About the Company
Niva Bupa Health Insurance Company Limited is a Public Listed Company on Stock exchange(s).
The company's purpose is to give every Indian the confidence to access the best healthcare. It intends to play the role of an enabler in the lives of its customers and help them live life without constraints. This is reflected in its brand philosophy – 'Zindagi Ko Claim Kar Le'.
As of March 31, 2026, Niva Bupa had over 210 physical branches across India. It additionally offers health insurance through its ecosystem partners including 2.4 Lakh agents, close to 600 brokers, and over 120 Banca & Other Corporate Agency Partners. The company currently covers over 25 million lives and has over 10,500 hospitals empanelled in its hospital network.
Niva Bupa has consistently maintained 90%+ claim settlement ratio over the last 5 financial years.
With an employee base of over 10,100 people, the company is a certified Excellent Place to Work six times in a row.
About the Role
The Team Leader – Health Claims Investigation manages internal investigators and external agencies to maximize fraud detection and regulatory compliance. The role drives operational efficiency through daily case allocation, tracks team and vendor productivity, delivers continuous quality training, and resolves complex medical escalations.
Responsibilities
Workflow & Productivity Management
Identify red flags in health and personal accident claims, prescribing exact lines of inquiry for field teams.
Allocate claims daily to internal investigators and external agencies based on caseload expertise and geography.
Track daily productivity, active caseloads, and turnaround times (TAT) for internal teams and external vendors.
Monitor operational capacity daily to eliminate case backlogs and optimize ongoing investigation workflows.
Quality Assurance & Training
Track and evaluate daily investigation quality metrics for both in-house investigators and external vendors.
Design and deliver routine training progr
📌 Team leader (Ahmedabad)
🏢 Niva Bupa Health insurance
📍 Ahmedabad
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