Claims Follow-Up Executive

6 days ago


Gurgaon, Haryana, India Care Full time
About the Role
Care is seeking a highly skilled Claims Follow-Up Executive to join our team. In this role, you will be responsible for following up on pending claims to ensure timely resolution, maintaining records of queries and follow-ups in an organized manner, communicating effectively with internal teams and external stakeholders, and ensuring adherence to insurance company policies and compliance guidelines. Your key responsibilities will include responding to queries from insurance companies regarding reimbursement claims, coordinating with hospitals and patients to collect necessary documents or clarifications, and ensuring adherence to insurance company policies and compliance guidelines.

Key Responsibilities
  • Follow up on pending claims to ensure timely resolution.
  • Maintain records of queries and follow-ups in an organized manner.
  • Communicate effectively with internal teams and external stakeholders.
  • Ensure adherence to insurance company policies and compliance guidelines.
  • Respond to queries from insurance companies regarding reimbursement claims.
  • Coordinate with hospitals and patients to collect necessary documents or clarifications.

Required Skills and Qualifications
  • Strong communication and coordination skills.
  • Knowledge of insurance claim processes and TPA operations.
  • Ability to handle multiple queries and follow up effectively.
  • Attention to detail and problem-solving skills.
  • Proficiency in MS Office (Excel, Word).

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