Claims Senior Executive

Job Description

Greetings From Link - K Insurance TPA We are hiring Claims Senior Executive for our claims Department at our Chennai Corporate office. Year of Experience : 1 to 3 Years Qualification: Any Degree Industry: TPA \ Health Insurance (Indian Based Claims ) Roles and Responsibility Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount. Get fully trained in claims software and complete understanding of features and validations in the system Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services Accurate data entry of bills into appropriate columns/fields Verify the accuracy of details entered at inward level and correcting wherever required. Adhere to SoPs defined Processing the number of claims allocated. Prioritizing claims as required. Be aware of all insurers SoPs and application of relevant protocols. Be updated about the new products and features in health policies Interaction with customer service team and help with any clarifications in billing Ensure clarity in communication to customers. Identify and report potential fraudulent claims, following established procedures and guidelines. Coordinate with doctors and CRMs to aid in assessing claims accurately. Maintain daily report of claims processed and report to team lead. Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments. Assist medical officers in responding to audit queries of insurers. Important Note: Health Insurance / TPA profile only eligible Interested candidate can share your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹30,000.00 per month Benefits: Provident Fund Schedule: Evening shift Experience: Cashless and Reimbursement: 1 year (Required) Work Location: In person