Medical Claims Examiner

1 day ago

Bengaluru, Karnataka, India beBeeHealthInsurance Full time ₹ 25,00,000 - ₹ 50,00,000

Job Title: Claims Analyst

Job Description:

This internship offers hands-on experience in health insurance claims processing and management. As a Claims Intern, you will support the Claims Department in reviewing and organizing claims documentation, checking medical documents for completeness and clarity, and learning to assess basic claim eligibility.

Key Responsibilities:
  • Claims Processing (Under Supervision):
    • Assist in reviewing and verifying claims documentation submitted by policyholders and hospitals.
    • Support in checking medical documents for accuracy and completeness.
    • Learn to assess claim eligibility based on set guidelines and policy terms.
  • Investigation & Documentation:
    • Support the team in gathering additional information 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 information.
    • Respond to queries regarding claim requirements or status through phone or email.
  • Team Coordination:
    • Assist internal teams in gathering claim-related inputs.
    • Track follow-ups on pending cases and ensure updates are communicated.
  • Claims Reporting Support:
    • Help prepare 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 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.
Benefits Of Internship:

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