Claims Follow-up Executive

Job Description: Claims Follow-up Executive

Location: Pudukkottai
Position Type: Full-Time

Job Summary

We are seeking a detail-oriented and proactive Claims Follow-up Executive to manage hospital IP (Inpatient) and OP (Outpatient) claims reports, monitor pending and unsettled claims, and coordinate with Third-Party Administrators (TPAs) and insurance companies to ensure timely claim settlements. The ideal candidate should have strong MS Excel skills, including Pivot Tables, and good communication and follow-up skills.

Key Responsibilities

• Review, verify, and analyze hospital IP and OP claims reports using MS Excel.
• Prepare, maintain, and update Excel reports to track claim status, pending payments, and settlements.
• Create and analyze Pivot Tables to summarize claims data and generate MIS reports.
• Identify and follow up on unsettled or pending claims, particularly those outstanding for 15–30 days.
• Send payment request emails to TPA and insurance companies and follow up on claim settlements.
• Conduct direct visits to TPA offices and insurance companies whenever required to expedite pending payments.
• Coordinate with hospital departments, TPA representatives, and insurance companies to resolve claim-related queries.
• Maintain accurate records of payment requests, claim status, and follow-up activities.
• Prepare regular reports on pending claims, outstanding amounts, and settlement progress.
• Ensure timely follow-up and proper documentation to minimize claim settlement delays.

Qualifications

• Any graduate with relevant experience in claims follow-up, hospital billing, insurance coordination, or healthcare administration.
• Strong proficiency in MS Excel, including Pivot Tables, filters, and report preparation.
• Good understanding of hospital IP/OP reports and medical insurance claims processes.
• Excellent communication, coordination, and email-writing skills.
• Strong analytical skills with attention to detail and accuracy.
• Ability to manage multiple claims and follow up on pending payments effectively.
• Willingness to visit TPA offices and insurance companies as required.

Preferred Skills

• Experience in hospital claims processing and insurance payment follow-up.
• Knowledge of TPA procedures, health insurance claims, and claim settlement processes.
• Proficiency in Excel reporting, Pivot Tables, and data analysis.
• Ability to identify discrepancies and resolve claim-related issues.
• Good negotiation, problem-solving, and follow-up skills.

What We Offer

• Competitive salary and benefits package.
• Opportunities for professional development and career advancement.
• A collaborative and supportive work environment.
• Opportunities to develop expertise in healthcare claims management and insurance coordination.

Application Process

Interested candidates are invited to submit their resumes to [email protected] with the subject line "Claims Follow-up Executive Application."

Deadline for Applications: [16th October 2026]

We look forward to welcoming a motivated and detail-oriented professional to our team to support efficient claims management and timely insurance payment settlements.

Pay: ₹15,000.00 - ₹23,000.00 per month

Benefits:

• Cell phone reimbursement
• Commuter assistance
• Flexible schedule

Language:

• Tamil (Preferred)

Location:

• Aruppukkottai, Tamil Nadu 626101 (Preferred)

Willingness to travel:

• 75% (Preferred)

Work Location: In person