Claims Executive

Key Responsibilities:

1. Claims Processing & Management:

• Verify and process claims related to expired, damaged, and near-expiry stock from distributors and retailers.
• Validate documentation for sales returns, promotional schemes, discounts, and incentive claims.
• Ensure claims are processed within defined SLAs and aligned with company policies.

2. Credit Note & Settlement Management:

• Coordinate with the accounts team for issuing credit notes for valid claims.
• Ensure accurate adjustments in the distributor's ledger for seamless reconciliation.
• Track pending claims and follow up for approvals and resolution.

3. Dispute Resolution & Coordination:

• Investigate discrepancies in claims and resolve disputes with internal and external stakeholders.
• Liaise with the sales, supply chain, and finance teams to validate and approve claims.
• Address queries from distributors, hospitals, and retailers regarding pending claims.

4. Compliance & Documentation:

• Ensure adherence to company policies, tax regulations (GST, TDS), and industry standards in claim settlements.
• Maintain proper records of claims, approvals, and supporting documents for audits.
• Assist in internal and external audits related to claims processing.

Key Skills & Competencies:

• Knowledge of pharma sales & distribution processes.
• Experience in claims processing, credit note management, and sales return handling.
• Understanding of taxation (GST, TDS) and regulatory requirements in pharma transactions.
• Proficiency in ERP software (SAP, Tally, Oracle, or similar).
• Strong analytical, communication, and problem-solving skills.
• Ability to handle high-volume claims efficiently.