Exe – Health Insurance
1 week ago
Key Responsibilities
- Claims Management
 
- Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance.
 - Ensure timely submission and processing of claim documentation.
 - Liaise with insurers to expedite claims approvals and settlements.
 
Coordination & Communication
- Serve as the single point of contact for all internal and external stakeholders regarding claims.
 - Coordinate with RMs, Partners, and clients to gather necessary claim documents and information.
 - Work closely with the Product and Insurance Operations teams to resolve claim queries.
 
Process Excellence
- Monitor claim progress and proactively follow up with insurers to avoid delays.
 - Maintain and update claims MIS for accurate tracking and reporting at the company level.
 - Identify process bottlenecks and recommend improvements for faster claim settlements.
 - Compliance & Quality
 - Ensure adherence to regulatory and company compliance requirements for claims.
 - Maintain accurate and complete claim records
 
Key Skills & Competencies
- Strong knowledge of Health Insurance claim processes (cashless & reimbursement).
 - familiarity with Life Insurance claim processes.
 - Excellent coordination and follow-up skills.
 - Strong communication skills for engaging with clients, insurers, and internal teams.
 - Ability to manage multiple claims across geographies and timelines.
 - Detail-oriented with a process-driven approach.
 
Experience & Qualifications
- 1–3years of experience in insurance claims management, preferably in Health Insurance.
 - Graduate degree
 - Prior experience in insurer, TPA, or insurance distribution setups will be an advantage.
 
Job Type: Full-time
Pay: ₹174, ₹458,498.38 per year
Benefits:
- Health insurance
 - Paid time off
 - Provident Fund
 
Ability to commute/relocate:
- HSR Layout, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required)
 
Experience:
- TPA: 1 year (Required)
 
Location:
- HSR Layout, Bengaluru, Karnataka (Preferred)
 
Work Location: In person
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