Job Summary

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

Pay: ₹20,000.00 - ₹50,000.00 per month

Perks:
- Health insurance
- Leave encashment

Work Location: In person

📌 Health Claim Executive (Mohanpuri)
🏢 Insurance Experts
📍 Mohanpuri