The Insurance Claims Coordinator is responsible for managing the end-to-end process of employee medical claims, from documentation collection to final settlement. This role ensures timely renewals, accurate records, and effective coordination with employees and insurers to maintain a smooth claim experience.
Key Responsibilities:
- Claim Documentation:
- Collect and verify required documents from employees for initiating medical insurance claims.
- Claim Processing:
- Handle the entire claims process, from submission to final settlement.
- Liaise with insurers and third-party administrators (TPAs) to track claim status and resolve issues.
- Claim MIS (Management Information System):
- Maintain and update claim records and generate periodic reports for management review.
- Monitor claim trends and flag irregularities for further investigation.
- Renewal Quotations:
- Coordinate with insurance providers to obtain and compare renewal quotations.
- Assist in selecting the most suitable options for policy renewal.
- Employee Coordination:
- Act as the point of contact for employees regarding medical claims and insurance-related queries.
- Provide guidance on policy coverage, exclusions, and claim procedures.
Role Details:
- Department: Human Resources / Employee Perks
- Employment Type: Full Time, Permanent
- Role Category: HR Operations / Insurance Support