Job Description
– CRM (Health Insurance / Medical Claims) Company: Accurate Risk Managers & Insurance Brokers Pvt. Ltd.

Location:
Hinjewadi & PCMC Area, Pune Department: Health Insurance / Employee Benefits Position: CRM – Health Insurance / Medical Claims Employment Type: Full-Time Job Summary We are looking for a Client Relationship Manager (CRM) to manage day-to-day employee and client queries at client locations across Hinjewadi and PCMC areas. The role will primarily involve handling Health Insurance / Group Medical Insurance (GMC) and Medical Claims, coordinating with TPAs, insurance companies, hospitals, and internal teams to ensure timely resolution of queries and claims.

Key Responsibilities
• Handle day-to-day health insurance and medical claim-related queries at client locations.
• Assist employees with cashless hospitalization, reimbursement claims, claim status, documentation, approvals, and settlements.
• Coordinate with TPAs, insurance companies, hospitals, and internal teams for claim resolution.
• Provide on-site support and guidance to employees regarding their Group Medical Insurance (GMC) benefits.
• Follow up on pending claims and ensure timely resolution of open cases.
• Coordinate with the HR/Admin team at client locations for insurance-related matters.
• Maintain proper records of employee queries, claims, follow-ups, and resolutions.




• Escalate complex or delayed claims to the appropriate TPA, insurer, or internal team.
• Build and maintain a solid relationship with clients and employees.
• Ensure a high level of customer service and client satisfaction. Candidate Eligibility
• Minimum Qualification: Graduate in any discipline.
•

Experience:
1–4 years of experience in Health Insurance / Medical Claims / TPA / Insurance Broking / Employee Benefits.
• Prior experience in Group Medical Insurance (GMC) and medical claims will be preferred.
• Candidate must have a valid two-wheeler driving licence.
• Candidate should have their own two-wheeler for travelling to client locations.
• Should be comfortable travelling across Hinjewadi & PCMC areas.
• Good communication and interpersonal skills.
• Strong follow-up, coordination, and problem-solving abilities.
• Good working knowledge of MS Office / MS Excel.
• Candidates from TPA, Insurance Company, Insurance Broking, or Corporate Health Insurance backgrounds will be preferred. Key Skills Health Insurance | Medical Claims | GMC | Cashless Claims | Reimbursement Claims | TPA Coordination | Client Handling | Employee Query Resolution | Customer Relationship Management | Follow-up & Escalation Work Location Hinjewadi & PCMC Area, Pune Role Nature: Client-Facing / On-Site Department: Health Insurance / Employee Benefits

📌 CRM - General Insurance | General Insurance | Pune (India)
🏢 Accurate Risk managers and Insurance Brokers
📍 India