Claims Representative

4 weeks ago


Belgaum, Karnataka, India Nucleon Health Full time
Join Our Team as a Health Insurance Claims Representative

Location: Vadodara | Full-time | On-site

Role Overview

We're looking for a Health Insurance Claims Representative who is passionate about helping people and ensuring smooth claim experiences. In this role, you'll be the bridge between customers, hospitals, and insurers—handling claims with accuracy, empathy, and efficiency.

What You'll Do
  • Process & evaluate health insurance claims with accuracy and fairness.
  • Verify policy coverage, eligibility, and supporting documents.
  • Coordinate with hospitals, TPAs, and policyholders for seamless settlement.
  • Maintain records and follow up on pending claims to ensure timely resolution.
  • Communicate clearly with customers and provide updates on claim status.
  • Ensure compliance with company policies and insurance regulations.
What We're Looking For
  • Experience in health insurance claims handling/management (TPA/insurer background preferred).
  • Strong understanding of insurance processes & regulations.
  • Excellent customer service & communication skills (written & verbal).
  • Strong analytical, problem-solving & attention-to-detail abilities.
  • Ability to work independently and as part of a team.
  • Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
Why Join Us?

Be part of a growing, people-first organization.

Opportunity to make a real difference in customers' lives.

Collaborative work culture with growth opportunities.

Competitive salary & benefits package.

  • Interested? Apply now and take the next step in your career


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