127 Job openings found

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 ...

Primary Responsibilitiesi) Access Claimsii) Filing & documentingiii) Create contact list in the core systemiv) Register the claimv) Initial customer contactvi) Follow up for claim documents from insured and surveyors / investigators / advocatevii) Update notes and other claim details in the core systemviii) Generate reports from systemix) Maintain masters in ...

Skills and Responsibilities Work independently Have high ethical standards Pay attention to detail Have an understanding of anatomy and physiology Know diagnosis and procedure coding Communicate well Understand medical terminology Know how to enter data onto insurance claim forms Review patient records and related documents Understand insurance rule and regulations ...

    Job Title: Warranty Executive Department: Service/Aftersales   Job Summary: The Warranty Executive is responsible for managing and administering warranty claims, ensuring compliance with manufacturer policies and procedures, and providing excellent customer service. **Key Responsibilities:] Warranty Claims Processing Review and process warranty claims submitted by service technicians. Verify claim eligibility, accuracy, and completeness. Ensure claims are processed in accordance with ...

Primary Role Description: - • Responsible to monitor the quality of investigations carried out by the investigation agencies &verification officers • To quality check the investigation reports & evidences received from field and submit withrecommendation for claim processing• Co-ordinate with field investigators and help/guide them on claim investigations Key Roles & Responsibilities: ...

Type of Vacancy Permanent:    Department HR & Admin Designation & Role Level (L2 to M1) M 3 - Manager IR / ER Location (Taloja/ Vashi/ Valia) Valia Plant Job Description       Proactive Employee Relations through various means i.e. open communication, sharing updates, exploring career growth for employees, their engagement, involvement, timely reward & recognition, liaised with local administration, local ...

Primary Role Description: - The incumbent will be a part of the advanced descriptive and predictive analytics sub-function to work on analysis/reports/dashboards related to superior risk selection, risk assessment and risk management. To help data evidence-based decision-making for the business to enable better understanding and management of the health risks. The role requires a good understanding ...

Design / transform existing process across Consumer Bank – Branch Banking Division Liaisoning with stakeholders like Compliance / Risk / Product / Legal / OPS etc. to gather information. Identification and Review of existing processes for revision / updation. Providing tailor made solution to Branches for specific business requirements. Provide ...