WE ARE HIRING
MedSure Claim Solutions
TPA EXECUTIVE / INSURANCE CLAIMS EXECUTIVE
Location: Saraswati Hospital, Khazoori Khas, North East Delhi
Salary: ₹15,000 – ₹25,000 per month (Based on Experience)
About MedSure Claim Solutions
MedSure Claim Solutions provides end-to-end Private Health Insurance and Government Health Scheme claim management services to hospitals. We handle the complete claim lifecycle including patient verification, registration, pre-authorization, enhancement, discharge, final claim submission, query handling, and claim settlement.
We are currently providing services to multiple hospitals across Delhi and nearby states for both Private Insurance and Ayushman Bharat (PM-JAY) claim processing.
Job Responsibilities
- Handle Cashless and Reimbursement Insurance Claims.
- Process Pre-Authorization, Enhancement, Discharge, and Final Claim submissions.
- Manage Ayushman Bharat (PM-JAY) and Private Health Insurance claims.
- Collect, verify, scan, and upload all required patient documents.
- Submit complete documentation for Pre-Authorization, Discharge, and Final Claim processing.
- Coordinate with Insurance Companies, TPAs, doctors, billing, and hospital staff for timely approvals and settlements.
- Respond to insurer and TPA queries with proper documentation.
- Click and upload Ayushman Bharat (PM-JAY) beneficiary photographs whenever required as per scheme guidelines.
- Maintain complete claim records and ensure accurate documentation with timely claim submission.
Eligibility & Experience
- 1–3 years of experience in Hospital TPA / Insurance Claim Processing.
- Experience in handling Cashless and Reimbursement Claims.
- Knowledge of Ayushman Bharat (PM-JAY) claim processing.
- Experience in Pre-Auth, Enhancement, Discharge, Final Claim Submission, Query Handling, and Claim Settlement.
- Good computer knowledge and communication skills.
Preferred Experience With
Insurance Companies & TPAs:
HDFC ERGO ICICI Lombard Star Health Aditya Birla Health Insurance TATA AIG Niva Bupa Care Health Reliance General Insurance Bajaj Allianz New India Assurance Medi Assist FHPL Vidal Health TPA MDIndia Paramount TPA Health India TPA and other major TPAs / Insurance Companies.
Why Join Us?
- Work with a growing healthcare claim management company.
- Exposure to both Private Insurance and Government Health Schemes.
- Hands-on experience in complete end-to-end claim processing.
- Professional work environment with career growth opportunities.
Interested Candidates
Share your updated Resume / CV - 8178801332.
Join MedSure Claim Solutions and build your career in the Healthcare Insurance & TPA Industry.
Pay: ₹15,000.00 - ₹25,000.00 per month
Application Question(s):
- What's your current salary??
- What's your expectations?
- What's your current location?
- In How many days can you join?
Work Location: In person
