Posted:10 hours ago|
Platform:
On-site
Full Time
The Claims team at Navi is responsible for delivering a fast, transparent, and
customer-first claims experience. From initial intimation to final settlement—whether
cashless or reimbursement—they manage the end-to-end process with a strong focus
on accuracy and turnaround time. The team works closely with the Hospital
Partnerships team to streamline coordination and uses data-driven insights and
process automation to improve claim resolution speed and customer satisfaction.
As an Executive – 2, Health Insurance Claims, you will play a critical role in ensuring
customers experience a smooth and transparent journey during their claims process.
You will be the voice of the customer within Navi, owning their end-to-end claim
journey—from admission intimation to final settlement—while collaborating with
multiple stakeholders such as doctors, hospitals, field investigators, and internal
business teams.
Your role requires empathy, high ownership, and problem-solving skills to balance
customer delight with process compliance.
● Act as the primary point of contact for customers during their health insurance
claim journey.
● Assist and guide customers through the cashless and reimbursement claim
process across multiple touchpoints (calls, chat, emails).
● Coordinate with hospitals, doctors, field investigators, and internal teams to
resolve queries and ensure smooth claim approvals.
● Track and monitor claim progress, keeping customers informed proactively until
settlement.
● Identify and escalate fraud indicators or discrepancies in claims.
● Meet defined SLAs for turnaround time, quality, and customer satisfaction.
● Deliver a high CSAT experience by handling customer interactions
empathetically and professionally.
● Ability to take ownership, drive progress independently, and meet timelines.
● Strong focus on solving customer pain points with empathy.
● Clear and effective communicator in English, Hindi, and at least one regional
language.
● Ability to validate documents, identify inconsistencies, and ensure compliance.
● Willingness to work in rotational shifts (24/7 support) and rotational weekly
offs as per business requirements.
● Team player with the ability to coordinate across multiple stakeholders.
● Should have completed 2nd PUC (Pre-University Course) or higher.
We are shaping the future of financial services for a billion Indians through products that are simple, accessible, and affordable. From Personal & Home Loans to UPI, Insurance, Mutual Funds, and Gold — we’re building tech-first solutions that work at scale, with a strong customer-first approach.
Founded by Sachin Bansal & Ankit Agarwal in 2018, we are one of India’s fastest-growing financial services organisations. But we’re just getting started!
We’re looking for people who dream big when it comes to innovation. At Navi, you’ll be empowered with the right mechanisms to work in a dynamic team that builds and improves innovative solutions. If you’re driven to deliver real value to customers, no matter the challenge, this is the place for you. We chase excellence by uplifting each other—and that starts with every one of us.
Navi
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