Insurance Executive

2 - 6 years

0 Lacs

Posted:16 hours ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: As an Insurance Executive at Naruvi Hospitals, your primary responsibility will be to manage all aspects of hospital insurance operations. Your role will involve ensuring seamless coordination between patients, insurance providers, and internal departments to facilitate the insurance processes efficiently. Key Responsibilities: - Coordinate with patients, consultants, and insurance companies for pre-authorization, approvals, and claim processing. - Verify insurance coverage, policy limits, and eligibility of patients. - Prepare and submit pre-authorization requests and discharge intimations. - Follow up on pending approvals and claims to ensure timely settlements. - Maintain accurate records of insurance transactions and documentation. - Liaise with TPAs (Third Party Administrators) and corporate insurance departments. - Handle cashless and reimbursement processes efficiently. - Generate reports and update management on claim status and rejections. - Ensure compliance with hospital and insurance guidelines. Qualifications & Skills: - Graduate in any discipline (preferably in Hospital Administration or related field). - 2-4 years of relevant experience in hospital insurance operations. - Good understanding of TPA processes, insurance policies, and claim documentation. - Excellent communication and coordination skills. - Proficiency in MS Office and hospital management systems. - Ability to handle patient interactions with empathy and professionalism. Please note that the work location for this position is in person at Naruvi Hospitals, Vellore. If you join our team, you will be entitled to benefits such as health insurance, leave encashment, and provident fund.,

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