Claims Executive

20 hours ago

Mumbai, India Impact Guru Full time

**JOB DESCRIPTION**

**Position**

Position Title**:Claims Executive**

Location: Mumbai.

Reporting Manager: HOD - Trust & Safety

We hustle Monday - Friday (1st & 3rd Saturday)

**Industry**:Crowdfunding, Healthcare

**Roles & Responsibilities**
- Manage and oversee the processing of claims to ensure the procedure is handled efficiently, accurately.
- Handle in a manner that protects the interests of the insured parties while also providing satisfactory customer service.
- Determining policy coverage and calculating claim amounts.
- Ensure claim settlements, legal reviews and investigations in accordance with regulatory compliances, policies and procedures.
- Review claims submissions, obtain and verify information, correspond with insurance agents and beneficiaries for process of claim payments.
- Communicate with insurance agents and beneficiaries to help in claims forms and related documentation
- Record and maintain insurance policy and claim information in database systems and determine policy coverage while calculating claim amounts
- Respond timely to internal and external inquiries for information relative to claims.

**Professional Experiences**
- Minimum 2 years’ experience to have effectively managed a portfolio of various type of claims.
- Working knowledge of the insurance industry and relevant compliance and regulations.
- Proficient in MS Office

**Functional & Behavioural Competencies**
- Strong analytical and problem-solving skills.
- Critical thinking and decision-making skills
- Growth and aggressive delivery, targets-oriented mind-set
- Attention to detail
- Ability to deliver in high pace environment
- Strong administrative and organizational skills.
- Good communication

**What do we offer?**
- Attractive salary & performance-linked bonuses
- Fun, casual & flexible work environment
- Entrepreneurial, forward-looking, growth-driven & open work culture

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

**Salary**: ₹50,000.00 - ₹250,000.00 per year

**Benefits**:

- Health insurance
- Leave encashment
- Provident Fund

Schedule:

- Day shift

Supplemental pay types:

- Performance bonus

Ability to commute/relocate:

- Mumbai - 400057, Maharashtra: Reliably commute or planning to relocate before starting work (required)

Application Question(s):

- How many years of Experience you hold in claims settlement, cashless & claims processing?
- Does your job role involve communicating with the Hospitals, TPAs' & clients?
- Current CTC?
- Expected CTC?
- Notice Period?

**Speak with the employer**

+91-XXXXXXXXXX

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