Claims Processing Associate

Family Health Plan (FHPL); Chennai District; On-site; INR 300,000 - 540,000; Full time

Job summary

Family Health Plan (FHPL) is seeking a proactive client servicing professional to assist associates with policy terms, eligibility, and claim timelines. You will support hospitalization procedures, network confirmations, and enrollment queries, including coverages for parents and newborns, while coordinating with HR for pan-India admissions and claims.

The role requires strong communication, interpersonal skills, and the ability to remain calm under pressure.

Qualifications

• Excellent communication and listening skills.
• Strong interpersonal abilities and customer-facing experience.
• Ability to stay calm under pressure and handle conflicts effectively.
• Proficient in multitasking and using basic project management tools.

Responsibilities

• Assist associates on policy terms, sum insured, eligibility and claim submission timelines.
• Support hospitalization procedures and network hospital confirmations.
• Handle enrollment queries, including parents and newborn coverage and premium impacts.
• Provide timely HR assistance and coordinate pan-India admissions and claims with the HR team.
• Assist with reimbursement and cashless claim processes; guide claim form submission.

Skills

Communication skills

Interpersonal skills

Multitasking

Problem solving

Project management tools

Education

Bachelor's degree

Job description

Role & responsibilities

• Assisting associate on policy terms and conditions, including sum insured and eligibility and also, claim submission timelines.
• Assisting associate Hospitalization procedures and network hospital confirmation is also provided.
• Enrollment queries, especially for coverage of parents and newborn baby; along with the premium impact.
• Comfort being provided to employees in time of emergencies through phone & physical presence.
• Assisting Associate for reimbursement claims & cashless queries.
• Associates require support in understanding and filling the claim form and documents submission.
• Assisting associate for Ecard & necessary addition of members.
• Should have good communication skills , knowledge about policy coverage benefits.
• HR dependency on helpdesk person for necessary coordination pan India admissions & claims.
• Discussing problematic claims with HR for necessary support
• Most important, Human Touch and Building relationship with HR team & associates and Polite behaviour

Preferred candidate profile

• Bachelor's degree in any stream with 1+ years in client servicing, account management, or a related field.
• Exceptional interpersonal, listening, and verbal/written communication skills.
• Ability to remain calm under pressure and manage conflict effectively.
• Strong multitasking capabilities, problem-solving mindset, and proficiency in project management tools.