Executive - Insurance

4 days ago

Mumbai Maharashtra, India Hexa Health Full time

Job Title: Executive/Senior Executive - Insurance

Location: Lokhandwala, Mumbai

Working Days: 6

Experience Required: 3-5 Years

Work Model: In-Office + Field Work

What we are looking for:
Seeking a Senior Executive - Insurance (3-5 years experience) to handle cashless & reimbursement claims, TPA coordination, pre-auth approvals, and insurance queries. The role involves billing verification, doctor liaison, and ensuring SOP compliance. Requires strong relationship management and knowledge of health insurance policies.

6-day workweek | Office + Fieldwork.

Eligibility:

- Education: Bachelor's degree in any field.
- In-depth knowledge of health insurance policies, claims, and reimbursement processes.
- Ability to handle insurance-related queries and approvals tactfully.
- Excellent communication and relationship-building skills.
- Ability to work efficiently under pressure and meet processing deadlines.

Job Responsibilities:

- Claims & Pre-Auth: Manage cashless and reimbursement claims from initiation to

settlement.
- TPA Coordination: Follow up on payments, resolve claim issues with TPAs and insurers.
- Billing & Discharge Verification: Ensure accuracy in discharge summaries and TPA billing.
- Approvals & Relationship Management: Build strong ties with insurers to expedite

approvals.
- Pre-Auth & Compliance: Accurately handle pre-auth forms and adhere to policy guidelines.
- SOP & Turnaround Time: Maintain SOP compliance and manage case processing efficiently.

Pay: ₹300,000.00 - ₹450,000.00 per year

Schedule:

- Day shift
- Rotational shift

Application Question(s):

- What's your Current CTC?
- What's your Expected CTC?
- What's your Official Notice Period (In Days)?
- Are you comfortable with 6-days working along with field work as well?

Work Location: In person

**Speak with the employer**
+91 9760923577

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