Sr.Claims Exe – Health Insurance

Key Responsibilities

• 1. Claims Management
• Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance.
• Ensure timely submission and processing of claim documentation.
• Liaise with insurers to expedite claims approvals and settlements.

Coordination & Communication

• Serve as the single point of contact for all internal and external stakeholders regarding claims.
• Coordinate with RMs, Partners, and clients to gather necessary claim documents and information.
• Work closely with the Product and Insurance Operations teams to resolve claim queries.

Process Excellence

• Monitor claim progress and proactively follow up with insurers to avoid delays.
• Maintain and update claims MIS for accurate tracking and reporting at the company level.
• Identify process bottlenecks and recommend improvements for faster claim settlements.
• Compliance & Quality
• Ensure adherence to regulatory and company compliance requirements for claims.
• Maintain accurate and complete claim records

Key Skills & Competencies

• Strong knowledge of Health Insurance claim processes (cashless & reimbursement).
• familiarity with Life Insurance claim processes.
• Excellent coordination and follow-up skills.
• Strong communication skills for engaging with clients, insurers, and internal teams.
• Ability to manage multiple claims across geographies and timelines.
• Detail-oriented with a process-driven approach.

Experience & Qualifications

• 1–3years of experience in insurance claims management, preferably in Health Insurance.
• Graduate degree
• Prior experience in insurer, TPA, or insurance distribution setups will be an advantage.

Job Type: Full-time

Pay: ₹174,501.46 - ₹458,498.38 per year

Benefits:

• Health insurance
• Paid time off
• Provident Fund

Ability to commute/relocate:

• HSR Layout, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required)

Experience:

• TPA: 1 year (Required)

Location:

• HSR Layout, Bengaluru, Karnataka (Preferred)

Work Location: In person