Understanding the current policy, procedures & processes regarding fraud, risk monitoring and operational framework.
Develop and sustain a system for Fraud identification and monitoring
Identify and investigate the method of fraud, modus operan...
:
* Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
* Identify potential process improvements, trends, issues and escalate to Super...
Humble request - ONLY Candidates with prior experience in Commercial Claims - Property / Bankers Indemnity / Engineering / Miscellaneous should apply.
Role Purpose
The purpose of the Claims Role is to effectively manage t...
Designation Trainee Process Consultant (Non Voice)
Designation Trainee Process Consultant (Non Voice)
Job Description • Processing claims and take appropriate actions as per the process guidelines.
• Understand the basic professional standar...
Responsibilities & Key Deliverables
Responsible for Warranty Yard
Responsible for Daily Claim
Responsible for Problem Analysis - Inhouse and field
Responsible I and 3 MIS
COE interaction (Counterpart)
Dealer visit,Delear Training, JI (Jo...
Job Description:
1.Claims Investigation management for all category of Claims - Death, Health and Critical illness/Health
2.Analysis and assessment of Investigation report , documents and information received from Investigator and move quality c...
...~Coordinate with DICV AO for required approvals for warranty claims.
~ Warranty failed parts tagging and storage in workshop.
~Dispatch of all the failed parts to DICV on request.
~Failed parts scrapping in pr...
Responsibilities & Key Deliverables
Responsible for Warranty Yard
Responsible for Daily Claim
Responsible for Problem Analysis - Inhouse and field
Responsible I and 3 MIS
COE interaction (Counterpart)
Dealer visit,Delear Training, JI (Jo...
...for action
6.Responsible for Vendor / Investigator related communication, Regular engagements with Investigator and industry peers to build relations
7.Responsible for Claims investigation data management for al...
