Key Responsibilities
Review and understand claim queries raised by TPAs/Insurers.
Identify and segregate the exact documents required against each query.
Contact users and collect the required documents within the defined TAT.
Follow up on pending/partial documents and maintain accurate remarks.
Verify the documents received and prepare the query document file.
Attach the query letter and ensure the complete set is ready for submission.
Coordinate courier/dispatch of the query file to the concerned TPA/insurer.
Maintain query trackers and update the status of every case.
Handle reconsideration/justification-related document requirements wherever applicable.
Ensure timely closure of pending queries and escalate cases requiring intervention.
Knowledge of Malayalam and/or Kannada will be an added advantage.

Job Details
Location:

Gurgaon, Haryana
Work Mode:

In office
Working Days:

6 Days a Week
Salary:

₹1,00,000 – ₹4,00,000 per annum

Ideal Candidate

Valuable communication, robust attention to detail, follow-up skills, basic Excel/Google Sheets knowledge, and preferably experience in health insurance claims / TPA operations.

📌 Insurance Query Analyst Gurugram
🏢 Aldun
📍 Gurugram