Claims Executive

Job Description

Company Description: Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a Third Party Administrator (TPA) in the Health Insurance Sector located in Ahmedabad. PHS adds value to basic health insurance policies by facilitating smooth operations through services like network of healthcare providers, medical care standardization, claims management, client servicing, and expert opinions. PHS administers a customized healthcare package for its clients. Company Address: 304, Meera Manan Arcade, Parimal Cross Rd, near Krupa Petrol Pump, Ellisbridge, Ahmedabad, Gujarat 380006. Job Description: Claims Executive We are seeking a motivated Claims Executive to join our Claims Department. The Claims Executive will be responsible for accurately and efficiently processing claims, ensuring that claims are handled in compliance with company policies and industry regulations. Key Responsibilities: • Receive and review claims, verifying accuracy and completeness. • Determine the validity of claims and process them in a timely manner. • Investigate and evaluate claims by gathering necessary information. • Collaborate with internal departments to ensure smooth claims processing. • Analyze and interpret policy terms and coverage. • Identify and escalate fraudulent or suspicious claims. • Maintain detailed records and documentation for each claim. If you are interested please share your updated CV.