
Health Insurance Claims Assistant
2 days ago
Job Opportunity
We are seeking a talented Claims Intern to support our 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.
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.
Required Skills and 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.
- Clean verbal and written communication skills.
- Proficiency in Microsoft Office (Excel, Word, Outlook).
- Ability to multitask and prioritize under guidance.
Benefits:
- 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.
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