
Claims Executive
3 days ago
Vidal is hiring for Claims-Executive
Work Location: 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**
- **2-3 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 - ₹25,000.00 per month
**Experience**:
- total work: 1 year (preferred)
Work Location: In person
-
Claim Executive
2 weeks 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...
-
Claims Executive
5 days ago
Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full timeVidal is hiring for Claims-Executive/Team leader Level for Gurgaon Location. Udhyog Vihar,Sector 19 Gurgaon Job Timings: 9:30AM to 5:30PM Monday to Saturday Work from Office only 1.Claim processing-Health Insurance 2.Medical Terminology Knowledge and exp in Claim processing in 2 to 5 yrs of exp. Immediate Joiner will be preferred. **Job Types**:...
-
Claims Processing Executive
2 weeks ago
Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full timeVidal 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...
-
Executive- Claims
1 week ago
Gurugram, Haryana, India AegisCovenant Full time**About Us**:AegisCovenant is a fast-growing InsureTech company founded in 2020, specializing in two-wheeler insurance management and roadside assistance (RSA). We are committed to transforming the industry with innovative technology, simplifying processes, and delivering exceptional service to our dealers and partners. **Key Responsibilities**: 1.Manage...
-
Claim Processing Executive
2 weeks ago
Gurugram, Haryana, India INK IT SOLUTIONS Full timeWe'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....
-
Health Insurance Claim Executive
3 days ago
Gurugram, Haryana, India Talent X International Full time**Job Role -**Group Health Insurance Claim Specialist **Location -**Gurgaon **Working Days -**6 Days **Salary -**3 - 3.5 LPA **Roles & Responsibilities -** - Review and verify group health insurance claims for accuracy, eligibility, and policy compliance. - Maintain strict adherence to TAT and SLA commitments, delivering on deadlines consistently. -...
-
Claims Processor Non Medico
1 week ago
Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full timeVidal is hiring for Claims-Executive Work Location: Gurgaon **Work from Office only** **Key Responsibilities** Claim processing which includes NME evaluation Tariff applicability Policy T & c Co-pay Discount deduction Investigation criteria knowledge Insurer wise policy T&C knowledge Basic Documentation required for claim processing Experience...
-
Health Insurance Claim Executive
3 days ago
Gurugram, Haryana, India Talent X International Full time**Job Types**: Full-time, Permanent Pay: ₹300,000.00 - ₹350,000.00 per year **Benefits**: - Health insurance - Leave encashment - Life insurance - Provident Fund Schedule: - Day shift Supplemental Pay: - Overtime pay - Yearly bonus **Experience**: - Health Insurance Claim: 1 year (preferred) Work Location: In person
-
Claim Processor
1 week ago
Gurugram, Hyderabad, Mumbai, India Career Shaper Full time ₹ 8,00,000 - ₹ 12,00,000 per yearOPEN FOR FRESHERS BHMS AND BMS DOCTORSKnowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit ProductsUnderstanding of Claims systems (process flow & System fields) Health, PA & TravelExperience in measurement of performance (TAT, accuracy in claims adjudication)Expectations management of the Claims teamTAT & expectations management...
-
Insurance Executive
7 days ago
Gurugram, Haryana, India Big Boy Toyz Ltd. Full time**Job Title**: Insurance Executive **Location**: Gurgaon **Employment Type**: Full-Time **LUXURY CARS -INSURANCE or Claims and Endorsements** **A luxury automobile claims insurance executive manages insurance policies specifically tailored for high-end, luxury vehicles. This role involves**: - Managing claims: Investigating claims cases, alerting...