Health Operations

Department: Health Insurance : Claims operations Designation : Executive / Senior Executive Location : Jaipur ( Corporate Office ) Mail ID - khushi@shriramgi.in Nature- On Roll Salary Range As per Industry Norms. Qualification: B.Sc Nursing / B. Pharma Experience - 1years + in relevant field / Freshers can also apply Job Description We are seeking a detail-oriented Health Operations Claims Associate/Executive to support health insurance claims operations. The role involves reviewing claim submissions, assessing medical documentation, coordinating with healthcare providers, processing claim settlements, and ensuring compliance with claims guidelines and regulatory requirements. Key Responsibilities Review health insurance claim forms and supporting medical documents. Coordinate with hospitals, TPAs, and customers for additional document collection or clarification. Support claim processing, adjudication, and settlement activities. Follow up with customers and branches for pending requirements. Maintain claims records, MIS reports, and operational dashboards. Ensure compliance with company policies and regulatory requirements. Meet turnaround time (TAT) and service-level agreement (SLA) targets. Required Skills Knowledge of health insurance and claims processes. Analytical and risk assessment skills. Good communication and coordination skills. Proficiency in MS Excel and operational systems. .