1,112 Claims Processing jobs in India

Claims Processing Manager - Health Insurance

226001 Lucknow, Uttar Pradesh ₹1000000 Annually WhatJobs

Posted 10 days ago

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full-time
Our client, a leading provider of health insurance solutions, is seeking a skilled and experienced Claims Processing Manager to lead their operations in Lucknow, Uttar Pradesh, IN . This position utilizes a hybrid work arrangement, offering the best of both worlds: in-office synergy and remote flexibility. You will oversee the entire claims processing department, ensuring efficient, accurate, and timely settlement of all health insurance claims in compliance with company policies and regulatory requirements. Key responsibilities include managing a team of claims adjusters and processors, setting performance targets, monitoring key performance indicators (KPIs), and implementing process improvements to enhance efficiency and customer satisfaction. You will also be responsible for identifying and mitigating potential fraud, ensuring compliance with legal and ethical standards, and liaising with other departments, medical providers, and policyholders. The ideal candidate possesses extensive experience in health insurance claims processing, a strong understanding of medical terminology and coding, and proven leadership and team management skills. Excellent analytical, problem-solving, and decision-making abilities are crucial. Proficiency in claims management software and a thorough knowledge of insurance regulations are essential. This is a significant opportunity to lead a critical function within a growing insurance organization and make a tangible impact on member satisfaction. Strong communication and interpersonal skills are required to manage a diverse team and interact effectively with various stakeholders. A commitment to upholding the highest standards of service and integrity is paramount. Join us to shape the future of claims management in the health insurance sector.
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Senior Claims Management Specialist - Remote

800001 Patna, Bihar ₹950000 Annually WhatJobs

Posted 21 days ago

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full-time
Our client, a reputable national insurance provider, is actively seeking a highly motivated and detail-oriented Senior Claims Management Specialist to join their entirely remote team. This position is based in **Patna, Bihar, IN**, but operates as a fully remote role, offering flexibility and the convenience of working from home. You will be responsible for managing a portfolio of complex insurance claims from initiation to closure, ensuring timely and fair resolution for policyholders. Key responsibilities include investigating claims, evaluating policy coverage, negotiating settlements, and coordinating with legal counsel and external adjusters when necessary. The ideal candidate will possess a Bachelor's degree in Business Administration, Finance, or a related field, along with a minimum of 5 years of experience in claims handling and management, preferably within the property and casualty insurance sector. A strong understanding of insurance principles, claims procedures, and relevant legal frameworks is essential. Excellent communication, negotiation, and decision-making skills are paramount. You should be proficient in claims management software and have the ability to work independently and manage your time effectively in a remote setting. This role requires a proactive approach to problem-solving and a commitment to providing exceptional customer service. You will play a crucial role in maintaining our client's reputation for integrity and responsiveness. If you are a seasoned claims professional looking for a remote opportunity with a growing organization, we encourage you to apply. Join a supportive team environment that values expertise and fosters professional development.
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Claims Analyst

Mumbai, Maharashtra GeoServe

Posted today

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Join Our Team as a Claims Analyst | Mumbai


As Claims (Demurrage) Analyst, you will be responsible for Demurrage & Post-fixture claims.


Tasks & Responsibilities:


1. Claim handling:

  • Manage demurrage & post-fixture claims.
  • Liaise with the client teams, vessel, agents to gather necessary information.
  • Ensure accurate interpretation of contract clauses & evaluate claims based on same.
  • Provide analytical insights on claims.
  • Track time-bars & voyage completions to ensure timely submissions.
  • Negotiate with counterparties for best outcome.
  • Follow up and track outstanding claims


2.Claim Documentation:

  • Collect port documents from the client/ vessel/ agents, review and procure missing documents required for claim filing.
  • Ensure documents are sorted and stored as per requirement.


3. Reporting:

  • Keep records and record data accurately and in a timely fashion.


Qualification:


Bachelor's degree, sailing background preferred.


Experience & Skills:


  • Minimum 3 years of work experience in handling claims, mainly for product tankers.
  • Strong communication and inter-personal skills
  • Problem-solving mindset with a focus on process improvement.
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Remote Insurance Claims Analyst

440002 Nagpur, Maharashtra ₹50000 Annually WhatJobs

Posted 5 days 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 17 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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Senior Insurance Claims Analyst

530001 Visakhapatnam, Andhra Pradesh ₹750000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client is seeking a dedicated and experienced Senior Insurance Claims Analyst to join our fully remote team. This position is crucial for evaluating, processing, and settling complex insurance claims efficiently and accurately. You will be instrumental in ensuring compliance with company policies and regulatory requirements while providing exceptional service to our policyholders. This remote-first role demands strong analytical skills, meticulous attention to detail, and the ability to manage a high volume of claims independently.

Key Responsibilities:
  • Investigate, evaluate, and process a wide range of insurance claims, including property, casualty, and liability.
  • Determine coverage eligibility and policy applicability based on claim details and policy terms.
  • Conduct thorough investigations, gather necessary documentation, and interview relevant parties.
  • Assess damages, negotiate settlements, and authorize payments within designated authority limits.
  • Ensure claims handling aligns with company procedures, industry best practices, and legal/regulatory standards.
  • Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders throughout the claims process.
  • Maintain accurate and comprehensive claim files using our claims management system.
  • Identify potential fraudulent claims and escalate them for further investigation.
  • Provide guidance and support to junior claims adjusters.
  • Contribute to the development and improvement of claims handling processes and training materials.
  • Analyze claim data to identify trends and provide insights for risk management and loss prevention.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field; or equivalent experience.
  • Minimum of 5 years of progressive experience in insurance claims adjusting or analysis.
  • In-depth knowledge of various insurance lines (e.g., auto, home, commercial liability).
  • Strong understanding of insurance regulations and legal principles.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Exceptional communication, negotiation, and interpersonal skills.
  • Proficiency in claims management software and standard office applications.
  • Ability to manage time effectively, prioritize tasks, and meet deadlines in a remote work environment.
  • Detail-oriented with a commitment to accuracy.
  • Relevant professional certifications (e.g., AIC, CPCU) are a plus.
If you are a seasoned professional looking for a challenging and rewarding remote opportunity in the insurance sector, we invite you to apply. Your expertise will be highly valued as you help us deliver unparalleled service from Visakhapatnam, Andhra Pradesh, IN .
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Senior Claims Analyst

530003 Visakhapatnam, Andhra Pradesh ₹450000 Annually WhatJobs

Posted 1 day 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 Visakhapatnam, Andhra Pradesh, IN . This role will be instrumental in overseeing the claims processing department, ensuring accuracy, compliance, and efficiency. The successful candidate will be responsible for managing a caseload of complex claims, investigating discrepancies, and making informed decisions regarding policy coverage and payouts. You will collaborate closely with policyholders, underwriters, and legal counsel to resolve claims disputes and ensure customer satisfaction. Additionally, this position involves mentoring and training junior claims adjusters, contributing to their professional development and fostering a high-performance team environment. Responsibilities include conducting thorough reviews of claim documents, assessing liability, negotiating settlements within policy limits, and maintaining accurate and detailed records. You will also be involved in developing and implementing improved claims handling procedures and policies to streamline operations and reduce processing times. A key aspect of this role is staying abreast of industry regulations and market trends to ensure our client remains compliant and competitive. This position offers a hybrid work model, allowing for a balance between in-office collaboration and remote flexibility. We are looking for an individual with exceptional analytical and problem-solving skills, a keen eye for detail, and strong communication abilities. A proven track record in the insurance industry, specifically within claims management, is essential. The ideal candidate will possess a deep understanding of insurance policies, legal requirements, and risk assessment. Your ability to work independently and as part of a team, coupled with a commitment to ethical practices, will be paramount to your success in this role. Join us and contribute to a leading insurance provider known for its commitment to excellence and customer service.
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Senior Claims Analyst

400601 Thane, Maharashtra ₹75000 Annually WhatJobs

Posted 12 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 12 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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