Claim Processing jobs in Pune, Maharashtra
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Claim Intake Specialist - PUNE
Often replies in 1 dayDaviesPune, Maharashtra- Accurately enter all new claims received via email into the claims management system.
- This role ensures that all new losses are entered correctly into the…
- View all Davies jobs - Pune, Maharashtra jobs - Intake Specialist jobs in Pune, Maharashtra
- Salary Search: Claim Intake Specialist - PUNE salaries
- GallagherPune, Maharashtra
- Health insurance
- Life insurance
- Provident Fund
- Professionals in this group focus on processing insurance claims.
- They validate members, provider and other claims information.
- View all Gallagher jobs - Pune, Maharashtra jobs - Senior Claims Analyst jobs in Pune, Maharashtra
- Salary Search: Senior Analyst - Claim Operations salaries
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FBS Claims Operations Specialist - Sep
Often replies in 1 dayCapgeminiPune, Maharashtra- Health insurance
- Paid time off
- This role supports and coordinates with internal teams to facilitate efficient claims processing.
- This position provides back-office support to the claims…
Executive-Back-End/ Data Entry -Complex Transaction Processing
Often replies in 10 daysEXL ServicePune, Maharashtra- The Demand Specialist will also review files prior to phone call to familiarize themselves with the claim.
- In addition, the Demand Specialist will match the…
View similar jobs with this employerFBS Claims Operations Specialist
Often replies in 1 dayCapgeminiPune, Maharashtra- Health insurance
- Paid time off
- This role supports and coordinates with internal teams to facilitate efficient claims processing.
- This position provides back-office support to the claims…
- WNS Global solutionsPune, Maharashtra
- Food provided
- Health insurance
- Paid time off
- Paid sick time
- Life insurance
- Cell phone reimbursement
- Job Summary:* The Insurance Process Executive is responsible for handling insurance-related transactions, policy servicing, customer support, claims processing,…
FBS Senior Claims Operations Specialist - sept
Often replies in 1 dayCapgeminiPune, Maharashtra- Paid time off
- This position provides back-office and operational support to the claims operations by managing moderately complex workflows, ensuring data integrity, and…
FBS Senior Claims Operations Specialist - sept
Often replies in 1 dayCapgeminiPune, Maharashtra- Paid time off
- This position provides back-office and operational support to the claims operations by managing moderately complex workflows, ensuring data integrity, and…
- Enquad Solution (India) Pvt LtdBaner, Pune, Maharashtra
- Provident Fund
- Ensure claims meet payer-specific and HIPAA compliance requirements.
- Manage AR aging reports and escalate problematic claims for resolution.
- CognizantPune, Maharashtra
- Use spreadsheets and word processing applications to track trends in issues such as claims benefits eligibility and billing so that recurring problems can be…
- CognizantPune, Maharashtra
- Support standardization of work instructions by suggesting template improvements checklist enhancements and tracker refinements based on recurring issues…
- View all Cognizant jobs - Pune, Maharashtra jobs
- Salary Search: SPE-Policy Servicing salaries
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LAM - Claims
Often replies in 10 daysEXL ServicePune, Maharashtra- Experience in client management (handing client queries over email and voice).
- Achieve team productivity and quality goals.
- View all EXL Service jobs - Pune, Maharashtra jobs
- Salary Search: LAM - Claims salaries
- CognizantPune, Maharashtra
- Guide junior analysts by sharing domain insights on payer and provider operations explaining complex benefit structures and demonstrating best practices in…
- View all Cognizant jobs - Pune, Maharashtra jobs
- Salary Search: TM-Enrollment & Billing salaries
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View similar jobs with this employerInsurance Operations Associate
Often replies in 1 dayAccenturePune, Maharashtra- Review and assess complex insurance claims including death claims to determine coverage and eligibility for payment.
- Years of Experience:1 to 3 years.
View similar jobs with this employerMROPune, Maharashtra- Experience with data processing software/tool and platform is a plus.
- The Analyst - ROI Operations at MRO Corp plays a critical role in managing and analysing…
- CognizantPune, Maharashtra
- Bring strong domain exposure to payer operations including benefit structures premium rating concepts claims impact from enrollment accuracy and group account…
- View all Cognizant jobs - Pune, Maharashtra jobs
- Salary Search: TL-Enrollment & Billing salaries
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Job Post Details
Job details
Job type
- Permanent
- Full-time
Location
Pune, Maharashtra
Full job description
Description
The Claim Intake Specialist is responsible for accurately processing new claim submissions, verifying essential policy and coverage information, and supporting the claims department through timely and organized administrative work. This role requires strong attention to detail, effective communication skills, and the ability to efficiently manage a high volume of administrative work. This role ensures that all new losses are entered correctly into the claims management system and that claim files are prepared with complete, accurate information to enable efficient claims handling.
Key Responsibilities
1. New Claim Intake & Data Entry
- Accurately enter all new claims received via email into the claims management system.
- Monitor the company inbox to ensure all incoming claims are promptly reviewed and processed.
- Set up new claim files with complete and accurate data, ensuring all required fields are updated.
2. Coverage & Policy Verification
- Review and interpret claim correspondence and relevant policy information to ensure proper claim setup.
- Research and verify coverage using various claim systems and policy feeds.
3. Claim File Preparation
- Receive and review new loss information to confirm completeness and accuracy.
- Generate and prepare initial acknowledgement letters for insureds and claimants.
4. Communication & Coordination
- Communicate effectively with internal administrative staff via email, phone, and Microsoft Teams to support workflow efficiency and timely follow‑up.
Skills, Knowledge & Expertise
- Strong attention to detail and accuracy in data entry.
- Ability to interpret written correspondence and policy information.
- Proficiency with claims management systems and related platforms.
- Effective communication and organizational skills.
- Strong customer service orientation and problem‑solving ability.
- Ability to manage multiple tasks in a fast‑paced environment.
About Davies
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.
We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.
Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.
We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.
Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.
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