Claims Specialist

About GrayQuest

GrayQuest is India’s leading FinTech innovator in the education ecosystem, transforming the

$100B+ education industry through its cutting-edge financial solutions. Our flagship offering—

monthly EMI solutions for school and college fee payments—makes education more accessible,

affordable, and rewarding for millions of Indian families.

We partner with 5,000+ top educational institutions across the country, making us a trusted

name in education-focused financial services. Backed by some of India’s most respected

investors and entrepreneurs—including Kunal Shah & Miten Sampat (CRED), Nitin Gupta (UNI),

Sumit Maniyar (Rupeek), and Sujeet Kumar (Udaan)—we are now entering an exciting new

Phase.

As part of our strategic expansion, we’ve launched a new insurance vertical focused on

providing customised life and health insurance products to families within our network and

beyond. This is a high-impact opportunity to be at the forefront of building this vertical from the

ground up.

Role Overview

Health Insurance Claims Manager

The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience. This is a full-time, on-site role based in Mumbai with immediate joining.

Key Responsibilities

• Claims Processing & Adjudication:

  Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.

• Customer Coordination:

  Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.

• Insurance & TPA Liaison:

  Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.

• Issue Resolution:

  Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.

• Compliance & Accuracy:

  Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.

• Monitoring & Reporting:

  Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.

• Process Improvement:

  Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.

Requirements

Education

• Bachelor’s degree in Business, Finance, Insurance, or related field.

Experience

• 3–6 years of proven experience in health insurance claims management or related roles.

Certifications

• IRDAI Health Insurance certification or equivalent preferred.

Skills

• Strong knowledge of health insurance policies, products, and claims procedures.
• Excellent communication, negotiation, and customer-handling skills.
• High attention to detail with strong analytical and problem-solving abilities.
• Proficiency in MS Office and claims management/CRM systems.

Attributes

• Customer-first mindset with empathy and professionalism.
• Ability to work under pressure and meet strict deadlines.
• Strong organizational skills and accountability.

Why Join Us?

Here’s why GrayQuest is different:

• Advice First, Always:

  We provide guidance, not pressure—helping families make confident decisions.

• Build Something New:

  Be part of creating a vertical from scratch at a fast-growing fintech.

• Trust & Transparency:

  IRDAI compliance, customer-first service, and honesty are non-negotiable.