Mediclaim Executive

Job Title: Mediclaim Executive
Experience: Minimum 1 Year
Qualification: B.Com (Bachelor of Commerce)
Job Type: Full-time

Job Summary

We are looking for a responsible and detail-oriented Mediclaim Executive to handle health insurance/mediclaim-related activities, including cashless claims, TPA coordination, documentation, and corporate insurance requirements. The ideal candidate should have good communication skills, basic knowledge of Cashless, TPA, and Corporate Mediclaim processes, and be comfortable working on MS Excel.

Key Responsibilities

• Handle day-to-day mediclaim and health insurance-related activities.
• Coordinate with TPAs, insurance companies, hospitals, and corporate clients for claim-related matters.
• Manage cashless claim processes, including documentation, follow-ups, approvals, and status updates.
• Check and maintain claim-related documents accurately.
• Coordinate with internal departments and external stakeholders for smooth claim processing.
• Follow up on pending claims, approvals, queries, and settlements.
• Maintain proper records and update claim details in MS Excel.
• Prepare basic reports, MIS, and claim-related data as required.
• Communicate professionally with clients, TPAs, hospitals, and insurance representatives.
• Ensure timely resolution of claim-related queries and discrepancies.
• Maintain confidentiality and accuracy while handling customer and claim information.

Required Skills

• Minimum 1 year of experience in Mediclaim, Health Insurance, TPA, Hospital Insurance Desk, or a related field.
• B.Com qualification is mandatory.
• Good knowledge of Cashless Mediclaim and TPA processes.
• Basic knowledge of Corporate Mediclaim/Corporate Insurance.
• Good working knowledge of MS Excel.
• Excellent verbal and written communication skills.
• Good follow-up and coordination skills.
• Strong attention to detail and documentation skills.
• Ability to work independently as well as in a team.
• Good problem-solving and time-management skills.

Preferred Candidate

Candidates with experience in TPA coordination, cashless approvals, corporate health insurance, hospital insurance desks, or mediclaim processing will be preferred.

What We Offer

• Professional and supportive work environment.
• Opportunity to develop expertise in the health insurance and mediclaim industry.
• Career growth and learning opportunities.
• Competitive salary based on experience and skills.

Pay: ₹18,000.00 - ₹20,000.00 per month

Benefits:

• Flexible schedule
• Health insurance
• Provident Fund

Education:

• Bachelor's (Required)

Experience:

• Mediclaim/Cashless: 1 year (Required)

Work Location: In person