Claims Representative

1 week ago

Vadodara, Gujarat, India Nucleon Health Full time ₹ 18,00,000 - ₹ 36,00,000 per year


Join Our Team as a Health Insurance Claims Executive


Location:
Vadodara |
Full-time | On-site


Role Overview

We're looking for a
Health Insurance Claims Executive
who is passionate about helping people and ensuring a smooth claim experience. In this role, you'll act as the bridge between customers, hospitals, and insurers—handling claims with accuracy, empathy, and efficiency.


Key Responsibilities

Process and evaluate health insurance claims with accuracy and fairness.

Verify policy coverage, eligibility, and supporting documents.

Coordinate with hospitals, TPAs, and policyholders for seamless claim settlements.

Maintain proper records and follow up on pending claims to ensure timely resolution.

Communicate clearly with customers and provide regular claim status updates.

Ensure compliance with company policies and insurance regulations.


Requirements

Experience in health insurance claims handling/management (TPA or insurer background preferred).

Strong understanding of insurance processes and regulations.

Excellent customer service and communication skills (written & verbal).

Strong analytical, problem-solving, and attention-to-detail skills.

Ability to work independently as well as collaboratively in a team.

Bachelor's degree in Commerce, Healthcare, Insurance, or a related field preferred.


Why Join Us?

Be part of a growing, people-first organization.

Opportunity to make a real difference in customers' lives.

Collaborative work culture with growth opportunities.

Competitive salary and benefits package.


Budget:
Up to ₹25,000 per month (based on interview and experience).

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