claim manager

PlaceUp

<div><p><b>Location: </b>DIFC</p><p></p><p><b><br>
Role Overview</b></p><p>
We are seeking an experienced and detail-oriented Claims Manager to lead and oversee the end-to-end claims management process across our insurance and reinsurance portfolios. The ideal candidate will possess a deep understanding of claims handling, reinsurance recoveries, policy interpretation, and regulatory compliance, ensuring fair and efficient claim resolutions.</p><p></p><p><b><br>
Responsibilities</b></p><ul><li>
Lead the claims function and ensure timely, fair, and compliant settlement of all claims</li><li>
Oversee claims registration, assessment, negotiation, and payment across all lines of business</li><li>
Review policy wordings, endorsements, and treaty terms to determine coverage applicability</li><li>
Liaise with reinsurers, brokers, adjusters, and legal advisors to manage complex and high-value claims</li><li>
Monitor reinsurance recoveries and ensure accurate reporting of ceded claims</li><li>
Develop and maintain claims procedures, documentation standards, and internal controls</li><li>
Analyze claims trends and loss ratios to support underwriting and risk management teams</li><li>
Supervise claims staff, providing technical guidance and performance management</li><li>
Ensure regulatory compliance with local insurance authorities and international standards</li><li>
Prepare management reports on claim reserves, outstanding losses, and performance metrics</li><li>
Drive continuous improvement and digitalization of claims handling processes</li></ul><p></p><p><b><br>
Requirements</b></p><ul><li>
Bachelors degree in Insurance, Risk Management, Law, or a related field</li><li>
7 - 10 years of experience in claims management within insurance or reinsurance (property, casualty, or specialty lines)</li><li>
In-depth knowledge of policy wordings, reinsurance treaties, facultative placements, and recovery procedures</li><li>
Strong analytical, negotiation, and decision-making skills</li><li>
Familiarity with claims systems (Guidewire, SICS, or equivalent)</li><li>
Excellent communication and stakeholder management abilities</li><li>
Strong leadership and team development skills</li><li>
Professional qualifications (ACII, CPCU, or equivalent) preferred</li></ul></div>

Claims Manager

Siemens

<div><div><div><div><div><div><b>Job ID
</b></div><div>484060
</div></div><div><div><b>Posted since
</b></div><div>05-Nov-2025
</div></div><div><div><b>Organization
</b></div><div>Smart Infrastructure
</div></div><div><div><b>Field of work
</b></div><div>Finance
</div></div><div><div><b>Company
</b></div><div>Siemens Sanayi ve Ticaret Anonim Sirketi
</div></div><div><div><b>Experience level
</b></div><div>Experienced Professional
</div></div><div><div><b>Job type
</b></div><div>Full-time
</div></div><div><div><b>Work mode
</b></div><div>Hybrid (Remote/Office)
</div></div><div><div><b>Employment type
</b></div><div>Permanent
</div></div><div><div><b>Location(s)
</b></div><div>Kartal - Istanbul - Tuerkiye<br>
<ul><li>
</li></ul></div></div></div></div></div><p></p><div><div><div><div><div><br>
<p>For our Smart Infrastructure Operational Company, Electrification &amp; Automation (EA) Business Unit, we are searching for a <b>Commercial Project Manager (CPM)</b> who is a key finance member of the order execution team to ensure successful performance of customer projects in terms of cost, schedule, and overall performance!</p><p>
This role will be carrying out all commercial tasks during the entire system &amp; solution project/order lifecycle for 3rd party business. The goal of the CPM is to provide transparent and consistent cost controlling and reporting which allows the project team to identify potential areas to improve a project&rsquo;s profitability!</p><p></p><p><b><br>
What part will you play?</b></p><ul><li>
Taking full commercial responsibility in project execution in line with PM@Siemens Guidelines,</li><li>
Participating in LoA processes and contract negotiations when early involvement is required,</li><li>
Ensuring an adequate handover phase, analyzing customer requirements, and examining their commercial and contractual feasibility and transferability,</li><li>
Taking role in adaptation of commercial and legal terms of contract with customers, regional companies, subcontractors, among other things through assisting in proceedings,</li><li>
Fulfilling monthly closing transactions like creating invoices, ensuring all project/order plan, revenues, costs, accruals, etc. are collected in the financial statement,</li><li>
Logistic coordination (transport, customs duties, taxes, licenses, etc.) and creation of export documents,</li><li>
Supporting and controlling of claim management, risk management and NCC topics jointly with the Project Manager,</li><li>
Controlling monthly forecasts e.g. revenue, gross profit, project profit, business assets, funds tied down in current assets, offer calculations, incoming order calculations, central calculations and conclusion calculations,</li><li>
Following-up project/order bank guarantees, processing Letter of Credits (L/C), accruals, provisions, receivables and payables, hedging transactions, project related insurance social security (SGK) topics,</li><li>
Preparing and presenting project commercial data for forecasting and budgeting, Project Review Meetings to the management and/or financial audit purposes,</li><li>
Close cooperation with corporate groups like Accounting, Finance, Tax, Supply-Chain Management, Legal, Compliance (as relevant),</li><li>
Actively communicating with customer&rsquo;s commercial representatives and leading issue solutions,</li><li>
Leading commercial project team members to act according to business conduct guidelines and establishing a culture of trust and integrity,</li><li>
Regularly performing lessons-learned activities on commercial aspects and feeding results into own project lessons-learned activities.</li><li>
Cross functional team management by close contact with SCM, legal, compliance, tax departments</li></ul><p></p><p><b><br>
What do I need to qualify for this job?</b></p><ul><li>
Bachelor's degree in Business Administration or Economics</li><li>
Minimum 5 years of experience in a related field,</li><li>
Excellent command of Turkish &amp; English language in both writing and speaking (German is an asset),</li><li>
Specialization and/or additional education in Project Management, Claim&amp;Contract Management, Foreign Trade will be an asset,</li><li>
CPM and/or PMP certification will be an asset,</li><li>
Knowledge of LoA guidelines, financial accounting (Local Accounting, IFRS), controlling/reporting, logistics, international and Turkish law, tax, foreign trade and customs regulations etc,</li><li>
Good knowledge of MS Office and SAP,</li><li>
Analytical thinking result and quality - oriented approach, professional judgement &amp; problem-solving ability and good communication skills are required competencies,</li><li>
Team-oriented ability to work with cross - functional teams,</li><li>
Being able and willing to work in a multi - cultural environment,</li><li>
No restrictions for travelling.</li></ul><p></p><p><b><br>
What we offer</b></p><div>
<ul><li>Speak up Culture</li></ul>
<ul><li>Respectful Workplace</li></ul>
<ul><li>Being part of a global work environment</li></ul>
<ul><li>Attractive remuneration package</li></ul>
<ul><li>Excellent recognition tools providing spot awards</li></ul>
<ul><li>Learning &amp; Development opportunities for both personal and professional growth</li></ul>
<ul><li>Leave days for parents and a variety of flexible working models that allow time off for yourself and your family</li></ul>
<ul><li>Creche allowance for mothers</li></ul>
<ul><li>Share matching programs to become a shareholder of Siemens AG</li></ul>
<ul><li>Remote working and remote living flexibility only for relevant positions</li></ul>
<ul><li>Find more benefits here</li></ul>
</div><p><i>Individual benefits are adapted to meet local legal regulations, the requirements of different job profiles, locations, and individual preferences.</i></p><p></p><p><br>
&ldquo;At Siemens we are always challenging ourselves to build a better future. We need the most innovative and diverse Digital Minds to develop tomorrow&lsquo;s reality. Find out more about the Digital world of Siemens here: www.siemens.com/careers/digitalminds&rdquo;</p><p>
As Siemens we believe physical barriers are not related to potential. Only the potential matters to us. Therefore, we look forward to receive applications of candidates with physical barriers and chronic illnesses. We support healthy relationships between candidates with barriers and their colleagues because we believe we can create differences together.</p><p>
Siemens is dedicated to quality, equality, and valuating diversity and we welcome applications that reflect the diversity of the communities within which we work.</p><p>
We are looking forward to receiving your online application. Please ensure you complete all areas of the application form to the best of you ability as we will use the data to review your suitability to the role.</p><p>
Please find more information from our web site:</p><p>
https://new.siemens.com/tr/tr.html</p><p><br>
Contact<br>
If you need more information please don't hesitate to contact us.<br>
+90 216 459 20 00</p><p>
https://new.siemens.com/tr/tr/genel/iletisim.html</p><p>
insanorganizasyon.tr@siemens.com</p><p>
www.instagram.com/siemensturkiye</p><p>
https://m.youtube.com/user/Siemens</p><p>
http://www.twitter.com/siemensturkiye</p><p>
http://www.facebook.com/siemensturkiye</p><p></p><div>
#LI-HYBRID</div></div></div></div></div></div></div><div></div>

Commercial Project Manager

Wood

<div><p>Wood is currently looking to recruit for a Claims Manager on ADNOC Gas EPCm project based in Abu Dhabi, UAE. #LI- OilandGasJobs #LI-EnergyJobs #LI- UAEJObs #LI- WorkinUAE #LI- EngineeringCareers
</p><p><b>Remarkable people, trusted by clients to design and advance the world.
</b></p><div><p><b>Our Clients and Projects
</b></p></div><div><p><b>Designing the future. Transforming the world.
</b></p></div><div><div><p>Across EMEA, our teams are providing solutions and expertise to support our growing client base, focused on combining maintenance and operations with asset management, modifications and engineering services across the energy and materials markets.
</p></div><div><p>We are focused on growth and our strategy is centered around building partnerships with our clients across the three regions: UK, Norway and the Middle East and Africa.
</p></div><div><div><p><b>What we can offer
</b></p></div><div><ul><li><b>Meaningful and interesting projects: </b>Delivered to high profile clients across the Energy Sector
</li></ul></div><div><ul><li><b>Commitment to Diversity and Inclusion: </b>We are an organization actively committed to diversity and inclusion across our business
</li></ul></div><div><ul><li><b>Competitive renumeration package: </b>With regular reviews to ensure we are rewarding at the right level in line with the market
</li></ul></div><div><ul><li><b>Medical Insurance: </b>Ensures inpatient, and outpatient medical care is available should you require treatment
</li></ul></div><div><ul><li><b>Group Life and Personal Accident Insurance </b>: The company provides Life Assurance cover
</li></ul></div><div><ul><li><b>End of Service Gratuity: </b>In line with UAE Labor Law, all employees are eligible for an End of Service benefit
</li></ul></div></div><div><div><ul><li><b>The Employee Share Plan </b>: Gives you the opportunity to purchase Wood shares and receive a match from the company
</li></ul></div><div><ul><li><b>Long Service Award: </b>Wood values the commitment and loyalty of our people. Celebrating Long Service provides an opportunity for the business to demonstrate their appreciation of the hard work, dedication and many years&rsquo; services of our employees at 5-year service milestones
</li></ul></div><div><ul><li><b>Commitment to continued professional development: </b>Development plans that are tailored to your individual needs and interests
</li></ul></div><div><ul><li><b>Global connections </b>: Join experts around the world who are at the leading edge of our industry, shaping the standards of our profession
</li></ul><div><ul><li><b>Energy Transition Academy: </b>Join a community of experts sharing your knowledge and gaining more exposure to a variety of existing and emerging energy systems &ndash; delivered by experts in their field</li></ul></div></div></div></div></div>
<br><div><div>Wood is a global leader in consulting and engineering, helping to unlock solutions to critical challenges in energy and materials markets. We provide consulting, projects and operations solutions in 60 countries, employing around 35,000 people. www.woodplc.com<br>
</div><div></div><br>
<div><b>Diversity Statement
</b></div><div>We are an equal opportunity employer that recognises the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment on the basis of objective criteria and without regard to the following (which is a non-exhaustive list): race, colour, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws.</div></div>
<br><div><div><p><b>Skills And Qualifications
</b></p></div><div><p><b>What makes you remarkable?
</b></p></div><div><p>At Wood, we are committed to equal opportunities and welcome all talented individuals to consider joining our team. So even if you don't match every statement below but feel you have some of the experience, knowledge or skills needed for this role, we encourage you to apply. It will take all of us working together to deliver solutions to the world&rsquo;s most critical challenges.
</p></div><div><p><b>Expected:
</b></p><ul><li>Extensive Project Commercial Management Experience: The ideal candidate will have +25 years of proven experience in commercial management of large-scale engineering / construction contracts in the oil and gas industry.
</li><li>Contractual Knowledge: In-depth understanding of post-award contract management, including compensation models, risk mitigation, change management and dispute resolution.
</li></ul><p>Educational Background
</p><ul><li>Preferred Qualifications: Bachelor&rsquo;s degree in Quantity Surveying (QS), Engineering, Business, or Law.
</li></ul><p>Key Competencies
</p><ul><li>Leadership and Influence: Strong presence and the ability to lead without direct authority, fostering effective teamwork and collaboration across project teams.
</li><li>Flexibility: A mindset of proactively contributing as required to support the achievement of team goals.
</li><li>Communication: Strong communication skills, with the ability to influence, negotiate, and collaborate effectively across all levels of the organization.
</li><li>Organization and Detail-Oriented: Exceptionally organized, with a keen eye for detail and a methodical approach to managing tasks and coordinating resources.
</li><li>Problem Solving and Resilience: Ability to remain calm and decisive under pressure, adapting to project needs and evolving situations.
</li><li>Relationship Building: Skilled at building and maintaining relationships with project stakeholders, from client representatives to senior project and company leadership.</li></ul></div></div>
<br><div><p><b>Key Accountabilities and Responsibilities:
</b></p><ul><li>The Claims Manager reports directly to the Commercial Manager and is responsible for managing the full lifecycle of contractual claims within an EPCm framework. This dual role includes responding to subcontractor-originated claims directed at the client and proactively safeguarding EPCm Contractor&rsquo;s commercial interest by initiating / supporting claims against the client.
</li><li>The Claims Manager will deliver post-award contract management aligned with our Framework for Managing the Fundamentals (FMF).
</li><li>The Claims Manager may supervise others within the Commercial team.
</li></ul><p><b>Key Responsibilities
</b></p><p>Post-Award Contract Administration
</p><ul><li>Assessment of subcontractor variations / claims and resolution of disputes in accordance with the EPCM Construction Contract and EPCM Agreement.
</li><li>Management of Change, (MOC): A critical element of the role is to work closely with the Commercial Manager and MOC Engineer to identify and assess the impact of potential changes and raise variations to the EPCm Contract.
</li><li>Compliance Oversight: Manage contract administration in line with our existing policies/procedures to ensure strict adherence to contract terms, including initiating notices and reviewing guarantees / insurances.
</li><li>Contractual Correspondence: Working with SubContract Managers and actively managing contractual letters with EPCM Construction Contractors.
</li><li>Close monitoring of Subcontractor reports and maintenance of records in support of change requests.
</li></ul><p>Risk Management
</p><ul><li>Work with Commercial Manager and Risk Manager on identifying key contractual risks with the EPCM Construction Contractors and establishing quantum.
</li><li>Provide regular updates on potential changes / claims / disputes for management reporting and controls.
</li></ul><p>Financial and Cash Flow Management
</p><ul><li>Pro-actively keep commercial and finance teams apprised of current and emerging commercial issues - for payment and cashflow purposes.
</li></ul><p>Project Monitoring and Reporting
</p><ul><li>Stakeholder Reporting: Provide input into regular reports for senior management.
</li></ul><p>Project Oversight and Supervision
</p><ul><li>Team Supervision: Where appropriate, supervise team members, ensuring effective contract management, administration, and resource allocation.</li></ul></div>

AMVIN CONSTRUCTION LLC

<p><b>Job Title: Quantity Surveyor </b></p><p><b>Qualification</b></p><ul><li>Bachelor's degree in Civil Engineering</li></ul><p><b>Experience</b></p><ul><li>At least 3 years of experience in the UAE in building construction in a comparable role.</li></ul><p><b>Job Responsibilities</b></p><p>1. Understanding of Quantity Take-off</p><p>2. Interim payment certificate procedure</p><p>3. Knowledge of the construction project process for buildings.</p><p>4. Participate in meetings for project updates and coordination as needed.</p><p>5. Coordinate with Project Control to oversee variation and claim matters throughout the company.</p><p>6. Participate and provide updates on the status of claims and related actions during monthly target meetings.</p><p>7. Contractual communication alongside the project manager and PQS for complex/significant claim matters.</p><p>8. Final Accounts (Client/Subcontractors) alongside pertinent parties.</p><p>9. Continuously oversee tender/contract comparison activities along with the appropriate personnel. Periodically assess Contract Review Checklists.</p><p>10. Organization-wide Claims recognition and management</p><p>11. Examination of all subcontractor claim concerns, as needed.</p><p>12. Regular evaluation of payment certificates for all subcontractors to guarantee that payments are processed according to the subcontract agreements.</p><p>13. Contractual/Claim matters concerning Client payment requests prior to the Final Account</p><p>Job Type: Full-time</p><p>Pay: AED3,000.00 - AED6,000.00 per month</p>

Quantity Surveyor

IWI Services

<p><b>Job Title</b>: Field Officer (Health Claim Investigator)</p><p><b>Location: Gurgaon, Haryana</b></p><p><b>Salary: </b>16k to 18k+ 6K (Travel) + Insentive</p><p><b>Reporting to: </b>Area Manager (Back Office)</p><p><b>Summary of Main Responsibilities: </b></p><p>Investigation of health and PA claims:</p><p>Insured visit, Hospital Visit, Doctor visit, collect evidences of genunity of claim or evidences of fake claims. Collect past medical record from insured, hospital or any other consulting doctor.</p><p>Zero time reporting with concerned area manager is compulsory for each and every case.</p><p><b>Qualification: </b>Graduation in any Stream, Fresher or experience in field only.</p><p><b>Bike and android phone is compulsory </b></p><p><b>Please share the resume at hr.iwiservices@gmail.com</b></p><p><b>WhatsApp No. 79 7380 9236</b></p><p>Job Type: Full-time</p><p>Pay: &#8377;16,000.00 - &#8377;18,000.00 per month</p><p>Benefits:</p><ul><li>Health insurance</li></ul><p>Work Location: In person</p>

Field Executive

Suncorp

<p>Take the next step. Be part of something bigger at Suncorp.</p><ul><li><b>Contract Role: </b>Commencing 24 November 2025 until 29 April 2026</li><li><b>Hours: </b>Full-time, Monday-Friday (rotating roster 8am-6pm)</li><li><b>Salary</b>: $79,500 inclusive of 12% super</li><li><b>Training:</b> 5-week structured program</li></ul> <b>What It's Really Like to Be a Claims Manager at Suncorp</b> <p><b>As a Claims Manager, people think I just manage claims. But what I really do is help people on some of the worst days of their lives - and we're looking for others who are just as passionate about making a difference.</b></p><p>When storms hit or fires break out, our phones ring. I could be speaking to someone whose home is underwater, whose roof has collapsed, or who's just lost everything. It's not easy, but it's real, human work, that matters - because customer obsession is at the heart of everything we do.</p><p>I joined Suncorp because I wanted to make a difference. What I found was a role where I'm challenged every day, backed by a team who truly gets it, and supported by leaders who check in, especially after the tough calls.</p><p><b>What I Do as a Claims Manager:</b></p><p>No two days are ever quite the same, but here's what you can expect:</p><ul><li><b>Listen, really listen:</b> I speak with customers who are often overwhelmed or vulnerable. I give them the space to be truly heard, because customer obsession starts with understanding.</li><li><b>Be a calm, steady guide</b>: I walk them through what's covered in their policy, what will happen next, and make the complex feel simple.</li><li><b>Balance heart with policy:</b> I make fair, transparent decisions that respect both the customer's situation and our guidelines.</li><li><b>Keep things moving:</b> I manage my own portfolio of claims end-to-end, making timely decisions and keep things moving, especially during busy times.</li><li><b>Solve problems</b>: Every customer's situation is different. I think critically and creatively to find the best way forward, especially when things don't go to plan.</li><li><b>Stay on top of the detail:</b> I document everything accurately, it's how we stay accountable and ensure customers feel confident in the process.</li><li><b>Lean on your team:</b> Some calls are challenging, but I'm part of a supportive group who debrief together, check in, and keep things human.</li></ul><p><b>What You'll Bring:</b></p><p>This isn't a script-reading call centre job. It's fast-paced, emotionally complex and deeply human.</p><p>You'll do well here if you bring:</p><ul><li><b>Compassion: </b>A calm, compassionate voice that brings reassurance, even in tough conversations</li><li><b>Resilience: </b>Emotional resilience with the ability to manage your wellbeing and stay grounded</li><li><b>Confidence: </b>Confidence to make clear, fair decisions and communicate them with clarity</li><li><b>Detail-Focused: </b>Sharp attention to detail paired with the skill to balance multiple priorities</li><li><b>Empathy: </b>Genuine empathy and care for customers navigating challenging times</li><li><b>Growth Mindset: </b>Experience in customer service, claims, insurance, or fast-paced environments is valued, but what matters most is a growth mindset and passion to make a real difference</li><li><b>Work From Home Setup:</b> Reliable internet & ergonomic desk and chair. Laptop & headset will be provided.</li></ul><p><b>What's in it for you:</b></p><ul><li><b>Hours:</b> Full-time, Monday to Friday (rotating roster between 8am-6pm) - contract role until 29 th April 2026.</li><li><b>Location:</b> Hybrid working - just two days a week in the office</li><li><b>Salary:</b> $79,500 inclusive of 12% super</li><li><b>Training:</b> Five weeks of structured, supportive training, setting you up to succeed and grow from day one.</li><li><b>Equipment:</b> Laptop and headset will be provided.</li><li><b>Support:</b> Leaders who genuinely care, real-time coaching to help you shine, access to Employee Assistance Programs, and a kind, capable team that has your back.</li></ul><p><b>Why I Stay:</b></p><p>This job isn't for everyone. You need thick skin and a big heart. You'll have days where the calls are tough, and you feel stretched. But if you're someone who finds purpose in helping people when it really counts, you'll find this role incredibly fulfilling.</p><p><b>We're hiring now. If this speaks to you, apply today.</b></p><p>And if you're unsure? Apply anyway, we'd love to speak with you. Some of the best Claims Managers here had no idea they'd be good at this, until they gave it a go.</p><p>For more information, please contact our delivery partners on .</p><p>At Suncorp, we are committed to building futures and protecting what matters. We value the unique experiences, insights and diverse workforce that benefits our people, our business, and our customers. We'd love to see your application and speak with you even if you do not match the above mentioned.</p><p><b>Advertised:</b> 29 Oct 2025 AUS Eastern Daylight Time<br/><b>Applications close:</b> 09 Nov 2025 AUS Eastern Daylight Time</p><p>Don't see your dream job posted? No problem, sign up for job alerts and we'll let you know once something becomes available.</p>

Jabalpur Hospital and Research Centre

<p><b>Job Title</b>: TPA Billing Executive</p><p><b>Department</b>: Billing / Accounts</p><p><b>Reports To</b>: Billing Manager / TPA Coordinator / Accounts Head</p><p><b>Location</b>: Jabalpur Hospital &amp; Research Centre</p><p><b>Job Summary</b>:</p><p>The TPA Billing Executive is responsible for managing and processing cashless and reimbursement claims through various Third-Party Administrators (TPAs) and insurance companies. The role involves preparing, verifying, submitting, and following up on claims to ensure timely and accurate payment, while maintaining compliance with insurance and hospital policies.</p><p><b>Key Responsibilities</b>:</p><p><b>1. Pre-Authorization &amp; Admission Process</b></p><p>* Coordinate with TPAs and insurance companies for pre-authorization approvals.</p><p>* Verify the patient&rsquo;s insurance details and policy coverage at the time of admission.</p><p>* Collect necessary documents and ensure completeness before sending for approval.</p><p>* Liaise with the treating consultants for required clinical notes and reports.</p><p><b>2. Billing &amp; Claim Preparation</b></p><p>* Prepare patient bills as per TPA/insurance tariff and package guidelines.</p><p>* Ensure that all medical services, consumables, and investigations are accurately billed.</p><p>* Verify billing details against patient case sheets, charge slips, and doctor orders.</p><p>* Upload/submit all required claim documents on TPA portals or via email.</p><p><b>3. Claim Submission &amp; Reconciliation</b></p><p>* Maintain a record of all claims submitted to different TPAs.</p><p>* Track pending approvals and coordinate for final authorization before discharge.</p><p>* Reconcile claim amounts with TPA payments and resolve discrepancies.</p><p>* Coordinate with Accounts Department for payment posting and reconciliation.</p><p><b>4. Follow-up &amp; Settlement</b></p><p>* Follow up with TPAs for pending, rejected, or short-settled claims.</p><p>* Address queries or discrepancies raised by TPAs/insurance companies promptly.</p><p>* Maintain communication logs and claim status updates.</p><p>* Generate and share regular reports on claim status, outstanding, and recovery.</p><p><b>5. Documentation &amp; Compliance</b></p><p>* Maintain proper documentation and filing of all TPA/insurance cases.</p><p>* Ensure compliance with hospital policies, TPA agreements, and statutory requirements.</p><p>* Protect patient data confidentiality as per hospital and IRDA norms.</p><p><b>Qualifications &amp; Skills:</b></p><p>* Education: Graduate (preferably B.Com / BBA / Hospital Administration).</p><p>* A diploma or certification in Medical Billing / TPA Management will be an added advantage.</p><p>* Experience: 1&ndash;3 years of experience in hospital TPA billing or health insurance claim processing.</p><p><b>Skills:</b></p><p>* Good communication and coordination skills.</p><p>* Strong knowledge of TPA procedures and insurance policies.</p><p>* Proficiency in MS Office and hospital billing software (HMS).</p><p>* Attention to detail and analytical ability.</p><p><b>Key Performance Indicators (KPIs):</b></p><p>* Timely submission and settlement of TPA claims.</p><p>* Percentage of claims approved vs. rejected.</p><p>* Average turnaround time for claim closure.</p><p>* Accuracy in billing and documentation.</p><p>Job Types: Full-time, Permanent</p><p>Pay: &#8377;20,000.00 - &#8377;25,000.00 per month</p><p>Benefits:</p><ul><li>Leave encashment</li><li>Paid sick time</li><li>Provident Fund</li></ul><p>Work Location: In person</p>

TPA Executive

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