Claims Senior Executive
10 hours ago
Greetings From Link - K Insurance TPA
We are hiring Claims Senior Executive for our claims Department at our Chennai Corporate office.
Year of Experience : 1 to 3 Years
Qualification: Any Degree
Industry: TPA \ Health Insurance (Indian Based Claims )
Roles and Responsibility
- 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 aware of all insurers SoPs and application of relevant protocols.
- 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.
Important Note:
- Health Insurance / TPA profile only eligible
- Interested candidate can share your updated resume to
Job Types: Full-time, Permanent
Pay: ₹25, ₹30,000.00 per month
Benefits:
- Provident Fund
Experience:
- Cashless and Reimbursement: 1 year (Required)
Work Location: In person
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