Executive/Insurance

Role Overview:

The Insurance Claims Coordinator is responsible for managing the end-to-end process of employee medical claims, from documentation collection to final settlement. This role ensures timely renewals, accurate records, and effective coordination with employees and insurers to maintain a smooth claim experience.

Key Responsibilities:

• Claim Documentation:

• Collect and verify required documents from employees for initiating medical insurance claims.

• Claim Processing:

• Handle the entire claims process, from submission to final settlement.
• Liaise with insurers and third-party administrators (TPAs) to track claim status and resolve issues.

• Claim MIS (Management Information System):

• Maintain and update claim records and generate periodic reports for management review.
• Monitor claim trends and flag irregularities for further investigation.

• Renewal Quotations:

• Coordinate with insurance providers to obtain and compare renewal quotations.
• Assist in selecting the most suitable options for policy renewal.

• Employee Coordination:

• Act as the point of contact for employees regarding medical claims and insurance-related queries.
• Provide guidance on policy coverage, exclusions, and claim procedures.

Role Details:

• Department:

  Human Resources / Employee Benefits

• Employment Type:

  Full Time, Permanent

• Role Category:

  HR Operations / Insurance Support

Role:

Industry Type:

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Education

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