Medical Insurance Executive

Job Summary

Processing and evaluating medical insurance claims, ensuring compliance with policy terms, accuracy in billing, and timely communication with hospitals, insured members, and internal teams for the smooth treatment facilitation of our clients.

Key Responsibilities

Essential Functions: Insurance Coordinator

 Attend to insurance queries and ensure timely responses within the defined turnaround time (TAT).

 Coordinate with Case Managers to obtain cost estimates and treatment plans from healthcare providers.

 Submit cost estimates and treatment plans to the respective insurance companies for review within 24 hours.

 Follow up on claim approvals and ensure timely processing with 24-48 hours.

 Provide regular updates to insurance companies regarding travel arrangements, consultations, admissions, procedures, and discharge status.

 Oversee and facilitate the discharge process in coordination with hospitals and insurance teams.

 Ensure accurate and timely updating of discharge details in CRM & internal systems.

 Submit final invoices to insurance companies for claim settlement.

Job Types: Full-time, Permanent, Freelance

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

• Cell phone reimbursement
• Health insurance
• Internet reimbursement
• Leave encashment
• Paid sick time
• Paid time off

Work Location: In person