Claim Executive - Anna Nagar, Chennai, Tamil Nadu, India - Link K Insurance TPA Pvt Ltd

Link K Insurance TPA Pvt Ltd
Link K Insurance TPA Pvt Ltd
Verified Company
Anna Nagar, Chennai, Tamil Nadu, India

2 weeks ago

Deepika Kaur

Posted by:

Deepika Kaur

beBee Recuiter
Description

About the Company
We are Third Party Administrators (TPA) in the Health Insurance space having a corporate office in Chennai. Incorporated in April 2023, we are licensed by India's Insurance Regulatory and Development Authority with License No. 038. Insurance companies empanel us to service their policyholders. Our core services include extending cashless facilities in our network of hospitals to the policyholders and processing claims.


Role:
Executive, Senior Executive.


Department:
Claims.


Roles and Responsibility

  • Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.
  • Get fully trained in claims software and a complete understanding of features and validations in the system
  • Get good understanding of process flow, movement of claims and stakeholders' expectations w r t claims services
  • Accurate data entry of bills into appropriate columns/fields
  • Verify the accuracy of details entered at the inward level and correct wherever required.
  • Adhere to SoPs defined
  • Processing the number of claims allocated. Prioritizing claims as required.
  • Be updated about the new products and features in health policies
  • Interaction with the customer service team and help with any clarifications in billing
  • Ensure clarity in communication to customers.
  • Identify and report potential fraudulent claims, following established procedures and guidelines.
  • Coordinate with doctors and CRMs to aid in assessing claims accurately.
  • Maintain daily report of claims processed and report to team lead.
  • Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments.
  • Assist medical officers in responding to audit queries of insurers.

Job Type:
Permanent


Pay:
Up to ₹30,000.00 per month


Benefits:


  • Provident Fund

Schedule:

  • Morning shift

Supplemental pay types:

  • Yearly bonus

Experience:


  • As Claims Executive TPA Comapny: 3 years (required)

Work Location:
In person


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