Claims Executive

3 days ago

Bengaluru Karnataka, India Link K Insurance TPA Pvt Ltd Full time

Greetings From **Link - K Insurance** **Tpa Pvt Ltd**

We are Third Party Administrators (TPA) in Health Insurance space having corporate office in Chennai.Incorporated in April 2023, we are licensed by Insurance Regulatory and Development Authority of India with License No. 038. We are empanelled by Insurance companies to service their policy holders. Our core services include extending cashless facility in our network of hospitals to the policy holders and processing claims.

We are Looking for **Claims executive** For our **Bangalore Branch office**.

Year of Experience : 1 to 3 Years

Education : Any Degree

Industry : Any Insurance or TPA Indusrty.

**Roles and Responsibility**
- Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.
- Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services
- Accurate data entry of bills into appropriate columns/fields
- Verify the accuracy of details entered at inward level and correcting wherever required.
- Processing the number of claims allocated. Prioritizing claims as required.
- Be updated about the new products and features in health policies
- Interaction with customer service team and help with any clarifications in billing
- Ensure clarity in communication to customers.
- Identify and report potential fraudulent claims, following established procedures and guidelines.Coordinate with doctors and CRMs to aid in assessing claims accurately.
- Maintain daily report of claims processed and report to team lead.
- Assist medical officers in responding to audit queries of insurers.

All the best

**Job Types**: Full-time, Permanent

Pay: ₹20,000.00 - ₹25,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift

**Experience**:

- Any TPA or Insurance Company: 1 year (required)

Work Location: In person

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