Role & responsibilities

- Monitor daily, weekly, and monthly insurance claim payments, approvals, rejections, and pending settlements.
- Generate and distribute regular claims performance and payment status reports to management and finance teams.
- Cross-verify claim documents and core system data for accuracy and completeness.
- Track claim processing timelines to ensure payments are settled within defined Service Level Agreements (SLAs) and regulatory guidelines.
- Liaise with the claims adjudication team, finance/accounts department, and IT support to resolve data discrepancies or stuck payments.

Preferred candidate profile

- Advanced Microsoft Excel skills, including Pivot Tables, VLOOKUP, XLOOKUP, SUMIFS and Macros.
- Familiarity with health insurance claim lifecycles, TPA operations and financial auditing basics.
- High precision in handling numeric data, detecting payment anomalies and maintaining audit trails.

Interested candidates can call Moulika @(phone hidden).

📌 Mis Executive (Hyderabad)
🏢 Family Health Plan (FHPL)
📍 Hyderabad