Job DescriptionCustomer Service Executive – Claims

Location: Chennai

Employment Type: Full-time

Function: Customer Service / Claims

Experience: 1–3 years in Insurance Claims / Customer Service / Employee Benefits / TPA Operations preferred

About the Role

We are looking for a Customer Service Executive – Claims to be deployed at a client’s premises and serve as the primary point of contact for employees requiring assistance with their insurance claims.

The role involves end-to-end coordination of employee claims, including collecting and verifying claim documents, assisting employees with claim-related queries, submitting and processing claims, following up with the insurer/TPA, and ensuring timely reimbursement and closure.

The candidate should be highly organised, responsive and comfortable handling a large employee population and a high volume of claims while maintaining accuracy and service quality.

Key Responsibilities

- Act as the on-site claims support representative for the client's employees.
- Assist employees with queries relating to medical insurance claims, reimbursement procedures, documentation and claim status.
- Collect claim documents from employees and verify them for completeness, accuracy and eligibility.
- Identify missing or incorrect documents and coordinate with employees for timely submission.
- Prepare and submit claim documents to the insurer/TPA within the required timelines.
- Track claims from submission through processing, approval and reimbursement.
- Follow up proactively with the insurer/TPA on pending, queried or delayed claims.
- Maintain an updated claim tracker/MIS covering submitted, pending, approved,



rejected and settled claims.
- Ensure claims are processed and followed up promptly and within agreed turnaround times (TAT).
- Escalate delayed or complicated claims to the appropriate internal/insurance team.
- Maintain proper records of all claim-related communication and documentation.
- Provide regular updates to employees on the status of their claims.
- Handle employee interactions professionally and with appropriate sensitivity, particularly in cases involving hospitalization or significant medical expenses.
- Coordinate with the client's HR/administration team and Sriyah's internal claims team as required.
- Ensure confidentiality and proper handling of employee and medical information.
- Support periodic reporting and reconciliation of claims as required.

Key Skills & Competencies
- Strong customer service and employee handling skills.
- Good understanding of health insurance claims and reimbursement processes.
- Robust document verification and attention to detail.
- Ability to manage multiple claims simultaneously and work under time-sensitive conditions.
- Solid follow-up and coordination skills.
- Valuable written and verbal communication skills in English.
- Hindi language proficiency is mandatory, as the role involves assisting a diverse employee population.
- Tamil communication skills would be an added advantage.
- Good working knowledge of MS Excel and basic MIS reporting.
- Ability to maintain accurate records and meet defined TATs.
- Skilled, patient and service-oriented approach.

Pay: From ₹15,000.00 per month

Benefits

- Health insurance
- Life insurance
- Paid time off
- Provident Fund

Work Location: In person

📌 Customer service - Claims (Chennai)
🏢 Sriyah Insurance Brokers
📍 Chennai