Job Summary:

We are looking for a detail-oriented and process-driven professional with 3 to 6 years of experience in health insurance backend operations for our NBFC client. This role involves executing day-to-day operational activities such as policy administration, claims coordination, data processing, and compliance support. The ideal candidate should have a solid understanding of health insurance

workflows and regulations, with a focus on accuracy and timeliness.

Key Responsibilities:

• Policy Lifecycle Management:
  • Handle end-to-end processing of policy issuance, endorsements, cancellations, and renewals
  • Validate policy data and documentation for accuracy and compliance
  • Coordinate internally with underwriting and sales support teams for policy inputs
• Claims Coordination:
  • Facilitate smooth coordination with TPAs for claims data processing
  • Track claim status and ensure all backend documentation is in place
  • Update claim-related information in internal systems and escalate delays if required
• Data Management and Reporting:
  • Maintain accurate records in internal systems and trackers
  • Prepare MIS reports, trackers, and dashboards related to policy and claims operations
  • Assist in data audits, reconciliations, and regulatory reporting
• Compliance and Quality Checks:
  • Ensure all activities comply with IRDAI guidelines and internal SOPs
  • Perform regular quality checks on data and documentation
  • Support periodic internal and external audits