Claims Process Associate

Role & responsibilities

• Manage end-to-end medical reimbursement claims from submission to final settlement.
• Check doctor prescriptions, diagnostic reports, and itemized pharmacy or consultation bills for validity.
• Assess if treatment costs are covered under specific terms, conditions, and deductibles.
• Communicate with customers, hospitals/clinics, and insurers to resolve missing information or claim queries.
• Maintain high productivity while meeting internal turnaround time (TAT) goals for fast payouts.

Preferred candidate profile

• Doctor of Pharmacy with 0 to 3 years of relative experience in health insurance, TPA operations, or hospital billing.
• Strong eye for spotting duplicate bills, fake receipts, or calculation errors.
• Basic computer literacy and familiarity with health insurance claim platforms.

Interested candidates can call or refer to Moulika @9177141222.