INSURANCE CLAIMING EXECUTIVE

Company: Seven Sigma Healthcare Solutions Pvt Ltd

Location: North Paravur, Ernakulam

Experience: Freshers/ or 1–3 years in Hospital/TPA/Insurance claim processing

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

-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

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

-Furnished accommodation

Job Types: Full-time, Permanent

Pay: ₹12,000.00 - ₹25,000.00 per month

Benefits:

• Health insurance

Schedule:

• Day shift

Supplemental Pay:

• Performance bonus

Work Location: In person