Job Title Claims Executive - Death Hospitalisation Employee Benefits Health Life Key Responsibilities 1 Claims Intimation Registration 1 Receive and register hospitalisation or death claims from clients HR departments or insured members 2 Validate the claim intimation details and supporting documents before forwarding to the insurer or TPA 3 Create and maintain claim tracking logs for each case 4 Review claim documents such as discharge summaries hospital bills death certificates FIR post-mortem reports if applicable and policy documents 5 Ensure completeness and correctness of claim files before submission 6 Follow up with clients or TPAs for missing or additional information 7 Liaise with insurance companies and TPAs for claim registration processing and settlement updates 8 Escalate delayed or disputed claims and assist in resolving issues through negotiation and clarification 9 Support claim approvals within agreed timelines 10 Track and monitor the status of all open claims 11 Prepare claim MIS and analysis reports for clients and management e g claim ratio turnaround time settlement trends 12 Highlight claim patterns or problem areas that may affect renewal or risk assessment 13 Act as a single point of contact for clients corporate HR or individual customers regarding claim status and documentation 14 Provide explicit communication on claim requirements process steps and timelines 15 Assist families sensitively and professionally in case of death claims 16 Ensure adherence to IRDAI regulations and company SOPs 17 Maintain digital and physical claim records in an organized and confidential manner 18 Support internal and external audits with proper documentation Key Skills Competencies 1 Strong knowledge of health life and group insurance claim processes 2 Excellent communication and empathy when handling sensitive death or hospitalisation cases 3 Analytical and documentation skills 4 Proficiency in MS Excel and claim tracking systems 5 Ability to coordinate with multiple stakeholders clients insurers TPAs Qualifications Experience 1 Graduate Postgraduate in Insurance Commerce or related field 2 2-5 years of experience in claims handling preferably in insurance broking TPA or insurer 3 Familiarity with IRDAI claim guidelines and insurer claim portals Any engineering graduate or diploma Certification in Insurance Licentiate Associate - III IIB will be added advantage 4 Freshers are welcome to apply there will 3 months training and 6months probation during training stipend will be 15000 - Performance Indicators KPIs 1 Claim turnaround time TAT and accuracy of documentation 2 Claim settlement ratio and client satisfaction scores 3 Compliance with claim handling and reporting standards 4 Responsiveness and resolution rate of escalated claims Job Type Full-time Pay 15 000 00 - 20 000 00 per month Work Location In person

📌 Claim Executive | Fresher Engineer (Maharashtra)
🏢 ACCURATE RISK MANAGERS AND INSURANCE BROKERS
📍 Maharashtra