21 Oct
|
Miracle Group of Companies
|
Jaipur
21 Oct
Miracle Group of Companies
Jaipur
Company: Miracle Group of Companies
Department: HR & Administration
Experience: 1–3 Years
Job Location: Jaipur, Rajasthan
Employment Type: Full-time
Job Description
Miracle Group of Companies is looking for a proactive and employee-oriented Insurance Executive to manage Group Medical Insurance (GMC), coordinate with insurance companies and Third-Party Administrators (TPAs), and ensure smooth insurance-related services for employees.
The ideal candidate should have strong communication and coordination skills, a service-oriented approach, and the ability to build and maintain positive relationships with employees, insurance providers, and TPAs.
Key Responsibilities
- GMC Management: Manage the Group Medical Insurance policy, including employee enrolment, additions, deletions, endorsements, renewals, and policy-related documentation.
- Employee Coordination: Act as the primary point of contact for employees regarding GMC coverage, benefits, eligibility, policy terms, and claim-related queries.
- Insurance Company & TPA Coordination: Maintain effective working relationships with insurance companies and TPAs to ensure timely responses and resolution of employee concerns.
- Claims Assistance: Assist employees with cashless hospitalization, reimbursement claims, documentation, claim tracking, and follow-ups with the insurer/TPA.
- Employee Relationship Management: Build trust and maintain positive relationships with employees by providing timely guidance, clear communication, and regular follow-ups on insurance matters.
- Issue Resolution: Coordinate and escalate delayed claims, rejected claims, documentation gaps, and other insurance-related issues until resolution.
- Policy Communication: Conduct employee awareness sessions and communicate policy coverage, exclusions,
claim procedures, hospital network details, and renewal updates.
- Data & Documentation: Maintain accurate employee insurance records, dependent details, enrolment data, claim trackers, and policy documents while ensuring confidentiality.
- Renewal & Premium Coordination: Coordinate with HR, Finance, insurance companies, and brokers for policy renewals, premium details, employee data validation, and related formalities.
- Reporting: Prepare periodic reports on employee enrolment, claims status, pending cases, and recurring issues for Management review.
Required Qualifications & Skills
- Graduate in any discipline; a qualification in Insurance, Finance, or HR will be an advantage.
- 1–3 years of experience in insurance operations, preferably in Group Medical Insurance (GMC).
- Experience coordinating with insurance companies, brokers, and TPAs.
- Valuable understanding of cashless and reimbursement claim processes.
- Excellent communication, interpersonal, and employee-handling skills.
- Strong follow-up, coordination, documentation, and problem-solving abilities.
- Proficiency in MS Excel and basic reporting.
What We Are Looking For
- Someone who can build strong relationships with both employees and insurance partners.
- A responsive professional who can handle employee concerns with patience, empathy, and confidentiality.
- A candidate who takes ownership of insurance cases and follows them through to resolution.
- Someone capable of ensuring a smooth and employee-friendly GMC experience.
Interested candidates can apply through Indeed or WhatsApp at +91-XXXXXXXXXX or E-mail us at
[email protected]
Pay: ₹20,000.00 - ₹30,000.00 per month
Benefits:
- Cell phone reimbursement
- Paid time off
- Provident Fund
Work Location: In person
📌 Insurance Executive (Jaipur)
🏢 Miracle Group of Companies
📍 Jaipur