Claims Senior Executive

10 hours ago


Chennai, Tamil Nadu, India Link K Insurance TPA P Ltd Full time

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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