Job Description

Hi,

We are Vitraya Technologies Private Limited, an IT product-based company specializing in delivering innovative software solutions to the insurance industry. Given our focus on the insurance sector, we require professionals with a medical background or a strong understanding of medical terminology and procedures.

We invite individuals who have completed medical-related courses such as Nursing BDS, MDS,FDS or an Insurance TPA Background, MBBS and are looking to transition from a clinical setting to a corporate environment.

Role Overview: We are looking for a

Claims Executive

with strong

medical knowledge

to process and scrutinize health insurance claims received from hospitals. The role involves verifying medical documents, checking policy coverage, and ensuring accurate and timely claim decisions.

Key Responsibilities

Scrutinize

cashless and reimbursement claims

received from hospitals Verify

medical documents

such as discharge summary, investigation reports, prescriptions, and bills Check

medical necessity, diagnosis, procedures, and treatment

as per policy terms Validate

ICD codes, procedure codes, room rent, and treatment charges

Coordinate with hospitals, TPAs, and internal teams for missing or clarification documents Ensure claims are processed within defined

TAT (Turnaround Time)

Maintain accurate records and update claims in the system Support senior team members in complex or escalated cases

Required Skills & Medical Knowledge

Good understanding of

medical terminology, diagnosis, procedures, and treatments

Knowledge of

health insurance policies, exclusions, and admissibility rules

Ability to read and interpret

hospital medical records

Basic understanding of

ICD / CPT / medical coding

(preferred) Attention to detail and analytical thinking Good communication and coordination skills

Educational Qualification

Graduate in

Life Sciences / Nursing / Pharmacy / BSc / GNM / BPT

MBBS / BAMS / BHMS (Non-clinical role) -

preferred but not mandatory

Your role will be crucial in ensuring the integrity and accuracy of medical claims, contributing to a streamlined and efficient claims process for our clients.

Job Type: Full-time

Benefits:

Food provided Health insurance Provident Fund
Work Location: In person

Interested Candidates can apply at anup.dobriyal@vitraya.com or WhatsApp their resume at9999043348. Kindly mention "Applying for Claims Executive" while applying on email or sending it to WhatsApp along with your CV attached.

Job Type: Full-time

Pay: ?25,000.00 - ?35,000.00 per month

Benefits:

Food provided Health insurance Provident Fund
Education:

Doctorate (Required)
Work Location: In person