Insurance Claims Adjuster to manage and process insurance claims for their fully remote team. This role involves investigating insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for policyholders. The ideal candidate will have a strong understanding of insurance policies, claims procedures, and relevant regulations. Responsibilities include interviewing claimants and witnesses, inspecting damaged property, reviewing claim documentation, and collaborating with legal and repair professionals. You will be responsible for accurately assessing liability and damages, preparing detailed reports, and communicating effectively with all parties involved. Exceptional customer service, negotiation, and analytical skills are crucial. Experience with claims management software is highly desirable. This is a fully remote position, allowing you to conduct investigations and manage cases from anywhere in India. We are looking for a trustworthy individual with integrity and a commitment to providing excellent service to our policyholders.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims to determine coverage and liability.
- Interview claimants, witnesses, and relevant parties to gather information.
- Inspect damaged property and assess the extent of losses.
- Review policy documents and claim forms for accuracy and completeness.
- Negotiate settlements with claimants and their representatives.
- Prepare detailed reports on claim investigations and findings.
- Ensure compliance with insurance laws and regulations.
- Process payments and manage claim files efficiently.
- Provide excellent customer service to policyholders throughout the claims process.
- High school diploma or equivalent; Bachelor's degree preferred.
- Minimum of 2-4 years of experience as an insurance claims adjuster or in a related field.
- Knowledge of insurance policies, claims processing, and investigation techniques.
- Strong analytical and problem-solving skills.
- Excellent communication, negotiation, and customer service skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage a caseload effectively.
- Relevant insurance licenses or certifications are a plus.
This advertiser has chosen not to accept applicants from your region.
3
Insurance Claims Adjuster
160001 Chandigarh, Chandigarh
₹60000 month
WhatJobs
Posted today
Job Viewed
Job Description
Our client is seeking a diligent and professional Insurance Claims Adjuster to join their team in **Chandigarh, Chandigarh, IN**. This role requires you to investigate insurance claims, assess the extent of liability, and determine the appropriate compensation for policyholders. The ideal candidate will have a keen eye for detail, strong analytical skills, and the ability to communicate effectively with clients, witnesses, and legal representatives. You will be responsible for managing a caseload of diverse insurance claims.
Key Responsibilities:
Qualifications:
This is an exciting opportunity to build a career in the vital insurance sector with a company that values professionalism and client satisfaction.
Key Responsibilities:
- Investigate insurance claims promptly and thoroughly by gathering information, interviewing claimants and witnesses, and reviewing policy coverage.
- Assess the damage or loss reported and determine the extent of the company's liability based on policy terms and conditions.
- Negotiate settlements with policyholders and their representatives in a fair and efficient manner.
- Prepare detailed reports on claim investigations, findings, and recommendations.
- Maintain accurate and organized claim files, ensuring all documentation is complete.
- Liaise with legal counsel, repair shops, medical providers, and other third parties as needed.
- Adhere to all relevant insurance laws, regulations, and company policies.
- Manage a portfolio of claims, prioritizing tasks and ensuring timely resolution.
- Provide excellent customer service to policyholders throughout the claims process.
- Identify potential cases of fraud and escalate them for further investigation.
- Stay updated on industry best practices and changes in insurance legislation.
- Conduct on-site assessments of property damage or injury where necessary.
- Attend court hearings or depositions when required.
Qualifications:
- Bachelor's degree in Finance, Business Administration, or a related field.
- Proven experience as a Claims Adjuster or in a similar role within the insurance industry.
- Strong understanding of insurance policies, claims processing, and legal/regulatory requirements.
- Excellent investigative, analytical, and problem-solving skills.
- Exceptional negotiation and communication abilities (both written and verbal).
- Proficiency in using claims management software and standard office applications.
- Ability to manage a caseload effectively and meet deadlines.
- High level of integrity and attention to detail.
- Customer-focused approach with a commitment to providing outstanding service.
- Valid Adjuster's license or willingness to obtain one is required.
This is an exciting opportunity to build a career in the vital insurance sector with a company that values professionalism and client satisfaction.
This advertiser has chosen not to accept applicants from your region.
4
Insurance Claims Adjuster
400701 Thane, Maharashtra
₹55000 Annually
WhatJobs
Posted today
Job Viewed
Job Description
Our client is a prominent insurance company committed to providing exceptional service and support to its policyholders. We are seeking a diligent and detail-oriented Insurance Claims Adjuster to join our team in Thane, Maharashtra, IN . This role is pivotal in investigating, evaluating, and settling insurance claims efficiently and fairly. The ideal candidate will possess strong analytical skills, excellent negotiation abilities, and a thorough understanding of insurance policies and claims procedures. Responsibilities include interviewing claimants and witnesses, inspecting damaged property or vehicles, reviewing claim documents, determining coverage, and negotiating settlements. You will also be responsible for managing a caseload of claims, ensuring timely resolution and maintaining accurate records. A commitment to customer satisfaction and adherence to all legal and company regulations are essential. This position requires field visits to assess damages and meet with clients, making it an on-site role. If you are a conscientious professional with experience in the insurance industry and a desire to help people during challenging times, we encourage you to apply.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims thoroughly and objectively.
- Interview claimants, witnesses, and relevant parties.
- Inspect damaged property, vehicles, or other insured items.
- Review policy documents, claims forms, and supporting evidence.
- Determine the extent of liability and coverage under the policy.
- Calculate and negotiate fair claim settlements.
- Manage a caseload of claims from inception to closure.
- Maintain accurate and detailed claims records.
- Ensure compliance with all relevant insurance laws and regulations.
- Provide clear and timely communication to policyholders regarding their claims status.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- Knowledge of insurance policies, claims processing, and legal/regulatory requirements.
- Strong analytical, investigative, and problem-solving skills.
- Excellent negotiation and communication skills.
- Ability to manage time effectively and prioritize tasks.
- Proficiency in using claims management software.
- Valid insurance adjuster license (or willingness to obtain).
- Ability to conduct on-site inspections and client meetings.
This advertiser has chosen not to accept applicants from your region.
5
Insurance Claims Adjuster
110001 Delhi, Delhi
₹40000 month
WhatJobs
Posted today
Job Viewed
Job Description
Our client, a leading insurance provider, is seeking a diligent and detail-oriented Insurance Claims Adjuster to join their dynamic team in **Delhi, Delhi, IN**. This is a critical role responsible for investigating, evaluating, and settling insurance claims efficiently and fairly. You will be the primary point of contact for policyholders during the claims process, ensuring clear communication and excellent customer service.
Responsibilities:
Qualifications:
This is an on-site position requiring your physical presence at our client's office and for field visits within the Delhi region. If you are looking for a challenging and rewarding career in the insurance sector, we encourage you to apply.
Responsibilities:
- Investigate insurance claims by gathering information through interviews, policy analysis, and site inspections.
- Determine the extent of liability and coverage based on policy terms and conditions.
- Evaluate damages and calculate the settlement amount for claims.
- Negotiate settlements with policyholders, claimants, and legal representatives.
- Process claim documentation accurately and maintain detailed records.
- Ensure compliance with all relevant laws, regulations, and company policies.
- Provide excellent customer service and maintain positive relationships with clients.
- Collaborate with underwriters, legal counsel, and other departments as needed.
- Prepare reports and recommend claim disposition.
- Stay updated on industry trends and best practices in claims management.
- Attend training sessions to enhance knowledge of insurance products and claims procedures.
- Conduct physical inspections of property damage or injury sites.
- Assess the potential for subrogation or salvage.
- Manage a caseload of claims efficiently and prioritize tasks effectively.
- Utilize claims management software and tools to track and manage claims.
Qualifications:
- Bachelor's degree in Business Administration, Finance, or a related field.
- Proven experience as a claims adjuster or in a similar role within the insurance industry.
- Strong understanding of insurance policies, regulations, and claims procedures.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to analyze complex information and make sound judgments.
- High level of integrity and ethical conduct.
- Strong organizational and time management skills.
- Must possess a valid driver's license and a clean driving record.
- Ability to work under pressure and meet deadlines.
- Demonstrated customer service orientation.
This is an on-site position requiring your physical presence at our client's office and for field visits within the Delhi region. If you are looking for a challenging and rewarding career in the insurance sector, we encourage you to apply.
This advertiser has chosen not to accept applicants from your region.
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6
Insurance Claims Adjuster
570001 Mysore, Karnataka
₹50000 month
WhatJobs
Posted today
Job Viewed
Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to manage and process insurance claims efficiently and effectively. This role offers a hybrid working arrangement, combining remote work with necessary on-site responsibilities. You will be responsible for investigating insurance claims, determining the extent of liability, and negotiating settlements with policyholders and claimants. Key duties include interviewing claimants and witnesses, reviewing policy coverage, assessing damages, and preparing detailed claims reports. The ideal candidate will possess a strong understanding of insurance policies and claims procedures, excellent analytical and problem-solving skills, and the ability to communicate complex information clearly. Experience in the insurance industry is highly preferred. You will need to be proficient in using claims management software and possess strong organizational skills to manage a caseload effectively. This position requires a combination of analytical rigor, customer service orientation, and a commitment to fairness and accuracy. Join our established insurance team and play a vital role in resolving claims and ensuring customer satisfaction.
This advertiser has chosen not to accept applicants from your region.
7
Insurance Claims Adjuster
570007 Mysore, Karnataka
₹550000 Annually
WhatJobs
Posted today
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking a detail-oriented and diligent Insurance Claims Adjuster to join their team in Mysuru, Karnataka . This role requires a strong understanding of insurance policies and procedures, with a focus on efficient and fair claims processing. The Claims Adjuster will be responsible for investigating insurance claims, assessing the extent of damage or loss, determining coverage based on policy terms, and negotiating settlements with claimants. Key duties include interviewing claimants and witnesses, inspecting damaged property or vehicles, reviewing claim documentation, and making informed decisions on claim validity and payout amounts. You will ensure compliance with all relevant regulations and company policies, maintaining accurate and thorough claim files. The ideal candidate will have previous experience in insurance claims handling, preferably in property or auto insurance. Excellent analytical, investigative, and negotiation skills are essential. Strong communication and interpersonal skills are required to interact effectively with policyholders, claimants, and other parties involved. A Bachelor's degree in a relevant field or equivalent work experience is preferred. Familiarity with claims management software is beneficial. This is an excellent opportunity to build a career in the insurance sector, providing crucial support to clients during times of need and contributing to the company's commitment to customer service and integrity.
This advertiser has chosen not to accept applicants from your region.
8
Insurance Claims Adjuster
530017 Visakhapatnam, Andhra Pradesh
₹35000 month
WhatJobs
Posted today
Job Viewed
Job Description
Our client is seeking a diligent and analytical Insurance Claims Adjuster to join their team in Visakhapatnam. This role is responsible for investigating, evaluating, and settling insurance claims efficiently and accurately. The ideal candidate will possess strong investigative skills, excellent attention to detail, and a thorough understanding of insurance policies and claims procedures. Responsibilities include interviewing claimants and witnesses, inspecting damaged property, reviewing claim forms and documentation, determining coverage, and negotiating settlements. You will be expected to maintain clear and concise records of all claims activities and communicate effectively with policyholders, legal representatives, and other stakeholders. A Bachelor's degree in Business, Finance, or a related field is preferred, along with a valid insurance adjuster license. Previous experience in claims adjusting or a related field within the insurance industry is highly advantageous. Strong analytical, negotiation, and decision-making skills are essential. This role requires excellent customer service skills and the ability to handle sensitive situations with empathy and professionalism. You will play a vital role in ensuring fair and prompt resolution of insurance claims, contributing to client satisfaction and the company's reputation. We are looking for individuals with integrity, a commitment to accuracy, and the ability to manage a caseload effectively.
This advertiser has chosen not to accept applicants from your region.
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