Job Title: Insurance Executive

Experience:
1-5 Years (Hospital Insurance Experience Preferred)

Education:
- Any Bachelor's Degree
- Additional certification in Health Insurance or Hospital Administration is an added advantage.

Job Summary:
The Insurance Executive is responsible for coordinating with insurance companies and Third-Party Administrators (TPAs) to ensure smooth processing of cashless and reimbursement claims. The role involves obtaining pre-authorizations, maintaining documentation, following up on approvals, and ensuring timely claim settlements while providing excellent support to patients.

Key Responsibilities:
- Process cashless and reimbursement insurance claims.
- Coordinate with TPAs and insurance companies for pre-authorizations and approvals.
- Verify patient insurance eligibility and policy coverage.
- Collect and maintain all required documents for claim processing.
- Follow up with insurance providers for pending approvals and claim settlements.
- Coordinate with doctors, nursing staff, billing, and medical records departments for required documents.




- Resolve insurance-related queries from patients and attendants.
- Ensure accurate documentation and compliance with hospital and insurance guidelines.
- Monitor rejected or pending claims and initiate corrective actions.
- Maintain daily MIS reports and insurance claim records.
- Support the billing team in insurance-related activities.
- Ensure timely closure of insurance cases and minimize claim rejections.

Required Skills:
- Knowledge of TPA and health insurance claim procedures.
- Familiarity with cashless and reimbursement processes.
- Valuable communication and interpersonal skills.
- Strong documentation and organizational abilities.
- Proficiency in MS Office (Excel, Word, Outlook).
- Ability to work under pressure and meet deadlines.
- Problem-solving and coordination skills.

Preferred Qualifications:
- Experience in hospital insurance desk operations.
- Knowledge of major TPAs and i

📌 Insurance Executive (Puducherry)
🏢 Be Well Hospital puducherry
📍 Puducherry