Employer description & source details
Review, verify, and process insurance claims in accordance with policy terms and established procedures. Examine claim forms, supporting documents, and other relevant information to ensure completeness and accuracy. Assess claim eligibility, validate coverage details, and identify discrepancies or missing documentation. Coordinate with customers, internal teams, surveyors, and other relevant stakeholders to facilitate claim processing. Monitor claim status and ensure timely follow-ups for pending documents, approvals, and settlements. Investigate irregularities, inconsistencies, or potential fraudulent claims and escalate concerns when necessary. Maintain accurate claim records, case notes, and documentation in accordance with company standards. Respond to customer queries regarding claim requirements, processing status, and settlement procedures. Ensure compliance with applicable insurance regulations, internal policies, and service-level timelines. Identify opportunities to improve claim processing efficiency, accuracy, and customer satisfaction. Minimum 2+ years of experience in insurance claims processing, claims administration, or a related role. Strong understanding of insurance claims procedures, policy coverage, documentation, and settlement workflows. Ability to review and validate claim documents with a high level of accuracy and attention to detail. Good analytical, problem-solving, and decision-making skills. Strong communication and coordination skills for effective customer and stakeholder interaction. Ability to manage multiple claims, prioritize tasks, and meet deadlines. Proficiency in MS Office and the ability to work with claims management systems. High standards of integrity, confidentiality, and professionalism. Willingness to work from Ahmedabad or