Sr. MIS Executive

An MIS Executive (Insurance Claim Verification) is responsible for managing and verifying insurance claims data, ensuring accuracy and compliance with company policies. This role involves data analysis, reporting, and coordination with various stakeholders to facilitate the smooth processing of claims. Job Responsibilities:

• Data Management:
• Maintaining and updating claim records in the system.
• Generating reports on claim status, trends, and performance.
• Ensuring data accuracy and integrity.
• Claim Verification:
• Verifying the accuracy of claim information against policy details.
• Checking for completeness and adherence to claim guidelines.
• Investigating discrepancies and resolving issues.
• Reporting and Analysis:
• Preparing regular MIS reports for management review.
• Analyzing claim data to identify trends and areas for improvement.
• Providing insights and recommendations based on data analysis.
• Coordination:
• Liaising with internal teams, such as underwriting and claims processing.
• Communicating with external parties, such as insurance companies and healthcare providers.
• Following up on pending claims and resolving issues.
• Other:
• Assisting with the development and implementation of claim verification procedures.
• Ensuring compliance with data privacy regulations.
• Identifying and preventing potential fraudulent claims.

Skills Required:

• Proficiency in data analysis and reporting using tools like MS Excel.
• Strong knowledge of insurance policies and claim processes.
• Excellent communication and interpersonal skills.
• Attention to detail and accuracy in data entry and analysis.
• Ability to work independently and as part of a team.
• Problem-solving and analytical skills.
• Familiarity with insurance claim software and systems.

Qualifications:

• Typically requires a bachelor's degree in a related field.
• Experience in insurance claims processing or a similar role is preferred.
• Relevant certifications in insurance or data management can be an advantage.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹30,000.00 per month

Schedule:

• Day shift

Work Location: In person