181 Job openings found

JD: Must be comfortable in flexible working on Weekends ( Saturday/Sunday ) and Holidays on a rotational basis. Conducting motor accidental claim inspection for Two Wheeler, Private Cars & Commercial vehicles and inhouse claim adjuster. Processing of Surveys Reports for Inhouse Claim Adjusters. Scrutiny and processing of Survey reports of External Surveyors in the ...

Preparation of TRR (Tender review report), identification of probable risk and update the management with all possible merits and demerits of the particular Tender. Responsible for all contractual correspondence with the Engineer or the Employer/ Department on various issues. Well versed with provision of Contract agreements mostly used in Highway, Metro, Projects ...

A Hospital TPA (Third-Party Administrator) Incharge manages the entire health insurance and cashless claim process, acting as a crucial liaison between patients, insurance companies, and the hospital. Key duties include verifying insurance eligibility, handling authorization, processing claims, and resolving disputes to ensure timely financial reimbursements and improve patient satisfaction.  BusinessKey Responsibilities and ...

  JOB DESCRIPTION      KEY RESPONSIBILITIES : ·         Take the lead to the implementation of DMS (Distributor Management Software) at all distributors in Zone. ·         Checking of distributor’s claims with monthly scheme circular, secondary sales through DMS, and SOPs issued by company from time to time. ·         Should have knowledge of Price structure (Mark-up pricing & ...

Responsible for all contractual correspondence with the Engineer or the Employer Well versed with provision of Contract agreements mostly used in Highway, Metro, Projects such as FIDIC, EPC Agreements, Concession Agreement and recently introduced HAM (Hybrid Annuity Mode) Agreements. Preparation of Contractual letters/responses/claims, Land acquisition issues, claim for Extension of Time, Change of ...

Key Responsibilities: Review and process incoming medical/health insurance claim investigation requests. Understand prescriptions, medical bills, diagnosis reports, and hospital records. Coordinate with field investigators for case updates, doctor verifications, and report follow-ups. Analyze investigation inputs and draft structured final reports for clients. Ensure accuracy in medical terminology and pharma-related data entry. Maintain updated records of claim ...

Ensure accurate claim pay-out 100% compliance & the processing of claims within TAT? Responsible to maintain monthly disposal, Settlement, and claim inventory as per defined process? Being updated with policy terms and conditions to ensure prudent adjudication of claims.? Attention to detail with regards to the identification of fraud triggers ...

Role: Guidewire Claim Center Configuration Sr. Developer/Lead   Must have: Associate level Certified Guidewire Claim Center professional hands on work experience Guidewire Claim Center modules Hands on knowledge of Guidewire Configuration and/or Integration work experience in Java development projects Strong understanding of Design Patterns Strong background in OOP, UML, Object Oriented analysis and design Application design tools ...

Role  Claims Management with the objective of operational efficiency, reducing average Claim Cost and Improvement in Turn Around Time of Claims Settlement. Analysis and monitoring of claims to identify the Local / Geographical trends Responsible for Designing and implementation of various policies and procedures for claims Management     Regular engagements with customers and Insurer to build relations Responsible for claims disposal / settlement ratio Fraud Detection Improve TAT in claims and reduce ...

    Your core responsibility will be to oversee the workers and the equipment they operate on the factory floor and be responsible for contributing to and carrying out production strategy decisions. You will have to design, plan, and implement human resources programs for the plant. You will need to administer corporate ...