Corporate Insurance Handling

Coforge; Dadri; On-site; INR 300,000 - 540,000; Full time

Job summary

Coforge in India is seeking a Claims Associate to assist employees with understanding of policy benefits, exclusions and claim processing, while coordinating cashless requests and reimbursement claims with TPA/ Insurer/ Broker/ Hospital. You will monitor claim status and maintain timely responses to employee inquiries.

The role requires strong follow-up and coordination, knowledge of insurance processes, and the ability to handle multiple cases while ensuring accurate record-keeping of

Qualifications

• Excellent verbal and written communication.
• Strong follow-up and coordination skills.
• Knowledge of insurance products and processes.
• Good understanding of cashless and reimbursement claims.
• Ability to handle multiple cases simultaneously.
• Experience with Office 365.
• Coordination with internal departments to ensure seamless work done.
• Ability to work under pressure in urgent cases.

Responsibilities

• Assist Employees with understanding of policy benefits, Exclusions and claim processing
• Maintaining the Response TAT through dedicated mail id
• Coordinate for cashless request & Reimbursement Claims with TPA/ Insurer/ Broker/ Hospital.
• Monitor & follow up on Claim Status with TPA
• Ensure timely follow-up on Queries claim with employees.
• Escalate complex issues to higher-level support teams.
• Ensuring accurate and up-to-date record-keeping of employee related grievances
• Continuously evaluate and improve the processes for efficiency and employee satisfaction.

Skills

Communication

Follow-up

Coordination

Insurance products

Cashless claims

Office 365

Internal coordination

Working under pressure

Tools

Office 365

Job description

• Assist Employees with understanding of policy benefits, Exclusions and claim processing
• Maintaining the Response TAT through dedicated mail id
• Coordinate for cashless request & Reimbursement Claims with TPA/ Insurer/ Broker/ Hospital.
• Monitor & follow up on Claim Status with TPA
• Ensure timely follow-up on Queries claim with employees.
• Escalate complex issues to higher-level support teams.
• Ensuring accurate and up-to-date record-keeping of employee related grievances
• Continuously evaluate and improve the processes for efficiency and employee satisfaction.

ROLE COMPETENCY

• Good communication and interpersonal skills.
• Strong Follow-up and coordination skills.
• Knowledge of insurance products and processes.
• Good understanding of Cashless and reimbursement claims
• Ability to handled multiple cases simultaneously.
• Experience with Office 365.
• Coordination with internal departments to ensure seamless work done.
• Ability to work under pressure, especially during critical/ urgent cases.