Employee Benefits-Claims

Salasar Services Insurance Brokers; Kolkata District; On-site; INR 250,000 - 450,000; Full time

Job summary

Salasar Services Insurance Brokers is hiring to manage employee benefits claims, primarily GMC and GPA, and to coordinate with clients, employees, TPAs and insurers. The role requires timely processing, verification of documents, and proactive updates to clients.

The ideal candidate has 1–2 years in health claims, good MS Excel skills, and strong communication and follow-up abilities. Customer-oriented service is essential for success.

Qualifications

• 1–2 years of experience in Employee Benefits Claims / Health Insurance Claims.
• Candidates from TPA, Insurance Broking or Insurance Company background preferred.
• Exposure to GMC/GPA claims is an advantage.
• Good communication and coordination skills.
• Strong follow-up and problem-solving ability.
• Good knowledge of MS Excel and basic MIS reporting.
• Customer/client-service orientation is essential.

Responsibilities

• Handle day-to-day Employee Benefits claims, primarily GMC and GPA.
• Coordinate with clients, employees, TPAs and insurers for claim processing.
• Follow up on pending claims, documents and approvals.
• Verify claim documents for completeness before submission.
• Maintain claim trackers and provide regular updates to clients.
• Address employee/client queries related to claim status and settlement.
• Escalate delayed claims to stakeholders.
• Maintain records and MIS of claims handled.
• Ensure timely and professional client servicing.

Skills

Communication

Coordination

Customer service

Follow-up

Problem-solving

Tools

MS Excel

MIS Reporting

Job description

Role & responsibilities

• Handle day-to-day Employee Benefits claims, primarily Group Mediclaim (GMC) and Group Personal Accident (GPA).
• Coordinate with clients, employees, TPAs and insurance companies for claim processing and resolution.
• Follow up on pending claims, documents and approvals.
• Verify claim documents and ensure completeness before submission.
• Maintain claim trackers and provide regular updates to clients.
• Address employee/client queries related to claim status, documentation and settlement.
• Escalate critical or delayed claims to the appropriate stakeholders.
• Maintain proper records and MIS of claims handled.
• Ensure timely and professional client servicing.

Preferred candidate profile

• 1-2 years of experience in Employee Benefits Claims / Health Insurance Claims.
• Candidates from TPA, Insurance Broking or Insurance Company background preferred.
• Exposure to GMC/GPA claims will be an advantage.
• Good communication and coordination skills.
• Strong follow-up and problem-solving ability.
• Good knowledge of MS Excel and basic MIS reporting.
• Customer/client-service orientation is essential.