Executive 2 - Health Insurance Claims

2 weeks ago


Bengaluru, India Navi Full time

About the Team The 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



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