Claims Processing

Assist with the intake and initial review of incoming claims, ensuring all necessary documentation is submitted

Verify that claims information is accurate and complete.

Monitor third-party administrators utilization of appropriate vendor service providers ensuring proper coordination with doctors, employees and field management through reports.

Data Entry

Retrieve data as needed from third-party administer site or from internal systems for claim processing.

Data cleanup of historical claims, including loss type, injury, etc

Input and update claim data into the claims management system accurately.

Maintain comprehensive and organized claim records, ensuring data integrity.

Correspondence

Communicate with policyholders, claimants, insurance adjusters, and other stakeholders to request additional information or provide status updates on claims.

Draft and send letters, emails, and other correspondence as needed.

Claims Follow-Up

Assist in the follow-up process to ensure that all necessary steps are taken to resolve claims in a timely manner.

Track and monitor the progress of claims, escalating issues to supervisors as needed.

Customer Service

Provide excellent customer service by answering inquiries and addressing concerns from policyholders or claimants, offering guidance on the claims process and explaining policy coverage as needed.

Reporting & Compliance

Assist in preparing reports and documentation for management, including claims status updates, trends, and statistics.

Ensure that all claims processes are conducted in accordance with company policies, industry regulations, and legal requirements.

Must be able to work independently and maintain a high level of initiative and productivity.

Previous experience in an administrative role is preferred, with experience in insurance or claims processing being an advantage.

Basic understanding of insurance terminology and claims processes is preferred.

Shift Timings - 3 to 12 PM IST Rotational

Education