574 Claims Assistants jobs in Pakistan

Key ResponsibilitiesAccounts Receivable & Denials Management

• Monitor and manage outstanding insurance claims to reduce overall Accounts Receivable (AR) balances.
• Review and resolve claim denials on a daily basis, ensuring prompt and accurate follow-up.
• Analyze Electronic Remittance Advice (ERA) data to identify recurring denial patterns and recommend corrective measures.
• Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.
• Investigate and resolve payment discrepancies, escalating complex cases to the Billing Manager as needed.
• Maintain and update AR aging reports, providing regular weekly and monthly performance updates.
• Process claims for specialized services, including TMS, Spravato, and psychological testing.
• Collaborate closely with the Billing Manager to meet AR resolution and collection goals.

Patient & Provider Support

• Respond to billing-related inquiries from patients, providers, and internal teams in a timely manner.
• Review and update patient accounts to ensure accuracy prior to initiating collection actions.
• Work with providers to correct claim errors, including coding and supporting documentation.
• Coordinate with insurance payers regarding prior authorizations, coverage verification, and network participation.
• Address patient billing concerns professionally and process refunds where appropriate.

System Support & Process Improvement

• Submit and monitor support tickets in eClinicalWorks (eCW) to resolve billing-related issues efficiently.
• Provide training and support to team members on AR and denial management workflows.
• Partner with U.S.-based teams to ensure timely and accurate claim submissions.
• Participate in team meetings to review AR performance, identify trends, and recommend process improvements.
• Stay current with payer policies, compliance regulations, and medical billing best practices.

Job Type: Full-time

Pay: Rs40, Rs70,000.00 per month

Ability to commute/relocate:

• Lahore: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Willing to work the night shift?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person

Company Description

InstaWorld is Pakistan's fastest-growing e-commerce delivery platform, providing seamless shipping solutions nationwide. We simplify logistics by enabling businesses and individuals to ship anywhere in Pakistan without the hassle of managing multiple delivery partners. At InstaWorld, we are committed to delivering reliable, efficient, and customer-focused courier services.

Role Description

This is a full-time, on-site role for a
Claims Officer
based in
Karachi
. The Claims Officer will be responsible for managing and resolving shipment-related claims, analyzing claim trends, and ensuring smooth communication between clients, operations, and finance teams. The role involves reviewing and processing claims, investigating discrepancies, identifying process gaps, and maintaining compliance with company policies and industry standards to minimize losses and improve service quality.

Key Responsibilities

• Review, verify, and process shipment claims (loss, damage, or delay) in a timely manner.
• Investigate discrepancies by coordinating with operations, hubs, and delivery teams.
• Maintain accurate records of all claims and prepare periodic reports for management.
• Communicate effectively with clients regarding claim status and resolutions.
• Analyze claim trends and recommend improvements to reduce recurring issues.
• Ensure all claims handling aligns with company policies, service agreements, and courier industry best practices.

Qualifications

• Proven experience in
  claims handling, logistics operations, or courier services
  .
• Strong
  analytical and problem-solving skills
  with attention to detail.
• Proficiency in
  claims management systems or related tools
  .
• Excellent
  communication and interpersonal skills
  for client and team interactions.
• Ability to work under pressure, prioritize tasks, and meet deadlines.
• Bachelor's degree in
  Business Administration, Finance, Supply Chain Management, or a related field
  .
• Experience in the
  courier, e-commerce, or logistics industry
  is highly preferred.

What We Offer:

• Competitive salary based on experience and qualifications
• A collaborative and growth-oriented work environment
• Opportunities for career progression in a growing logistics company
• Supportive team culture and ongoing development opportunities

Be Part of the Change

We're on a mission to revolutionize employee benefits in Pakistan

Position:
OPD Claims Executive

Location:
Remote (with 1 office visit per week – DHA Phase 2, Karachi)

Responsibilities

• Oversee OPD claims, ensuring accuracy and timely submissions.
• Coordinate with employees and healthcare providers to resolve issues.
• Analyze claims data for trends and maintain accurate records.
• Assist customers with inquiries related to their claims.

Requirements

• Education: MBBS, PharmD, or a related field.
• Minimum 6 months of claims processing experience (preferably OPD).
• Strong analytical, communication, and organizational skills.
• Ability to multitask and work under pressure.

Benefits

• Competitive salary
• Provident Fund
• Health insurance (IPD & OPD)
• Life insurance

How to Apply:

Send your resume to

with the subject line:
OPD Claims Executive

Know someone who's a great fit? Tag them or spread the word

Claims Associate – General Insurance

Your Future Starts Here with Milvik (BIMA) Mobile Pakistan

We are looking for a motivated and detail-oriented
Claims Associate
with
1–2 years of experience
in general insurance to join our dynamic team. If you're passionate about accuracy, customer service, and growth in the insurance industry, this is the role for you.

What You'll Do

• Review, validate, and process claims related to
  asset insurance (bike, car, handset, etc.)
  in a timely and accurate manner.
• Assess claim eligibility against policy terms and conditions.
• Coordinate with customers and internal teams to resolve queries or gather missing information.
• Maintain proper claim records and ensure compliance with company policies.
• Support continuous improvements in claims handling processes.

What We're Looking For

• Bachelor's degree or equivalent qualification (preferred).
• 1–2 years of hands-on experience in general insurance claims handling
  (bike, car, handset).
• Strong analytical and problem-solving skills with high attention to detail.
• Excellent communication and coordination abilities.
• Proficiency in MS Office and claims management systems.

Why Join Us?

• Be part of a
  fast-growing global organization
  reshaping insurance accessibility in Pakistan.
• Gain valuable
  industry exposure and learning opportunities
  .
• Work in a
  collaborative and supportive team environment
  .
• Competitive compensation with opportunities for career growth.

Apply Now:

WhatsApp (for queries only):

Location:
3rd Floor, New Liberty Tower, Link Road, Model Town, Lahore

Waada is looking for a Claims Executive to join our dynamic team If you have a keen eye for detail and a passion for claims processing & risk management, this is your chance to grow with us.

Key Responsibilities:

• Evaluating and managing medical and general claims efficiently.
• Using Excel, Google Sheets & CRM tools for insights and decision-making.
• Identifying and minimizing fraudulent claims.
• Enhancing claims workflow for better efficiency.
• Ensuring adherence to industry policies and standards.
• Managing disputes professionally.
• Effective coordination with stakeholders.
• Quick and effective resolution of issues.
• Handling multiple claims efficiently under pressure.

Experience : 6 Months or more

Job Type: Full-time

Pay: Rs55, Rs60,000.00 per month

Work Location: In person

Company Description

PGI is one of Pakistan's pioneering General insurers, originally incorporated in 1947. Re-energized by a professional board and experienced management, we deliver reliable, innovative, and compliant insurance solutions that protect people, assets, and enterprises across Pakistan. Our underwriting philosophy combines discipline, transparency, and service with prudent risk selection, modern claims governance, and process automation. PGI's portfolio spans several insurance lines, including Fire & Allied Perils, Motor, Marine, Engineering, Travel, and more. We support a diverse customer base through branch networks and a growing ecosystem of partners and brokers.

Role Description

This is a full-time on-site role with The Pakistan General Insurance Company Limited, located in Multan. The Underwriting and Claims professional will be responsible for evaluating insurance applications, determining coverage amounts, and setting premiums. This role will also include the thorough analysis of claims to determine validity, negotiating settlements, and ensuring compliance with internal and regulatory guidelines. The individual will coordinate with clients, brokers, and other departments to ensure efficient service delivery.

Qualifications

• Analytical skills and attention to detail
• Knowledge of insurance underwriting and claims processes
• Strong communication and negotiation skills
• Ability to work independently and coordinate across departments
• Familiarity with compliance frameworks, SECP regulations, and AML/CFT standards
• Bachelor's degree in Finance, Business, Insurance, or related field
• Experience in the insurance industry is a plus

Be Part of the Change

We're on a mission to
revolutionize employee benefits in Pakistan

Position:
OPD Claims Executive

Location:
DHA Phase 2, Karachi

Employment Type:
Full-time (Onsite)

Responsibilities

• Oversee OPD claims, ensuring accuracy and timely submissions.
• Coordinate with employees and healthcare providers to resolve issues.
• Analyze claims data for trends and maintain accurate records.
• Assist customers with inquiries related to their claims.

Requirements

• Education: MBBS, PharmD, or a related field.
• Minimum 6 months of claims processing experience (preferably OPD).
• Strong analytical, communication, and organizational skills.
• Ability to multitask and work under pressure.

Benefits

• Competitive salary
• Provident Fund
• Health insurance (IPD & OPD)
• Life insurance
• Annual leave & fuel allowances

How to Apply:

Send your resume to

with the subject line:
OPD Claims Executive

Know someone who's a great fit?
Tag them or spread the word

Position: Co-op Submission Specialist/Claims & Accounts Executive

Hours: 07:00 PM- 03:00AM Pakistani Standard Time (As per U.S.A timing)

Location: Remote

Fresh Graduates with good communication skills are encouraged to apply. Individuals with relevant experience or degree are encouraged to apply. This is a career progressive role.

Job Description: Co-op Submission Specialists will be responsible for maintaining 40-50 dealership client accounts on a monthly basis. For these clients, you will run audits on their co-op accounts, submit monthly claims against their co-op accounts for fund reimbursement and provide end of month reporting that highlights starting funds available, submissions and their current approval status as well as funds remaining. In some cases, suggestions for additional marketing will be made as well.

Other Responsibilities: Co-op Submission Specialists are expected to join a minimum of one video call per day with the Operations Team Manager and one video call per month with the entire Team for company updates, status reports and work assignments where we practice a "camera on" policy. Specialists must maintain a decent appearance and dress attire, casual clothing is fine. Specialists must have Slack logged in and open during all working hours in case the need for management contact is needed.

Requested Days off and Holidays: Co-op Submission Specialists will have the opportunity to observe all major USA holidays as well as any individual National cultural holidays. Specialists needing time or days off outside of recognized holidays need to request this with the Operations Team Manager at a minimum of 2 weeks in advance, 30-days is preferred. Any sick days needed should be clearly communicated with Operations Team Manger as early as possible.

Job Types: Full-time, Fresher

Pay: Rs90, Rs113,000.00 per month

Work Location: Remote

Job Description:

To ensure that assigned provider's Inpatient and Outpatient claims are medically & commercially adjudicated within the specified timeframe and within the targeted quality to achieve the business objective of ensuring that BUPA delivers high quality claim statements.

Adjudication:

• Process all the daily batches of claims assigned in line with medical policy and Inpatient / Outpatient adjudication guidelines while using his/her medical background in conjunction with the instructed guidelines, day-in-day-out for smooth operation of business activity
• Assures that each claim has been processed as per the checklist of steps involving checking of physical claim (or scanned image on the document management system), and cross checking with the electronic claims data on Edge, and reflecting the right decision for every claim on the operations system
• Achieve daily target in terms number of claims processed
• Discusses all high profile/high value claims with the claims medical manager where the decision is difficult & well thought

Quality:

• To achieve required quality through achieving at least 95% accuracy level on monthly quality audits, in order to maintain the quality standard set for the job
• Makes sound medical decisions that minimize the opportunity to be challenged by providers, and consults with the medical manager where in doubt

Fraud and abuse identification:

• Reports abnormal trends of provider practice for adjudicated claims where needed.
• Detects and escalates FWA cases to the concerned teams in line with Claims handling guidelines

Requirements

:

• MBBS (Bachelor of Medicine & Surgery)
• 3–5 years of relevant experience.
• Good English Skills
• Good Communication Skills
• Clinical Experience
• Medical Insurance Experience Preferable