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Claims Representative

Claims Representative

Nucleon HealthVadodara, Gujarat, India
30+ days ago
Job description

🌟 Join Our Team as a Health Insurance Claims Executive! 🌟

📍 Location : Vadodara | 🕒 Full-time | On-site

🚀 Role Overview

We’re looking for a Health Insurance Claims Executive who is passionate about helping people and ensuring a smooth claim experience. In this role, you’ll act as the bridge between customers, hospitals, and insurers—handling claims with accuracy, empathy, and efficiency.

🎯 Key Responsibilities

📝 Process and evaluate health insurance claims with accuracy and fairness.

🔍 Verify policy coverage, eligibility, and supporting documents.

🤝 Coordinate with hospitals, TPAs, and policyholders for seamless claim settlements.

📊 Maintain proper records and follow up on pending claims to ensure timely resolution.

📢 Communicate clearly with customers and provide regular claim status updates.

✅ Ensure compliance with company policies and insurance regulations.

🔑 Requirements

  • ️ Experience in health insurance claims handling / management (TPA or insurer background preferred).
  • ️ Strong understanding of insurance processes and regulations.
  • ️ Excellent customer service and communication skills (written & verbal).
  • ️ Strong analytical, problem-solving, and attention-to-detail skills.
  • ️ Ability to work independently as well as collaboratively in a team.

🎓 Bachelor’s degree in Commerce, Healthcare, Insurance, or a related field preferred.

🌟 Why Join Us?

✨ Be part of a growing, people-first organization.

✨ Opportunity to make a real difference in customers’ lives.

✨ Collaborative work culture with growth opportunities.

✨ Competitive salary and benefits package.

💰 Budget : Up to ₹25,000 per month (based on interview and experience).

  • 📩 Interested? Send your resume to hr@nucleonhealth.com and take the next step in your career!
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    Representative • Vadodara, Gujarat, India