Vidal is hiring for Claims-Executive Work Location Gurgaon Work from Office only Key Responsibilities Claim Review Validation - Examine submitted claims for completeness and accuracy - Verify policy coverage and eligibility - Identify discrepancies or missing documentation Claims Processing - Enter and adjudicate claims in the system cashless reimbursement - Calculate payable amounts as per policy terms - Ensure timely processing within defined SLAs Stakeholder Communication - Liaise with policyholders hospitals and insurers for claim clarifications - Respond to queries and provide claim status updates - Coordinate with Preauth and Customer Care teams Documentation Compliance - Maintain detailed records of claims and actions taken - Ensure adherence to IRDAI guidelines and internal SOPs - Flag potential fraud or irregularities for investigation Reporting Analysis - Generate daily weekly monthly claim reports - Track claim trends and highlight recurring issues - Support audits and internal reviews with accurate data Skills Competencies Strong attention to detail and data accuracy Familiarity with medical terminology ICD CPT codes Proficiency in claims software Portal Effective communication and problem-solving skills Ability to manage sensitive information with discretion Experience Required 2-3 years of experience in claims processing within the TPA or Health Insurance domain Exposure to group health policies and coordination with hospitals or corporate clients is preferred Interested candidate can connect (phone hidden) Job Types Full time Permanent Pay 20 000 00 - 25 000 00 per month Experience total work 1 year Preferred Work Location In person