Job Description Health Insurance Claims Executive

Position: Health Insurance Claims Executive
Department: Health Insurance
Company: Choice Insurance Broking India Private Limited
Location: Mumbai
Experience Required: Minimum 2 Years
Employment Type: Full-Time

About the Role

We are looking for an experienced Health Insurance Claims Executive to join our team. The ideal candidate should have hands-on experience in handling health insurance claims, coordinating with insurance companies, hospitals, TPAs, and customers to ensure smooth and timely claim settlement.

Key Responsibilities
Handle end-to-end health insurance claim processes (Cashless & Reimbursement).
Coordinate with insurance companies, partners, customers, TPAs, hospitals, and customers for claim processing.
Assist customers with claim documentation and submission.
Follow up on pending claims and ensure timely resolution.
Track claim status and provide regular updates to customers and internal teams.
Resolve claim-related queries and escalate complex cases when required.
Ensure compliance with insurer guidelines and company SOPs.
Maintain accurate claim records and MIS reports.




Support customers during hospitalization and claim settlement.
Build and maintain robust relationships with insurers, TPAs, and hospital partners.

Required Skills
Strong knowledge of health insurance claim processes.
Good understanding of cashless and reimbursement claims.
Excellent communication and coordination skills.
Ability to manage multiple claims simultaneously.
Positive knowledge of Microsoft Excel, Outlook, and MS Office.
Solid problem-solving and customer service skills.
Attention to detail and documentation accuracy.

Eligibility
Graduate in any discipline.
Minimum 2 years of experience in Health Insurance Claims (Insurance Broking, Insurance Company, or TPA).
Prior experience in customer claim handling is mandatory.

Preferred Candidates
Candidates with experience in insurance broking will be preferred.
Immediate joiners are preferred.

What We Offer
Competitive salary based on experience.
Career growth opportunities.
Supportive and collaborative work environment.
Exposure to multiple leading health insurance companies and TPAs.

📌 Health Claims Executive Mumbai
🏢 Choice International
📍 Mumbai