ABOUT THE ROLE AT ACKO

The Medical Claim Processor is responsible for end-to-end processing of medical
insurance claims (reimbursement), ensuring accuracy, compliance with policy
terms, and adherence to turnaround time (TAT). This role requires close
coordination with hospitals, customers, internal teams, and third-party
administrators to deliver timely and efficient claim settlements.

The Medical Claim Processor plays a critical role in ACKO by ensuring seamless
claim processing, customer satisfaction, and financial stability. They are
expected to work efficiently under pressure, manage multiple tasks
simultaneously, and maintain high levels of accuracy and productivity.

SKILLS & QUALIFICATION

* Robust analytical skills, with the ability to review and verify claim details
for accuracy and compliance.

* Excellent communication skills, with the ability to effectively collaborate
with hospitals, customers, internal teams, and third-party administrators.

* Ability to work efficiently under pressure, manage multiple tasks
simultaneously,



and maintain high levels of accuracy and productivity.

* Proficiency in insurance claims processing software, with the ability to
adapt to new systems and technology.

* Knowledge of medical billing and coding systems, including ICD-10 and CPT.

* Strong problem-solving skills, with the ability to identify and resolve
claim-related issues in a timely and efficient manner.

* Ability to maintain accurate records and reports, with a strong attention to
detail and organizational skills.

RESPONSIBILITIES

* End-to-end processing of medical insurance claims (reimbursement), ensuring
accuracy, compliance with policy terms, and adherence to turnaround time
(TAT).

* Collaborate with hospitals, customers, internal teams, and third-party
administrators to deliver timely and efficient claim settlements.

* Review and verify claim details for accuracy and compliance, identifying and
resolving any discrepancies or errors.

* Manage multiple

📌 Sr. Associate OPD claims (Bengaluru)
🏢 Acko
📍 Bengaluru