Claim Processing Executive

5 days ago


Chennai Tamil Nadu, India True Talents Consulting Pvt Ltd Full time

the Claims Processing Executive

(CPE) performs all activities involved in the preparation, insurance verification and retrieval of

medical records for US Workers’ Compensation claims. The CPE acts as the liaison between key

Client contacts and insurance companies primarily through phone.

**Responsibilities**:

- Analyze and evaluate worker’s compensation claim payments using Enable Comp’s

proprietary software, systems and tools. Use payment documentation provided by

payers to determine if the medical provider has been reimbursed in compliance with the

applicable state worker’s compensation fee schedule and/or PPO contract.
- Research, request and acquire all pertinent medical records, implant manufacturer’s

invoices and any other supporting documentation necessary and then submit with

hospital claims to insurance companies to ensure prompt correct claims reimbursement.
- Conduct timely and thorough telephone follow-up with payers to ensure claims with

supporting documentation have been received and facilitate prompt reimbursement.
- Prepare correct Workers’ Comp initial bill packet or appeal letter using Enable Comp

systems tools and submit with all necessary supporting documentation to insurance

companies.
- Other duties as required.

**Education**:
Diploma / Bachelor’s Degree in any discipline.

**Job Type**: Permanent

Pay: Up to ₹300,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Night shift
- US shift

Work Location: In person

**Speak with the employer**
+91 9385499025


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