Claims Staff

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...

Purpose of the role:Intogreat Solutions is seeking a proactive and detail-oriented Insurance Claims Officer to support our expanding General Insurance division. If you're a problem-solver with strong analytical skills and a passion for helping clients through challenging situations, this role could be your next step.As an Insurance Claims Officer, you'll be...

The Claims Team Leader is responsible for overseeing the daily operations of the claims team to ensure the accurate and timely handling of claims and reimbursements. This role demands strong leadership, exceptional attention to detail, and a collaborative mindset to coordinate with various departments including Sales, Finance, and Operations.Duties and...

Position Summary:The Claims Team Leader is responsible for overseeing the daily operations of the claims team to ensure the accurate and timely handling of claims and reimbursements. This role demands strong leadership, exceptional attention to detail, and a collaborative mindset to coordinate with various departments including Sales, Finance, and...

Job Title: Clinical Claims Training ExpertWe are seeking a highly skilled Clinical Claims Training Expert to join our team. As a key member of our organization, you will be responsible for delivering comprehensive end-to-end claims process training to new hires and existing claims examiners.The primary goal of this role is to ensure that all staff members...

A Motor Claims Assessor is responsible for evaluating vehicle insurance claims to determine the extent of the insurer's liability. This role involves inspecting damaged vehicles, reviewing repair estimates, assessing accident reports, and liaising with repairers, claimants, and insurance providers. The assessor ensures claims are handled efficiently, fairly,...

The Accounting Staff is responsible for accurately recording, monitoring, and reporting financial transactions of the company, ensuring compliance with insurance regulations, internal policies, and statutory requirements.Key ResponsibilitiesRecord, verify, and reconcile premium collections, claims disbursements, commissions, and reinsurance...

Medical Billing SpecialistWe are seeking a Medical Billing Specialist to support accurate and timely claims submission, payment posting, and account reconciliation.This role ensures compliance with payer guidelines and directly contributes to the healthcare provider's revenue cycle.As part of our team, you will work with cross-functional teams to deliver...

POSITION SUMMARY:Provide support for the claims processing of Personal Accident .ESSENTIAL FUNCTIONS:Receives claims document .Assist in the initial evaluation of received documents.Create/Open an Individual Claim folder for each reported and receipted claims report/document.Provides verification of applicable coverages and if premium has been paid.Validate...