Claims & Endorsement Processor - insurance

3 years

0 Lacs

Hadapsar, Pune, Maharashtra

Posted:1 day ago| Platform:

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Skills Required

Microsoft Office Analysis skills Bachelor's degree Organizational skills Computer skills In-person Communication skills Time management

Work Mode

On-site

Job Type

Full Time

Job Description

Department: Operations / Insurance Services Location: Fatimanagar, Pune Job Summary: The Claims & Endorsement Processor is responsible for handling insurance policy endorsements, processing claims documentation, verifying accuracy, and ensuring timely and compliant execution of customer service requests. This role requires attention to detail, familiarity with insurance products (such as health, life, or general insurance), and strong coordination with internal and external stakeholders. Key Responsibilities: Claims Processing: Receive, review, and validate insurance claims and supporting documents. Register claims in the system and assign them to the appropriate adjusters or examiners. Follow up with clients, hospitals, or internal departments to collect missing information. Ensure claims are processed in accordance with company policies and regulatory guidelines. Maintain accurate and up-to-date claim records and communication logs. Endorsement Processing: Process policy endorsements such as additions/deletions of members, corrections, change in sum insured, or coverage modifications. Validate documents submitted for endorsements and update policy records accordingly. Generate and issue updated policy documents and endorsement letters. Coordinate with underwriting and sales teams to ensure proper pricing and approvals. Customer Service & Coordination: Communicate professionally with clients, intermediaries, and insurers to resolve queries. Escalate complex or non-standard cases to appropriate departments. Support audits, reporting, and documentation as required. Required Skills & Qualifications: Bachelor’s degree in any discipline (preferred: commerce, business, insurance). 1–3 years of experience in insurance operations, preferably in claims or policy servicing. Knowledge of insurance products like GMC, GPA, GHI, etc. Strong computer skills (MS Office, Excel, policy administration systems). Good communication, time management, and problem-solving abilities. Office Timings - 9:30 to 6:30 Mon- Friday Job Types: Full-time, Permanent Pay: ₹15,000.00 - ₹26,000.00 per month Benefits: Health insurance Schedule: Day shift Supplemental Pay: Performance bonus Work Location: In person

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