๐ง๐ต๐ถ๐ ๐ฟ๐ผ๐น๐ฒ ๐ถ๐ ๐ณ๐ผ๐ฟ ๐ผ๐ป๐ฒ ๐ผ๐ณ ๐๐ต๐ฒ ๐ช๐ฒ๐ฒ๐ธ๐ฑ๐ฎ๐'๐ ๐ฐ๐น๐ถ๐ฒ๐ป๐๐
๐ฆ๐ฎ๐น๐ฎ๐ฟ๐ ๐ฟ๐ฎ๐ป๐ด๐ฒ: ๐ฅ๐ ๐ฎ๐ฌ๐ฌ๐ฌ๐ฌ๐ฌ - ๐ฅ๐ ๐ฏ๐ฑ๐ฌ๐ฌ๐ฌ๐ฌ (๐ถ๐ฒ ๐๐ก๐ฅ ๐ฎ-๐ฏ.๐ฑ ๐๐ฃ๐)
Experience: 2+ yrs
Location: Ahmedabad, Surat
In this role, you will manage insurance claims throughout the processing lifecycle, from reviewing claim submissions and validating supporting documents to coordinating assessments and facilitating settlements. You will work closely with customers and relevant stakeholders to resolve queries, maintain accurate records, and ensure compliance with insurance policies and established procedures.
Requirements
Key Responsibilities
โขReceive, review, and process insurance claims in accordance with applicable policy terms and internal procedures.
โขVerify claim forms, supporting documents, and policy details to ensure accuracy and completeness.
โขAssess claim eligibility and identify discrepancies, missing information, or inconsistencies in submitted documents.
โขCoordinate with customers and relevant teams to obtain additional information and facilitate claim processing.
โขTrack claim progress and follow up on pending documentation, assessments, approvals, and settlements.
โขInvestigate unusual claim patterns or potential discrepancies and escalate cases for further review when required.
โขMaintain accurate claim records, case updates, and supporting documentation.
โขRespond to customer queries regarding claim status, documentation requirements, and settlement procedures.
โขEnsure claims are handled within established timelines and in compliance with applicable regulations and organizational guidelines.
โขContribute to improving claims processing efficiency, accuracy, and customer satisfaction.
What Makes You a Great Fit?
โขExperience: 2+ years of experience in insurance claims processing, claims administration, or a related field.
โขInsurance Knowledge: Understanding of insurance policies, claim assessment, verification, and settlement procedures.
โขDocumentation Skills: Ability to review and validate claim forms and supporting documents with accuracy.
โขAnalytical Thinking: Strong attention to detail and the ability to identify discrepancies and resolve issues.
โขCommunication: Effective verbal and written communication skills for customer interactions and internal coordination.
โขTime Management: Ability to prioritize multiple claims, manage follow-ups, and meet processing deadlines.
โขTechnical Proficiency: Familiarity with MS Office and insurance claims management systems.
โขProfessionalism: Strong ethical standards, confidentiality, and a customer-focused approach.
โขLocation: Ability to work in Ahmedabad or Surat.