Claims Processing Executive

2 days ago

Chennai Tamil Nadu, India Kavi Software Technologies Private Limited Full time

Walk-in date 14th November 2025 Friday Interview Timings 9 00am - 2 00pm IST Venue Kavi India - TES PM Towers 3rd floor 37 Greams Rd Thousand Lights West Thousand Lights Chennai Tamil Nadu 600006 Please bring a hard copy resume and dress in professional attire for the interview Job Summary We are looking for a driven and curious Claims Processing Executive CPE to join our growing dynamic medical billing team The ideal candidate will perform all activities involved in the preparation insurance verification and retrieval of medical records for US Workers Compensation claims The CPE will act as the liaison between key Client contacts and insurance companies primarily through phone Responsibilities Analyse and evaluate worker s compensation claim payments using client proprietary software systems and tools Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker s compensation fee schedule and or PPO contract Research request and acquire all pertinent medical records implant manufacturer s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement Prepare correct Workers Comp initial bill packet or appeal letter using Client systems tools and submit with all necessary supporting documentation to insurance companies Other duties as required Required Skills Bachelor s Degree in any discipline Preferred Experience working for a US based BPO OR US healthcare insurance industry experience OR a similar experience recommended Competent in MS Office Suite and Windows applications Strong verbal communication skills Fast and accurate typing skills while maintaining a conversation Multitasking of data entry while conversing with Client contacts and insurance companies Ability to professionally and confidently communicate to outside parties via phone email and fax Ability to handle large volumes of work while maintaining attention to detail Ability to work in a fast-paced environment Work under limited supervision manage multiple tasks and prioritize assignments within limited time constraints Effectively communicate issues problems and results that impact timelines for project completion Ability to interact professionally at multiple levels within the organization Timely and regular attendance

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