Senior Executive - Employee Benefit Claims

Job highlights

• Bachelor degree in Human Resources,Business Administration or a related field (preferred)
• As a Senior Executive \u2013 Employee Benefit Claims (Corporate Insurance & Client Servicing) plays a crucial role in managing employee benefit claims while ensuring a seamless experience for corporate clients

Job Summary

As a Senior Executive \u2013 Employee Benefit Claims (Corporate Insurance & Client Servicing) plays a crucial role in managing employee benefit claims while ensuring a seamless experience for corporate clients. This role involves liaising with clients, insurance providers and third-party administrators (TPAs) to facilitate smooth claim processing, resolve escalations and provide expert guidance on policy coverage. The role requires excellent communication, problem-solving skills and a client-centric approach to enhance customer satisfaction and build long-term relationships.

Job Details

• Experience Required: Minimum 1 year (Corporate Insurance, Client Servicing or Broking experience preferred)
• Educational Qualification: Bachelor/Master degree in Insurance, Finance, Business Administration or a related field

Key Responsibilities:

• Process and review employee benefit claims, including Group Health Insurance, Group Term Life Insurance and Group Personal Accident.
• Coordinate with Third-Party Administrators (TPAs) and insurance companies for claim processing and approvals.
• Track claims and update clients regarding their claim status.
• Assist in case of claim escalations, rejections, or disputes.
• Act as a point of contact between clients, hospitals and insurance providers.
• Educate clients about policy coverage, exclusions, and claim procedures.
• Conduct awareness sessions for corporate employees on insurance benefits.
• Arrange and attend client meetings at regular intervals.
• Organize wellness activities in corporate settings.

Qualifications & Skills:

• Bachelor degree in Human Resources, Business Administration or a related field (preferred).
• Strong communication and interpersonal skills.
• Knowledge of insurance policies, TPA processes and medical terminologies.
• Excellent problem-solving and persuasive abilities.
• Proficiency in MS Office & Email Writing.
• Ability to handle customer grievances effectively.