Job Summary
We are looking for a detail-oriented and proactive Health Claim Executive to manage the end-to-end health insurance claims process. The ideal candidate will be responsible for reviewing claim documents, verifying policy coverage, coordinating with hospitals, TPAs, and insurance companies, and ensuring timely claim settlement. The role requires strong communication skills, accuracy, and the ability to handle multiple cases efficiently.
Key Responsibilities
- Process and manage health insurance claims from initiation to settlement.
- Review and verify medical documents, bills, discharge summaries, and supporting records.
- Check policy coverage, eligibility, and claim admissibility as per insurer guidelines.
- Coordinate with hospitals, Third-Party Administrators (TPAs), insurance companies, and clients for claim processing.
- Follow up on pending documents and claim approvals to ensure timely resolution.
- Maintain accurate claim records and update internal databases.
- Respond to customer queries related to claim status and documentation.
- Ensure compliance with company policies and insurance regulations.
- Prepare claim-related reports and assist in resolving claim discrepancies.
Required Skills
- Good understanding of health insurance claim processes.
- Strong communication and interpersonal skills.
- Excellent attention to detail and accuracy.
- Basic knowledge of MS Office (Excel, Word, Outlook).
- Ability to manage multiple claims and meet deadlines.
- Problem-solving and coordination skills.
Eligibility
- Bachelor's degree in any discipline.
- 1–5 years of experience in health insurance claims, TPA, hospital billing, or insurance operations.
- Experience with health insurance documentation and claim processing will be preferred.
How to Apply
If you are organized, detail-oriented, and interested in building a career in the insurance industry, we’d love to hear from you! Please send your resume to [email protected] or apply directly through Indeed.
Pay: ₹20,000.00 - ₹50,000.00 per month
Benefits:
- Health insurance
- Leave encashment
Work Location: In person
