Job Description

Key Responsibilities:

Receive, review, and process incoming claims in accordance with company policies and procedures. Act as a liaison between clients, insurance providers, and internal departments to gather necessary documentation and information. Maintain detailed records of all claims and communications in the claims management system. Ensure timely submission and follow-up of claims to meet internal deadlines and service level agreements. Analyze claim details to identify discrepancies, potential fraud, or the need for further investigation. Prepare claim reports and summaries for management or regulatory review. Coordinate resolution of claims, including approvals, denials, settlements, or escalations. Provide excellent customer service by keeping claimants informed of claim status and resolution timelines. Stay updated on changes in regulations, policies, and procedures relevant to the claims process.

Qualifications:

High school diploma or equivalent; associate or bachelor's degree preferred. Prior experience in claims processing, insurance, healthcare administration, or a related field. Strong organizational and multitasking skills. Excellent communication and interpersonal skills. Detail-oriented with the ability to analyze and interpret information quickly. Proficient in Microsoft Office Suite and claims management systems.
Job Type: Full-time

Pay: ?10,000.00 - ?20,000.00 per month

Schedule:

Day shift
Supplemental Pay:

Overtime pay
Education:

Bachelor's (Required)
Experience:

claim handling : 1 year (Preferred)
Location:

Delhi, Delhi (Required)
Work Location: In person