About this role
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
- 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.