Claims Executive

Servify; Mumbai; On-site; INR 400,000 - 600,000; Full time

Job summary

Servify, a global product lifecycle platform, is hiring a Claims Adjudication Executive in Mumbai. You will handle end-to-end claim processing, adjudication, and fulfilment monitoring with a focus on timely resolution and adherence to TAT.

Role requires 1–4 years’ experience in claims processing, strong attention to detail, good communication, and proficiency with claims/CRM platforms and MS Excel. Join a fast-growing tech company with diverse, inclusive culture.

Qualifications

• 1–4 years experience in claims processing or similar roles.
• Strong attention to detail and policy understanding.
• Good verbal and written communication; able to interact with customers and service centres.

Responsibilities

• Review and adjudicate claims across types.
• Make approve/reject/referral decisions within defined SLAs.
• Monitor end-to-end fulfilment including repairs, logistics, payments.
• Track ageing claims and coordinate with stakeholders to meet TAT.
• Identify and escalate potential fraud and discrepancies; document notes.

Skills

Attention to detail

Policy interpretation

Verbal communication

CRM platforms

MS Excel

Tools

MS Excel

CRM platforms

Job description

Servify is a global product lifecycle management platform transforming the after-sales service experience. Founded in 2015 and headquartered in India, Servify connects leading OEM brands with their sales and service ecosystems to deliver seamless customer support and service operations. Servify partners with leading brands, retailers, distributors, insurers, service providers, and carriers across Asia, North America, Europe, and the MENA region.

Servify embraces and values diversity and is committed to be an equal opportunity employer. We welcome applications from all members and will give equal consideration to all irrespective of age, disability, gender, sexual orientation, ethnicity, nationality, religion or belief.

Why Join Servify?

At Servify, you'll be part of a fast-growing global technology company that encourages innovation, ownership, and continuous learning. We offer competitive compensation, ESOPs, employee-friendly policies, modern collaboration tools, professional development opportunities, and benefits that help you do your best work.

Position Summary:

The Claims Adjudication Executive will be responsible for end-to-end claim processing, including accurate adjudication, fulfilment monitoring, and timely resolution. The role involves assessing claims against programme policies, coordinating with customers and service centres, monitoring claims through closure, and ensuring adherence to defined TAT. The position also requires strong attention to detail and judgement while identifying delays

Key Responsibilities:

• Review and adjudicate claims across different claim types.
• Make accurate approve, reject, or refer decisions within defined SLAs.
• Monitor approved claims throughout the end-to-end fulfilment process, including repairs, replacements, logistics, payments, deductibles, and other applicable stages.
• Track ageing claims and proactively coordinate with Service Centres, Logistics, Customer Service, and other stakeholders to ensure fulfilment within TAT.
• Conduct inbound and outbound calls with customers and service centres to clarify claim details and resolve discrepancies.
• Identify and escalating potential fraud, duplicate claims, policy misuse, and other exceptions.
• Maintain accurate claim status, actions, and adjudication/fulfilment notes in the 360 platform.
• Identify recurring errors, process/system gaps, and manual inefficiencies, and raise relevant Jira tickets.

Requirements:

• 1–4 years of experience in claims processing, insurance adjudication, back-office operations, fulfilment or similar decisioning roles.
• Strong attention to detail and ability to interpret policy and coverage terms.
• Good verbal and written communication skills, with confidence in customer and service-centre interactions.
• Ability to manage multiple claims through different stages while maintaining TAT and follow-up discipline.
• Ability to make objective, evidence-based decisions within strict TAT.
• Basic understanding of device warranty/insurance concepts; experience with EW, ADH, ADLD, AE, NFF or IMEI validation is an advantage.
• Experience with claims/CRM platforms and MS Excel.