Claims Executive

Process healthcare and medical insurance claims in line with established payer guidelines and medical billing standards.

Perform regular data updation, claim file tracking, and patient records maintenance in database management systems.

Validate patient information, policy eligibility, hospital pre-authorization notes, and diagnostic billing codes.

Coordinate with hospitals, third-party administrators (TPAs), and internal audit teams to clear claim discrepancies.

Maintain daily claims processing logs, turnaround time (TAT) records, and claim status reports.

Qualification: Any Graduate in Any Discipline (Life Sciences, Commerce, or Arts background).

Experience: Only Freshers (0–1 Yrs of experience).

Good communication and interpersonal skills.

Basic understanding of computer applications, spreadsheet operations, and database management.