Assistant Manager / Manager - EB-Claims Service Support

Job Description

Role – Employee Benefits – Claims Service Support

Department – International Business

About Us :

Prudent is a Composite Insurance Broker regulated by the Insurance Regulatory and Development Authority of India (IRDAI) and headquartered in Mumbai, India. Prudent is one of the leading insurance brokers in the country.

We specialize in building long-term relationships and instilling confidence in our partners. As a partner-focused organization, we are committed to delivering best-in-class insurance solutions and services tailored to meet the diverse needs of our clients.

Recognised as :

Great Place to Work – 2024 and 2025 - This achievement reflects our unwavering commitment to a workplace where innovation, collaboration, and success go hand in hand; thanks to each Prudent family member for being the driving force behind our success.

One of ’ ! This honour reflects our unwavering commitment to fostering a culture where every woman can thrive and shine, and every voice is heard. Together, we’re building a future of , , and for all team members!!

Job title - Assistant Manager / Manager - Employee Benefits–Claims Service Support

Reporting To – Deputy Vice President – International Business

Branch - Chennai

Job Summary / About the Role :

The International Business (IB) vertical, Employee Benefits Practice at Prudent, is a strategic business unit dedicated to strengthening Prudent’s global brand in the International market. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senior stakeholders globally and the seamless delivery of these best practices in India.

In the fast-growing domain of Employee Health, Wellbeing, and Benefits, both in India and internationally, Prudent’s specialized International Business (IB) team is acknowledged as one of the best in the industry and is known for driving sustainable business goals via expert consulting, advisory, and operational skills.

Contributing to Prudent's vision of being the country’s largest, most respected, and a truly “Indian” MNC in the insurance broking industry, the IB Team’s efforts will be committed to further strengthening this vision. If you believe you have what it takes to be part of a hardworking team that combines progressive outlooks with pragmatic advisory to deliver exceptional value to clients, drop in a line. Let’s talk!

Required Qualifications :

Education qualification : Bachelor's Degree, Master's Degree

Required Experience and Skills :

Should have good technical knowledge about Employee health Insurance / General Insurance products. (Cashless / Reimbursements)

Experience in General Insurance / Insurance Brokers

Years of experience : 2 to 5 years

Good knowledge of the TPA / Insurance processes

Well-versed with health insurance policy conditions

Well-versed with current medical practices & advancements

Should know about the IRDAI health regulation

Good listening & communication skills

Key Responsibilities :

1. Exceptional Employee Experience Support System by Prudent

Serve as the primary point of contact for all employee claim queries and own the process of developing strong employee relationships & engagement

2. Facilitating the cashless and reimbursement process :

Ensuring employees understand the steps involved in both cashless and reimbursement claims.

Offering exceptional support and guidance to employees / HR throughout the entire process to ensure a smooth experience.

3. E-cards / network hospitals :

To provide employees with e-cards and information about network hospitals.

4. Providing claim-related queries :

Addressing questions about claim status, claim deductions, and explanations of queries.

5. TPA Co-ordination :

Coordinating with TPA daily to ensure the smooth functioning of employee-related queries

6. Employee Engagement & Support SPOC :

Daily tracking of claims on status / rejections / deductions and providing the report to MCS