Claim Executive

3 days ago

Chennai, India Link K Insurance TPA Pvt Ltd Full time

Greetings From Link K Insurance TPA,

We are Looking for Executive & Senior Executive for Cashless and Claims Department.

Location : Chennai, Bangalore, Hyderabad, Mumbai, New Delhi, Kolkata.

**Roles & Responsibilities of Cashless/Claims
- Executive/Senior Executive**:

- Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.
- Get fully trained in claims software and complete understanding of features and validations in the system
- 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.
- Adhere to SoPs defined
- 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.
- Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments.
- Assist medical officers in responding to audit queries of insurers.

For more details Contact HR Vasanth - 8428417047 (From 10 Am to 5pm)

All the best.

Pay: Up to ₹30,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Morning shift

Supplemental pay types:

- Yearly bonus

**Education**:

- Bachelor's (preferred)

**Experience**:

- Cashless/Claims
- Executive/Senior Executive: 2 years (required)

**Speak with the employer**
+91 8428417047

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