Claims Executive

Roles and Responsibilities :

• Manage health claims from receipt to settlement, ensuring timely and accurate processing.
• Conduct thorough analysis of medical records, policies, and regulations to determine claim validity.
• Collaborate with TPA (Third Party Administrator) partners to resolve complex claims issues.
• Ensure compliance with regulatory requirements and maintain high levels of customer satisfaction.

Job Requirements :

• 4-11 years of experience in claims handling, adjudication, or processing in the health insurance industry.
• Strong knowledge of health claims, mediclaim, medical insurance, and related laws/regulations.
• Proficiency in managing multiple tasks simultaneously while maintaining attention to detail.