Claims Processing Executive

13 hours ago

Gurugram Haryana, India Vidal Health Insurance TPA Private Limited Full time

Vidal is hiring for Claims-Executive/Team leader Level

**Gurgaon Location.**

**Udhyog Vihar,Sector 19 Gurgaon**

**Work from Office only**

**Key Responsibilities**

**Claim Review & Validation**
- Examine submitted claims for completeness and accuracy
- Verify policy coverage and eligibility
- Identify discrepancies or missing documentation

**Claims Processing**
- Enter and adjudicate claims in the system (cashless & reimbursement)
- Calculate payable amounts as per policy terms
- Ensure timely processing within defined SLAs

**Stakeholder Communication**
- Liaise with policyholders, hospitals, and insurers for claim clarifications
- Respond to queries and provide claim status updates
- Coordinate with Preauth and Customer Care teams

**Documentation & Compliance**
- Maintain detailed records of claims and actions taken
- Ensure adherence to IRDAI guidelines and internal SOPs
- Flag potential fraud or irregularities for investigation

**Reporting & Analysis**
- Generate daily/weekly/monthly claim reports
- Track claim trends and highlight recurring issues
- Support audits and internal reviews with accurate data

**Skills & Competencies**
- Strong attention to detail and data accuracy
- Familiarity with medical terminology, ICD/CPT codes
- Proficiency in claims software (Portal)
- Effective communication and problem-solving skills
- Ability to manage sensitive information with discretion

**Experience Required**
- **1-3 years** of experience in **claims processing** within the **TPA or Health Insurance** domain
- Exposure to group health policies and coordination with hospitals or corporate clients is preferred

**Job Types**: Full-time, Permanent

Pay: ₹22,000.00 - ₹28,000.00 per month

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

  • Claim Processing Executive

    2 days ago

    Gurugram, Haryana, India INK IT SOLUTIONS Full time

    We're looking for Claim Processing Associate (US Process) for Gurgaon location. Exp level: - 06 Months to 2 yrs POSITION OVERVIEW : Disability Management Claim Processor POSITION GENERAL DUTIES AND TASKS : *Handle claims related to disability management. *Determining customer - s disability coverage and verifying the information available in the system....

  • Claim Executive

    13 hours ago

    Gurugram, Haryana, India GENUS DEPARTMENTAL STORE Full time

    **Job description**: **Claims Executive Responsibilities**: - Advice policyholders on claim procedure - Ensure fair settlement of a claim with TAT - Manage all administration aspects of the claim - Adhere to legal requirements, industry regulations and customer quality standards set by the company. - Handle any complaints associated with a claim. **Claims...

  • Process Associate- Claims

    1 week ago

    Gurugram, Haryana, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Process Associate

    2 days ago

    Gurugram, Haryana, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Health Claims- Executive

    1 week ago

    Sikanderpur, Gurugram, Haryana, India CoverYou Full time

    Hi All, **Position Details**: - **Department**: Claims - **Package**: Up to ₹35,000 (based on skills and interview performance) - **Experience**: Maximum 1 year (Freshers are also welcome to apply) As a Health Claims Executive, you will be responsible for handling health-related insurance claims, ensuring timely and efficient resolution of claims for...

  • Process Associate, Insurance Claims

    1 week ago

    Gurugram, Haryana, India Genpact Full time

    _Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Process Associate, Insurance Claims

    13 hours ago

    Gurugram, Haryana, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Process Associate, Insurance Claims

    1 week ago

    Gurugram, Haryana, India Genpact Full time

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Motor Claims Executive

    1 week ago

    Sikanderpur, Gurugram, Haryana, India ES SUPPORT PRIVATE LIMITED Full time

    Job Description - Motor Claims Executive (Operations) - Location: Gurgaon - Experience: 2 - 3 years - Interview Mode: Virtual Job Summary: Key Responsibilities: - Motor Claims Handling: Manage end-to-end processing of motor insurance claims. Assess claim documents, verify details, and coordinate approvals. Ensure timely claim settlements and smooth...

  • Process Associate

    1 week ago

    Gurugram, Haryana, India Genpact Full time

    **Ready to shape the future of work?** **At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow...