Assistant Manager/Manager - EB-Claims Service Support

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About Us

Prudent is a Composite Insurance Broker regulated by the Insurance Regulatory and Development Authority of India (IRDAI) and headquartered in Mumbai, India. Prudent is one of the leading insurance brokers in the country.

We specialize in building long-term relationships and instilling confidence in our partners. As a partner-focused organization, we are committed to delivering best-in-class insurance solutions and services tailored to meet the diverse needs of our clients.

Recognised as:

• Great Place to Work – 2024 and 2025

  - This achievement reflects our unwavering commitment to a workplace where innovation, collaboration, and success go hand in hand; thanks to each Prudent family member for being the driving force behind our success.
• One of 𝗜𝗻𝗱𝗶𝗮’𝘀 𝗧𝗼𝗽 𝟭𝟬𝟬 𝗕𝗲𝘀𝘁 𝗪𝗼𝗿𝗸𝗽𝗹𝗮𝗰𝗲𝘀 𝗳𝗼𝗿 𝗪𝗼𝗺𝗲𝗻 𝟮𝟬𝟮𝟱! This honour reflects our unwavering commitment to fostering a culture where every woman can thrive and shine, and every voice is heard. Together, we’re building a future of 𝗴𝗿𝗼𝘄𝘁𝗵, 𝗲𝗾𝘂𝗮𝗹𝗶𝘁𝘆, and 𝘀𝘂𝗰𝗰𝗲𝘀𝘀 for all team members!!

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Job Summary/About the Role:

The International Business (IB) vertical, Employee Benefits Practice at Prudent, is a strategic business unit dedicated to strengthening Prudent’s global brand in the International market. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senior stakeholders globally and the seamless delivery of these best practices in India.

In the fast-growing domain of Employee Health, Wellbeing, and Benefits, both in India and internationally, Prudent’s specialized International Business (IB) team is acknowledged as one of the best in the industry and is known for driving sustainable business goals via expert consulting, advisory, and operational skills.

Contributing to Prudent's vision of being the country’s largest, most respected, and a truly “Indian” MNC in the insurance broking industry, the IB Team’s efforts will be committed to further strengthening this vision. If you believe you have what it takes to be part of a hardworking team that combines progressive outlooks with pragmatic advisory to deliver exceptional value to clients, drop in a line. Let’s talk!

Required Qualifications:

• Education qualification: Bachelor's Degree, Master's Degree

Required Experience and Skills:

• Should have good technical knowledge about Employee health Insurance/ General Insurance products. (Cashless/Reimbursements)
• Experience in General Insurance/ Insurance Brokers
• Years of experience: 2 to 5 years
• Good knowledge of the TPA/Insurance processes
• Well-versed with health insurance policy conditions
• Well-versed with current medical practices & advancements
• Should know about the IRDAI health regulation
• Good listening & communication skills

Key Responsibilities:

1. Exceptional Employee Experience Support System by Prudent

• Serve as the primary point of contact for all employee claim queries and own the process of developing strong employee relationships & engagement

2. Facilitating the cashless and reimbursement process:

• Ensuring employees understand the steps involved in both cashless and reimbursement claims.
• Offering exceptional support and guidance to employees/HR throughout the entire process to ensure a smooth experience.

3. E-cards/network hospitals:

• To provide employees with e-cards and information about network hospitals.

4. Providing claim-related queries:

• Addressing questions about claim status, claim deductions, and explanations of queries.

5. TPA Co-ordination:

• Coordinating with TPA daily to ensure the smooth functioning of employee-related queries

6. Employee Engagement & Support SPOC:

• Daily tracking of claims on status/rejections/deductions and providing the report to MCS