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
We are looking for a detail-oriented and proactive Claim Insurance Professional with at least 2 years of experience in insurance claims processing and management. The ideal candidate should have a strong understanding of insurance claim procedures, documentation, verification, and settlement processes, along with the ability to assess claims accurately and ensure timely resolution.
Requirements
Key Responsibilities
โขReview, verify, and process insurance claims in accordance with policy terms and established procedures.
โขExamine claim forms, supporting documents, and other relevant information to ensure completeness and accuracy.
โขAssess claim eligibility, validate coverage details, and identify discrepancies or missing documentation.
โขCoordinate with customers, internal teams, surveyors, and other relevant stakeholders to facilitate claim processing.
โขMonitor claim status and ensure timely follow-ups for pending documents, approvals, and settlements.
โขInvestigate irregularities, inconsistencies, or potential fraudulent claims and escalate concerns when necessary.
โขMaintain accurate claim records, case notes, and documentation in accordance with company standards.
โขRespond to customer queries regarding claim requirements, processing status, and settlement procedures.
โขEnsure compliance with applicable insurance regulations, internal policies, and service-level timelines.
โขIdentify opportunities to improve claim processing efficiency, accuracy, and customer satisfaction.
What Makes You a Great Fit?
โขMinimum 2+ years of experience in insurance claims processing, claims administration, or a related role.
โขStrong understanding of insurance claims procedures, policy coverage, documentation, and settlement workflows.
โขAbility to review and validate claim documents with a high level of accuracy and attention to detail.
โขGood analytical, problem-solving, and decision-making skills.
โขStrong communication and coordination skills for effective customer and stakeholder interaction.
โขAbility to manage multiple claims, prioritize tasks, and meet deadlines.
โขProficiency in MS Office and the ability to work with claims management systems.
โขHigh standards of integrity, confidentiality, and professionalism.
โขWillingness to work from Ahmedabad or Surat .