Key Responsibilities Review and process cashless and reimbursement claims submitted by policyholders or hospitals Scrutinize medical documents and verify claim eligibility as per policy terms Coordinate with TPAs hospitals internal teams and customers for claim-related queries and clarifications Maintain accurate records and update claim status in the system Flag and escalate suspicious or fraudulent claims to the investigation team Ensure timely settlement of claims within defined TATs Provide support in claim audits and reporting Maintain adherence to IRDAI guidelines and internal SOPs Required Skills Competencies Strong attention to detail and analytical ability Valuable understanding of health insurance processes for experienced candidates Basic knowledge of medical terminology is preferred Excellent communication skills written and verbal Ability to handle customer queries with patience and professionalism Proficient in MS Office and claims management systems training will be provided to freshers Eligibility Criteria Educational Qualification Graduate preferably in Life Sciences Pharmacy Nursing or any related field Experience Freshers with good communication and willingness to learn can apply Experienced candidates in health claims TPA or hospital billing will be preferred Job Types Full-time Permanent Pay 25 000 00 - 35 000 00 per month Benefits Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule Day shift Fixed shift Morning shift Application Question s How many years of experience do you have in Health Insurance Claims in Indian Process Do you have experience of Health Claims in Indian Process Do you have experience of handling clients over call and solve their queries Experience Insurance 2 years Required Language English Required Rate your English communication skill out of 10 Required Location Gurugram Haryana Required Work Location In person

📌 Associate- Health Insurance, Claims (Haryana)
🏢 Cover you
📍 Haryana