Claim Processing jobs in Pune, Maharashtra

Job Description – CRM Helpdesk Consultant

Watch Your Health (WYH) is an InsurTech-enabled healthcare services company supporting insurers and corporates across the employee health insurance journey through structured processes, digital platforms, and service excellence.

As part of these engagements, WYH is hiring Health Insurance Claims Executives to provide dedicated claims support for leading insurance companies at corporate client locations.

Role Overview

The executive will act as a dedicated claims support interface for corporate employees, ensuring seamless coordination between employees, insurance partners, and internal claims teams for both cashless and reimbursement claims.

Key Responsibilities

• Provide on-site CRM and health insurance claim support at assigned corporate/client locations
• Act as a Single Point of Contact (SPOC) for employee queries related to health insurance claims
• Assist employees with cashless and reimbursement claim submission and tracking using insurer claim platforms
• Address queries related to policy coverage, benefits, and claim processes
• Coordinate with internal claims teams of insurance partners to facilitate timely cashless approvals and priority processing
• Collect, verify, and dispatch claim documents as per corporate and insurer requirements
• Handle employee calls and emails with a strong service and resolution focus
• Stay updated on health insurance regulations, policies, and process changes
• Maintain confidentiality of sensitive information and adhere to data protection guidelines
• Travel up to twice a week between assigned branches or corporate locations to provide on-ground support

Candidate Requirements

• Minimum 2 years of experience in the health insurance industry, preferably in claims processing
• Hands-on experience with cashless and reimbursement claims
• Good understanding of corporate health insurance policies
• Excellent English communication skills (mandatory)
• Graduate in any discipline

Employment Details

• Employer: Watch Your Health (WYH)
• Location: Mumbai/Navi Mumbai/Bangalore/Chennai/Delhi/Gujarat/Pune
• Employment Type: Full-time
• Work Mode: In-person / On-site

Pay: ₹12,261.96 - ₹36,646.61 per month

Work Location: In person