
Exe – Health Insurance
7 days 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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