Executive 2 - Health Insurance Claims

2 weeks ago

Bengaluru, India Navi Full time

About the TeamThe Claims team at Navi is responsible for delivering a fast, transparent, andcustomer-first claims experience. From initial intimation to final settlement—whethercashless or reimbursement—they manage the end-to-end process with a strong focuson accuracy and turnaround time. The team works closely with the HospitalPartnerships team to streamline coordination and uses data-driven insights andprocess automation to improve claim resolution speed and customer satisfaction.About the RoleAs an Executive – 2, Health Insurance Claims, you will play a critical role in ensuringcustomers experience a smooth and transparent journey during their claims process.You will be the voice of the customer within Navi, owning their end-to-end claimjourney—from admission intimation to final settlement—while collaborating withmultiple stakeholders such as doctors, hospitals, field investigators, and internalbusiness teams.Your role requires empathy, high ownership, and problem-solving skills to balancecustomer delight with process compliance.What We Expect From You● Act as the primary point of contact for customers during their health insuranceclaim journey.● Assist and guide customers through the cashless and reimbursement claimprocess across multiple touchpoints (calls, chat, emails).● Coordinate with hospitals, doctors, field investigators, and internal teams toresolve queries and ensure smooth claim approvals.● Track and monitor claim progress, keeping customers informed proactively untilsettlement.● Identify and escalate fraud indicators or discrepancies in claims.● Meet defined SLAs for turnaround time, quality, and customer satisfaction.● Deliver a high CSAT experience by handling customer interactionsempathetically and professionally.Must Haves● Ability to take ownership, drive progress independently, and meet timelines.● Strong focus on solving customer pain points with empathy.● Clear and effective communicator in English, Hindi, and at least one regionallanguage.● Ability to validate documents, identify inconsistencies, and ensure compliance.● Willingness to work in rotational shifts (24/7 support) and rotational weeklyoffs as per business requirements.● Team player with the ability to coordinate across multiple stakeholders.● Should have completed 2nd PUC (Pre-University Course) or higher.Inside NaviWe are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal & Home Loans to

  • Executive 2 - Health Insurance Claims

    3 weeks ago

    Bengaluru, India Whatjobs IN C2 Full time

    About the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...

  • Health Claims Professional

    2 weeks ago

    Bengaluru, Karnataka, India Digit Insurance Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Job Title: Quality and Process Manager Health Claims OperationsLocation: BangaloreDepartment: Health Claims OperationsReports To: Head of Health ClaimsEmployment Type:Full-TimeJob SummaryWe are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within our Health Claims...

  • ▷ (3 Days Left) Executive 2 - Health Insurance Claims

    3 weeks ago

    Bengaluru, India Navi Full time

    About the TeamThe Claims team at Navi is responsible for delivering a fast, transparent, andcustomer-first claims experience. From initial intimation to final settlement—whethercashless or reimbursement—they manage the end-to-end process with a strong focuson accuracy and turnaround time. The team works closely with the HospitalPartnerships team to...

  • Claim Associate

    1 week ago

    Bengaluru, Karnataka, India Digit Insurance Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Claims Associate Health Claims TPAPosition DescriptionSupport end-to-end coordination and execution of health claims serviced via Third Party Administrators (TPAs). Ensure timely claim closures, partner communication, and customer satisfaction while maintaining internal SLAs and service quality.Key ResponsibilitiesEnsure processing of all TPA claims within...

  • Claims Associate

    2 weeks ago

    Bengaluru, India Nova Benefits Insurance Brokers Full time

    **CTC: 3-5L**: **About NovaBenefits**: **Nova Benefits** is on a mission to provide the best in class health and wellness benefits for employees in India. We envision that a vast majority of the county's population will get better access to high-quality healthcare through their employers. We are a tech-first company and believe that technology can make this...

  • Tpa Domestic Claims

    6 days ago

    JP Nagar, Bengaluru, Karnataka, India Stalwarts Servicios Full time

    **Job Duties & Responsibilities** - To interact with hospital insurance patients. - Sending Pre-Authorization and getting approval for Cashless claims. - Cross checking Packages or tariff before sending to Insurance Company or TPA. - Educating patient about deduction on settlement. - To create awareness about reimbursement claims. (Pre, Post &...

  • Insurance/Claims Associate

    6 days ago

    Bengaluru, Karnataka, India MRT Infotech Full time

    Hiring for MNC's BangloreJob Requirement AircoverVertical - Insurance/ClaimsEducation - Only GraduatesExperience - Min 2 Years experience into International Claims/Insurance or Health CareLocation - Brookfield,BangloreBoundary Limits - 20Kms from Office location - KundalahalliProcess - BlendedShifts - Rotational Shifts with Rotational Weekoffs2 Way Transport...

  • Claims Executive

    1 week ago

    Mahatma Gandhi Road, Bengaluru, Karnataka, India Disha Capital Insurance Brokers Full time

    **Claims Executive - EB** - **Job Summary**: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have indepth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a...

  • Claims Executive- Commercial Lines

    2 weeks ago

    Bengaluru, Karnataka, India Disha Capital Insurance Brokers Full time

    **Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...

  • OPD Health Claim Processing

    2 weeks ago

    Bengaluru, Karnataka, India ACKO Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Description – OPD Health Claims Processing(MR)Key Skills & CompetenciesKnowledge of health insurance policy coverage, exclusions, and claim processing.Familiarity with claim categories (IPD/OPD/Pre-post health claims processing).Basic understanding of medical terminology and treatment protocols.Strong attention to detail and analytical skills.Good...