Claims Intern

4 weeks ago

Bengaluru, Karnataka, India Even Full time
Job Description

Job Title: Claims Intern

Location: Bangalore

Department: Claims

Reports to: Claims Manager

Type: Internship

Job Summary

The Claims Intern will support the Claims Department in processing and managing health insurance claims. This internship is designed to provide hands-on exposure to the health insurance claims lifecycle, including document verification, customer coordination, and basic claim assessments. The intern will work closely with experienced claims professionals, TPAs, and healthcare providers to gain a strong foundational understanding of the health insurance domain.

Key Responsibilities

- Claims Processing (Under Supervision):

- Assist in reviewing and organizing claims documentation submitted by policyholders and hospitals.
- Support in checking medical documents for completeness and clarity.
- Learn to assess basic claim eligibility based on set guidelines and policy terms.

- Investigation & Documentation:

- Support the team in gathering additional documentation for flagged or pending claims.
- Maintain proper filing and digital documentation of all claim-related records.
- Learn the basics of medical record analysis and claims investigation protocols.

- Customer & Provider Interaction:

- Coordinate with customers and hospital representatives (under supervision) to collect missing or additional documents.
- Respond to queries regarding claim requirements or status through phone or email, as guided by the Claims Manager.

- Team Coordination:

- Assist internal teams (like underwriting and grievance redressal) in gathering claim-related inputs.
- Track follow-ups on pending cases and ensure updates are communicated.

- Claims Reporting Support:

- Help prepare basic reports on daily claim activity, status summaries, and document logs.
- Work with Excel or internal tools to update records and generate summary data.

- Learning & Compliance:

- Observe and learn regulatory, compliance, and company-specific protocols in claim processing.
- Gain working knowledge of health insurance policies and policy interpretation.

Skills & Qualifications

- Candidates with medical degrees such as BAMS, BHMS, BDS, BPTh
- Strong interest in learning about health insurance claims.
- Good analytical skills and attention to detail.
- Clear verbal and written communication skills.
- Proficiency in Microsoft Office (Excel, Word, Outlook).
- Ability to multitask and prioritize under guidance.

Key Competencies To Develop

- Understanding of claims workflows and documentation standards.
- Customer service etiquette in insurance settings.
- Exposure to medical terminology and healthcare billing.
- Basics of claims decision-making logic and documentation protocols.

Benefits Of Internship

- Hands-on training and mentorship from experienced claims professionals.
- Opportunity to gain industry exposure in health insurance operations.
- Certificate of Internship and possible recommendation based on performance.
- Learning modules or briefings on health policy, compliance, and process management.

Note: This is a paid internship.Skills: microsoft office,written communication,multitasking,claims,analytical skills,health,microsoft office (excel, word, outlook),prioritization,medical degrees (bams, bhms, bds, bpth),attention to detail,good communication,verbal communication,insurance

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