Claims Associate

Nova Benefits; Bengaluru; On-site; INR 600,000 - 900,000; Full time

Job summary

Nova Benefits in Bengaluru is seeking a Claims Associate to own the end-to-end claims experience for client employees—from first query to final resolution. You will be the primary contact between employees, insurers, and TPAs, ensuring timely processing and accurate documentation.

You will communicate claim status, guide employees through the process, verify documentation, assist with form submission, track progress, coordinate with TPAs/insurers, translate queries into plain language, handle

Qualifications

• 3-10 years of experience in a claims role, ideally with a broking firm, TPA, or insurer.
• Strong oral and written communication skills, with the ability to explain claims processes clearly and effectively.
• Strong working knowledge of group health insurance, including GMC policy terms and conditions.
• End-to-end knowledge of processing both cashless and reimbursement claims.
• Good understanding of how TPAs and insurance companies operate, including claims coordination and query resolution.
• Empathy and patience when handling employee queries, concerns, and escalations, with the ability to work effectively in a fast-paced, multitasking environment.
• Good Excel skills and strong attention to detail are a plus.

Responsibilities

• Communicate with employees on claim status, process, and requirements.
• Explain the claims process clearly, over email, call, and in conversation.
• Follow up on and verify claim documentation for completeness and accuracy.
• Assist employees in filling out claim forms correctly the first time.
• Track claim status end-to-end and proactively update employees.
• Coordinate with TPAs/insurers to push claims through and resolve queries.
• Translate insurer/TPA queries into plain language for employees, and guide them on how to respond.
• Manage and resolve claims-related escalations.
• Collect claim feedback to identify process gaps.
• Ensure on-time settlement of reimbursement claims.

Skills

Communication skills

Excel skills

Attention to detail

Job description

Nova Benefits is building India's most loved employee health and wellness platform. We work with some of the country's best employers to give their teams access to high-quality healthcare, and we believe technology is the unlock that makes this possible at scale. We are not just another insurance broker. We think of ourselves as an HR tech company that happens to hold an IRDAI broking license. Our north star is employee happiness, not premium volume.

We are backed by Bessemer Venture Partners, SIG, Better Capital, Titan Capital, and Multiply Ventures, and we are a Series A company with a strong track record of building fast and building well.

Job Description

The Role

As a Claims Associate, you'll own the end-to-end claims experience for our clients' employees - from the first query to final resolution. You'll be the primary point of contact between employees, insurers, and TPAs, making sure claims move quickly, documentation is accurate, and escalations are resolved before they become churn risks.

What You'll Own

• Communicate with employees on claim status, process, and requirements.
  
• Explain the claims process clearly, over email, call, and in conversation.
  
• Follow up on and verify claim documentation for completeness and accuracy.
  
• Assist employees in filling out claim forms correctly the first time.
  
• Track claim status end-to-end and proactively update employees.
  
• Coordinate with TPAs/insurers to push claims through and resolve queries.
  
• Translate insurer/TPA queries into plain language for employees, and guide them on how to respond.
  
• Manage and resolve claims-related escalations.
  
• Collect claim feedback to identify process gaps.
  
• Ensure on-time settlement of reimbursement claims.
  

What We're Looking For

• 3-10 years of experience in a claims role, ideally with a broking firm, TPA, or insurer.
  
• Strong oral and written communication skills, with the ability to explain claims processes clearly and effectively.
  
• Strong working knowledge of group health insurance, including GMC policy terms and conditions.
  
• End-to-end knowledge of processing both cashless and reimbursement claims.
  
• Good understanding of how TPAs and insurance companies operate, including claims coordination and query resolution.
  
• Empathy and patience when handling employee queries, concerns, and escalations, with the ability to work effectively in a fast-paced, multitasking environment.
  
• Good Excel skills and strong attention to detail are a plus.
  

Why This Role

• Own the end-to-end claims experience for our clients' employees.
  
• Work directly with employees, insurers, and TPAs to drive timely claim resolution.
  
• Play a key role in resolving escalations and ensuring a smooth employee experience.
  
• Identify process gaps through claim feedback and contribute to improving the claims experience.