215 Claims Specialist jobs in India

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing policy details.
• Evaluate the extent of liability and determine coverage based on policy terms.
• Assess the damage or loss incurred and estimate the cost of repairs or replacement.
• Negotiate settlements with claimants, ensuring fairness and adherence to company guidelines.
• Process claims payments and manage claim files in compliance with regulatory standards.
• Maintain clear and accurate documentation of all claim activities and communications.
• Communicate effectively with policyholders, providing updates and explanations throughout the claims process.
• Collaborate with legal counsel, medical professionals, and other experts as needed.
• Identify potential fraudulent claims and report them to the appropriate authorities.
• Stay up-to-date with changes in insurance laws, regulations, and industry best practices.
• Continuously improve claims handling processes to enhance customer satisfaction and operational efficiency.
• Utilize claims management software and other tools to manage workload effectively.

• Bachelor's degree in Finance, Business Administration, or a related field.
• Proven experience as an Insurance Claims Adjuster or similar role.
• Valid state-specific adjuster license(s) where required.
• In-depth knowledge of insurance policies, claims procedures, and relevant laws.
• Strong analytical, investigative, and problem-solving skills.
• Excellent communication, negotiation, and interpersonal abilities.
• Proficiency in claims management software and MS Office Suite.
• Ability to work independently and manage a caseload effectively in a remote setting.
• High level of integrity and ethical conduct.
• Customer-centric approach with strong empathy and active listening skills.
• Strong organizational and time management capabilities.
• A reliable internet connection and a dedicated home office environment.

Job Title: Health Claims Specialist

Location: Bangalore - MG Road

Salary: 4 Lacs to 6 Lacs

Candidates Required: 1 Members

Languages: English & Kannada

About NOVO: NOVO Insurance Broking Pvt Ltd. is built by a passionate team of seasoned. Identified by IRDA as a trusted Insurance Broking Service, NOVO Insurance helps you diligently manage your finances, plan your future goals, and create a road path to accomplish them with available resources.

Insurance Broker Job Description: The Insurance Claims Specialist is responsible for reviewing, processing, and managing insurance claims to ensure timely, accurate, and fair resolution. This role involves investigating claim details, verifying policy coverage, communicating with policyholders, providers, or third parties, and documenting all findings in accordance with company guidelines and legal requirements.

Job Title: Health Claims Specialist

Location: Bangalore - MG Road

Salary: 4 Lacs to 6 Lacs

Candidates Required: 1 Members

Languages: English & Kannada

About NOVO: NOVO Insurance Broking Pvt Ltd. is built by a passionate team of seasoned. Identified by IRDA as a trusted Insurance Broking Service, NOVO Insurance helps you diligently manage your finances, plan your future goals, and create a road path to accomplish them with available resources.

Insurance Broker Job Description: The Insurance Claims Specialist is responsible for reviewing, processing, and managing insurance claims to ensure timely, accurate, and fair resolution. This role involves investigating claim details, verifying policy coverage, communicating with policyholders, providers, or third parties, and documenting all findings in accordance with company guidelines and legal requirements.

Job Title: Health Claims Specialist

Location: Bangalore - MG Road

Salary: 4 Lacs to 6 Lacs

Candidates Required: 1 Members

Languages: English & Kannada

About NOVO: NOVO Insurance Broking Pvt Ltd. is built by a passionate team of seasoned. Identified by IRDA as a trusted Insurance Broking Service, NOVO Insurance helps you diligently manage your finances, plan your future goals, and create a road path to accomplish them with available resources.

Insurance Broker Job Description: The Insurance Claims Specialist is responsible for reviewing, processing, and managing insurance claims to ensure timely, accurate, and fair resolution. This role involves investigating claim details, verifying policy coverage, communicating with policyholders, providers, or third parties, and documenting all findings in accordance with company guidelines and legal requirements.

Job Title: Health Claims Specialist

Location: Bangalore - MG Road

Salary: 4 Lacs to 6 Lacs

Candidates Required: 1 Members

Languages: English & Kannada

About NOVO: NOVO Insurance Broking Pvt Ltd. is built by a passionate team of seasoned. Identified by IRDA as a trusted Insurance Broking Service, NOVO Insurance helps you diligently manage your finances, plan your future goals, and create a road path to accomplish them with available resources.

Insurance Broker Job Description: The Insurance Claims Specialist is responsible for reviewing, processing, and managing insurance claims to ensure timely, accurate, and fair resolution. This role involves investigating claim details, verifying policy coverage, communicating with policyholders, providers, or third parties, and documenting all findings in accordance with company guidelines and legal requirements.

• Investigate insurance claims by gathering information, interviewing parties, and reviewing policy details.
• Conduct physical inspections of damaged property or vehicles to assess the extent of damage.
• Determine coverage based on policy terms and conditions.
• Estimate repair costs and negotiate settlements with policyholders and third parties.
• Prepare detailed reports documenting findings, assessments, and recommendations.
• Ensure claims are processed efficiently and in compliance with regulatory requirements.
• Maintain accurate and up-to-date claim files.
• Provide excellent customer service throughout the claims process.
• Identify potential fraud and escalate suspicious claims for further investigation.
• Collaborate with internal departments and external stakeholders as needed.

• 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 investigation, and settlement procedures.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in using claims management software and Microsoft Office Suite.
• Ability to work independently and manage time effectively.
• Detail-oriented with strong organizational skills.
• Valid insurance adjuster license as required by the state.
• Ability to conduct on-site inspections and travel as needed.

• Investigate insurance claims thoroughly and promptly.
• Determine coverage and liability based on policy terms and evidence.
• Conduct interviews with claimants, witnesses, and experts.
• Inspect damaged property and assess losses.
• Negotiate fair settlement amounts with policyholders.
• Manage a caseload of claims efficiently.
• Maintain detailed and accurate claim records.
• Ensure compliance with all relevant regulations.

• Bachelor's degree in Business, Finance, or a related field.
• Proven experience as an Insurance Claims Adjuster or similar role.
• Valid insurance adjuster license (if applicable in the region).
• Strong knowledge of insurance policies and claims procedures.
• Excellent analytical, negotiation, and communication skills.
• Ability to work independently and manage time effectively.

• Investigate insurance claims thoroughly, gathering all relevant information and evidence.
• Conduct on-site inspections to assess damages to property or injuries sustained.
• Evaluate policy coverage and determine the extent of the insurer's liability.
• Negotiate settlements with policyholders, claimants, and legal representatives.
• Prepare detailed reports outlining findings, assessments, and settlement recommendations.
• Maintain accurate and up-to-date claim files and documentation.
• Ensure adherence to all legal and regulatory requirements in claim processing.
• Communicate effectively with policyholders, providing updates and explanations throughout the claims process.
• Collaborate with legal counsel, medical professionals, and other experts as needed.
• Manage a caseload of claims efficiently and prioritize effectively.

• Proven experience as a Claims Adjuster or in a similar role within the insurance sector.
• In-depth knowledge of insurance policies, claims procedures, and relevant laws.
• Strong investigative, analytical, and negotiation skills.
• Excellent written and verbal communication abilities.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage time effectively in the field.
• Relevant insurance certifications (e.g., Licensed Claims Adjuster) are highly desirable.
• Bachelor's degree in Business, Finance, or a related field.
• High level of integrity and attention to detail.