Company Description ViFin (Vizza Fintech Private Limited) is an innovative financial technology company focused on transforming the healthcare and insurance sectors. The organization provides a common platform for industry partners and end customers to improve transparency and streamline interactions across the insurance ecosystem. By leveraging advanced technology, ViFin aims to simplify complex processes, enhance accessibility, and deliver more efficient services.

The company is dedicated to improving user experience and fostering greater satisfaction for all stakeholders through its forward-thinking and customer-centric approach.

Role Description The Medical Claims Reconciliation Executive is a full-time, on-site role based in Chennai. This role is responsible for reviewing, reconciling, and validating medical insurance claims against policy terms, billing records, and supporting documentation. Day-to-day tasks include identifying discrepancies, coordinating with internal teams and external partners to resolve issues, updating claim status in relevant systems, and ensuring accurate and timely claim settlements.

The executive will also respond to inquiries related to claims, maintain detailed records, generate reconciliation reports, and support process improvements to strengthen operational efficiency and compliance.

Qualifications

- Solid analytical skills, including the ability to interpret data, identify discrepancies, and perform detailed reconciliations.
- Hands-on experience in claims handling and claims management within health insurance or healthcare revenue cycle processes.
- Customer service skills, with a focus on empathy, problem-solving, and maintaining professional relationships with stakeholders.
- Clear and effective communication skills, both written and verbal, to interact with customers, partners, and internal teams.
- Attention to detail, high level of accuracy, and strong organizational skills.




- Comfort working with spreadsheets, insurance platforms, and claim management software.
- Bachelor’s degree in finance, commerce, healthcare administration, or a related field preferred.
- Prior experience in health insurance, TPA operations, or medical billing/reconciliation is an advantage.

Location: Chennai

Position Type: Full-Time

Job Summary

We are seeking a detail-oriented and proactive Claims Follow-up Executive to manage hospital IP (Inpatient) and OP (Outpatient) claims reports, monitor pending and unsettled claims, and coordinate with Third-Party Administrators (TPAs) and insurance companies to ensure timely claim settlements. The ideal candidate should have strong MS Excel skills, including Pivot Tables, and good communication and follow-up skills.

Key Responsibilities

- Review, verify, and analyze hospital IP and OP claims reports using MS Excel.
- Prepare, maintain, and update Excel reports to track claim status, pending payments, and settlements.
- Create and analyze Pivot Tables to summarize claims data and generate MIS reports.
- Identify and follow up on unsettled or pending claims, particularly those outstanding for 15–30 days.
- Send payment request emails to TPA and insurance companies and follow up on claim settlements.
- Conduct direct visits to TPA offices and insurance companies whenever required to expedite pending payments.
- Coordinate with hospital departments, TPA representatives, and insurance companies to resolve claim-related queries.
- Maintain accurate records of payment requests, claim status,



and follow-up activities.
- Prepare regular reports on pending claims, outstanding amounts, and settlement progress.
- Ensure timely follow-up and proper documentation to minimize claim settlement delays.

Qualifications

- Any graduate with relevant experience in claims follow-up, hospital billing, insurance coordination, or healthcare administration.
- Strong proficiency in MS Excel, including Pivot Tables, filters, and report preparation.
- Good understanding of hospital IP/OP reports and medical insurance claims processes.
- Excellent communication, coordination, and email-writing skills.
- Strong analytical skills with attention to detail and accuracy.
- Ability to manage multiple claims and follow up on pending payments effectively.
- Willingness to visit TPA offices and insurance companies as required.

Preferred Skills

- Experience in hospital claims processing and insurance payment follow-up.
- Knowledge of TPA procedures, health insurance claims, and claim settlement processes.
- Proficiency in Excel reporting, Pivot Tables, and data analysis.
- Ability to identify discrepancies and resolve claim-related issues.
- Good negotiation, problem-solving, and follow-up skills.

What We Offer

- Competitive salary and advantages package.
- Opportunities for professional development and career advancement.
- A collaborative and supportive work environment.
- Opportunities to develop expertise in healthcare claims management and insurance coordination.

Application Process

Interested candidates are invited to submit their resumes to [email protected] with the subject line "Claims Follow-up Executive Application."

Deadline for Applications: [24th October 2026]

We look forward to welcoming a motivated and detail-oriented professional to our team to support efficient claims management and timely insurance payment settlements.

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📌 Medical Claims Reconciliation Executive (Chennai)
🏢 ViFin
📍 Chennai