Claims Executive

Riskbirbal Insurance Brokers; Dadri, New Delhi; On-site; INR 300,000 - 600,000; Full time

Job summary

Riskbirbal Insurance Brokers in India is seeking a proactive claims coordinator to manage GHI, GPA, and GTLI claims for corporate clients. The role includes endorsements, data updates, and monthly MIS. Strong communication, detailing, and MS Excel skills are preferred, with prior health insurance claims experience desirable.

You will coordinate with clients, insurers, and TPAs, conduct monthly client meetings, and maintain records to ensure timely resolutions and high service levels.

Qualifications

• Good knowledge of GHI, GPA, and GTLI.
• Good communication and client-handling skills.
• Strong follow-up and coordination abilities.
• Good knowledge of MS Excel and reporting.
• Attention to detail and ability to manage multiple tasks.
• Prior experience in health insurance claims/servicing or employee benefits will be preferred.

Responsibilities

• Handle and coordinate GHI, GPA and GTLI claims from intimation to settlement.
• Coordinate with clients, insurance companies, and TPAs for timely claim processing.
• Manage additions and deletions (endorsements) of new joiners and exited employees.
• Ensure employee data and policy records are updated accurately and on time.
• Follow up on pending claims and endorsements and maintain proper records.
• Resolve client queries related to claims, endorsements, and policy servicing.
• Conduct and coordinate monthly meetings with clients to review claims, pending cases, and service-related issues.
• Prepare monthly MIS and reports related to claims and endorsements.
• Escalate unresolved issues to the concerned team/manager for timely resolution.
• Maintain strong and professional relationships with corporate clients.

Skills

GHI/GPA/GTLI knowledge

Communication skills

Coordination skills

Attention to detail

Multitasking

Tools

MS Excel

Job description

Role & responsibilities

We are looking for a proactive and detail-oriented professional to manage GHI, GPA, and GTLI claims, along with employee additions and deletions (endorsements) for corporate clients.

Key Responsibilities

1. 1. Handle and coordinate GHI, GPA, and GTLI claims from intimation to settlement.
2. 2. Coordinate with clients, insurance companies, and TPAs for timely claim processing.
3. 3. Manage additions and deletions (endorsements) of new joiners and exited employees.
4. 4. Ensure employee data and policy records are updated accurately and on time.
5. 5. Follow up on pending claims and endorsements and maintain proper records.
6. 6. Resolve client queries related to claims, endorsements, and policy servicing.
7. 7. Conduct and coordinate monthly meetings with clients to review claims, pending cases, and service-related issues.
8. 8. Prepare monthly MIS and reports related to claims and endorsements.
9. 9. Escalate unresolved issues to the concerned team/manager for timely resolution.
10. 10. Maintain strong and professional relationships with corporate clients.

Preferred candidate profile

1. 1. Good knowledge of Group Health Insurance (GHI), GPA, and GTLI.
2. 2. Good communication and client-handling skills.
3. 3. Strong follow-up and coordination abilities.
4. 4. Good knowledge of MS Excel and reporting.
5. 5. Attention to detail and ability to manage multiple tasks.
6. 6. Prior experience in health insurance claims/servicing or employee benefits will be preferred.