INSURANCE CLAIMING EXECUTIVE

Job Description

Company : Seven Sigma Healthcare Solutions Pvt Ltd Location : Trichur/ Ernakulam Job Type : Full-time Experience : Freshers/ or 1–3 years in Hospital/TPA/Insurance claim processing preferred About Us : Seven Sigma Healthcare Solutions Pvt Ltd is a leading healthcare revenue cycle management (RCM) service provider based in Kerala. We specialize in managing insurance claims and enabling hospitals to optimize their cash flow by ensuring the timely and accurate settlement of claims from ECHS, CGHS, MEDISEP, KASP, TPAs and other schemes. Job Summary : We are looking for dynamic and detail-oriented Insurance Claiming Executives to join our growing team. The role involves handling end-to-end insurance claim processes, ensuring accurate documentation, timely submission and effective coordination with authorities for claim approvals. Key Responsibilities : -Verify patient eligibility, referral details and insurance scheme guidelines (ECHS, CGHS, KASP, MEDISEP, TPA, etc.) -Collect and organize admission, treatment and discharge documentation -Ensure adherence to scheme-specific protocols and documentation checklists -Coordinate with team members to gather required reports -Apply accurate billing codes and prepare claim files for submission -Submit claims on relevant portals and follow up for approvals Key Requirements : -Graduate in any discipline (preferably with a background in Life Sciences, Healthcare or Commerce) -Freshers/ or 1–3 years’ experience in medical billing or insurance claiming in hospitals or TPAs -Familiarity with healthcare schemes like ECHS, CGHS, KASP, and MEDISEP preferred -Proficiency in MS Office and digital document handling -Strong communication, documentation, and coordination skills -Willingness to work from hospital premises or assigned locations across Kerala What We Offer : -Competitive salary -Yearly increments/ Performance incentives -Hands-on training and professional development opportunities -Exposure to multiple insurance schemes and large hospital networks -A supportive and collaborative work environment How to Apply : Apply with your CV to the advertisement. Job Type: Full-time Pay: ₹12,000.00 - ₹25,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Education: Bachelor's (Preferred) Work Location: Trichur/ Ernakulam Job Types: Full-time, Permanent Pay: ₹12,000.00 - ₹25,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Yearly bonus Work Location: In person