Process Executive

1 month ago


Viman Nagar Pune Maharashtra, India DMCFS Full time

Job Description:
A Health Insurance Process Associate is responsible for assisting customers with their health insurance needs and ensuring the smooth processing of insurance claims. They work closely with insurance providers, policyholders, and healthcare professionals to coordinate and manage the insurance process.

Key Responsibilities:
1. Assist customers in understanding and selecting appropriate health insurance plans based on their needs and budget.
2. Provide guidance and support to customers throughout the enrollment process, including document submission and policy activation.
3. Verify and process insurance claims accurately and efficiently, ensuring all required information is collected and documented.
4. Collaborate with healthcare providers to obtain necessary medical records and coordinate reimbursement for services rendered.
5. Respond to inquiries from policyholders and providers regarding policy coverage, claim status, and billing issues.
6. Resolve any discrepancies or issues that arise during the claims process, escalating complex cases to senior team members or supervisors as needed.
7. Keep accurate records of customer interactions, policy details, and claims information utilizing company software systems.
8. Stay updated on changes in insurance policies, regulations, and industry trends to provide accurate and up-to-date information to customers.
9. Assist in the preparation and analysis of reports related to claims processing, policy enrollment, and customer satisfaction.
10. Maintain a strong knowledge of various health insurance plans and benefit options to effectively advise customers on their coverage choices.

**Job Types**: Full-time, Fresher, Internship
Contract length: 36 months

**Salary**: ₹8,086.00 - ₹14,500.00 per month

**Benefits**:

- Food provided

Schedule:

- Day shift

Ability to commute/relocate:

- Viman Nagar, Pune, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Higher Secondary(12th Pass) (required)

**Speak with the employer**
+91 9922039039



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