Claim Processing Executive Mumbai (India)

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 in office 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

Valuable 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

Compensation: 25,[hidden],000.00 per month

Work Location: In person .