𝗧𝗵𝗶𝘀 𝗿𝗼𝗹𝗲 𝗶𝘀 𝗳𝗼𝗿 𝗼𝗻𝗲 𝗼𝗳 𝘁𝗵𝗲 𝗪𝗲𝗲𝗸𝗱𝗮𝘆'𝘀 𝗰𝗹𝗶𝗲𝗻𝘁𝘀
𝗦𝗮𝗹𝗮𝗿𝘆 𝗿𝗮𝗻𝗴𝗲: 𝗥𝘀 𝟮𝟬𝟬𝟬𝟬𝟬 - 𝗥𝘀 𝟯𝟱𝟬𝟬𝟬𝟬 (𝗶𝗲 𝗜𝗡𝗥 𝟮-𝟯.𝟱 𝗟𝗣𝗔)
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
- Review, verify, and process insurance claims in accordance with policy terms and established procedures.
- Examine claim forms, supporting documents, and other relevant information to ensure completeness and accuracy.
- Assess claim eligibility, validate coverage details, and identify discrepancies or missing documentation.
- Coordinate with customers, internal teams, surveyors, and other relevant stakeholders to facilitate claim processing.
- Monitor claim status and ensure timely follow-ups for pending documents, approvals, and settlements.
- Investigate irregularities, inconsistencies, or potential fraudulent claims and escalate concerns when necessary.
- Maintain accurate claim records, case notes, and documentation in accordance with company standards.
- Respond to customer queries regarding claim requirements, processing status, and settlement procedures.
- Ensure compliance with applicable insurance regulations, internal policies, and service-level timelines.
- Identify opportunities to improve claim processing efficiency, accuracy, and customer satisfaction.
What Makes You a Great Fit?
- Minimum 2+ years of experience in insurance claims processing, claims administration, or a related role.
- Strong understanding of insurance claims procedures, policy coverage, documentation, and settlement workflows.
- Ability to review and validate claim documents with a high level of accuracy and attention to detail.
- Good analytical, problem-solving, and decision-making skills.
- Strong communication and coordination skills for effective customer and stakeholder interaction.
- Ability to manage multiple claims, prioritize tasks, and meet deadlines.
- Proficiency in MS Office and the ability to work with claims management systems.
- High standards of integrity, confidentiality, and professionalism.
- Willingness to work from Ahmedabad or Surat.