Qureos Mentor

Link K Insurance TPA P Ltd

Greetings From Link - K Insurance TPAWe are hiring Claims Senior Executive for our claims Department at our Chennai Corporate office.Year of Experience : 1 to 3 YearsQualification: Any DegreeIndustry: TPA \ Health Insurance (Indian Based Claims )Roles and Responsibility <ul><li>Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.</li><li>Get fully trained in claims software and complete understanding of features and validations in the system</li><li>Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services</li><li>Accurate data entry of bills into appropriate columns/fields</li><li>Verify the accuracy of details entered at inward level and correcting wherever required.</li><li>Adhere to SoPs defined</li><li>Processing the number of claims allocated. Prioritizing claims as required.</li><li>Be aware of all insurers SoPs and application of relevant protocols.</li><li>Be updated about the new products and features in health policies</li><li>Interaction with customer service team and help with any clarifications in billing</li><li>Ensure clarity in communication to customers.</li><li>Identify and report potential fraudulent claims, following established procedures and guidelines.</li><li>Coordinate with doctors and CRMs to aid in assessing claims accurately.</li><li>Maintain daily report of claims processed and report to team lead.</li><li>Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments.</li><li>Assist medical officers in responding to audit queries of insurers.</li></ul>Important Note:<ul><li>Health Insurance / TPA profile only eligible</li><li>Interested candidate can share your updated resume to careers@linkktpa.com</li></ul>Job Types: Full-time, PermanentPay: &#8377;25,000.00 - &#8377;30,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Experience:<ul><li>Cashless and Reimbursement: 1 year (Required)</li></ul>Work Location: In person

Claims Senior Executive

Join Link K Insurance TPA P Ltd and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Link K Insurance TPA P Ltd

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Claims Senior Executive