Insurance Executive

13 hours ago


Gurgaon, Haryana, India HexaHealth Full time ₹ 8,00,000 - ₹ 12,00,000 per year

Job Title: Executive - Insurance

Location: Gurugram

Working Days: 6

Experience Required: 1-5 Years

Work Model: In-Office

What we are looking for:

Seeking a Executive - Insurance (1-5 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

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.

About Hexa Health:

At HEXA, we are building a platform that will help users choose the right hospital/surgeon for their

surgical procedure. We would like to be synonymous with surgery information and discovery. We are working towards building India's largest hospital network, and we will ensure a hassle-free

experience for the patient at the hospital.


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