Executive / Insurance

Role Overview :

The Insurance Claims Coordinator is responsible for managing the end-to-end process of employee medical claims, from documentation collection to final settlement. This role ensures timely renewals, accurate records, and effective coordination with employees and insurers to maintain a smooth claim experience.

Key Responsibilities :

• Claim Documentation :
• Collect and verify required documents from employees for initiating medical insurance claims.
• Claim Processing :
• Handle the entire claims process, from submission to final settlement.
• Liaise with insurers and third-party administrators (TPAs) to track claim status and resolve issues.
• Claim MIS (Management Information System) :
• Maintain and update claim records and generate periodic reports for management review.
• Monitor claim trends and flag irregularities for further investigation.
• Renewal Quotations :
• Coordinate with insurance providers to obtain and compare renewal quotations.
• Assist in selecting the most suitable options for policy renewal.
• Employee Coordination :
• Act as the point of contact for employees regarding medical claims and insurance-related queries.
• Provide guidance on policy coverage, exclusions, and claim procedures.

Role Details :

Role :   Claims Executive

Industry Type :   Industrial Equipment / Machinery

Department :   BFSI, Investments & Trading

Employment Type :   Full Time, Permanent

Role Category :   General Insurance

Education

UG :   Any Graduate

PG :   Any Postgraduate

Skills Required

Mis, Claims Processing