Insurance Executive Tpa Claims

Year    KA, IN, India

Job Description

Function: IDE (Insurance desk Expert)

Job Type: Full Time Job

Reports To: Team leader / Assistant Manager

Location: Mangalore

the lookout for dynamic, intelligent, and self-motivated individuals to join our growing team. We're seeking professionals who are excellent communicators, naturally curious, and passionate about making a real impact in the Insurtech space.

As an Insurance Desk Expert, you will play a vital role in supporting the medical insurance claim process by managing hospital relationships, resolving billing-related queries, and maintaining strong client relationships. Your work will be instrumental in ensuring that WeAssist remains a leading and reliable service provider in reimbursement claim settlements and related services.

Job Duties & Responsibilities

Coordinate with the hospital and collect information about admission and discharge of insured patients.

To interact with insurance patients.

Create WhatsApp groups to provide/share information.

Collecting necessary documents from Patient /Hospital.

Coordinate with internal medical and Ops team for initial approval.

Cross checking the files before sharing with the approval team.

Educating patients about our process.

Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company.

Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as necessary.

Follow-up and provide Updates to the patients

Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, Regional Manager Claims Assistance, Manager Operations and Business Head as necessary.

Qualifications & Skills:

Any Diploma, Graduation / Under Graduation

Should have good listening & analytical skills

Excellent interpersonal & communication skills

Additional Skills:

Strong verbal skills

Strong problem-solving skills and enthusiasm for new tasks and challenges

Relationship building skills.

Ability to multitask and prioritize, with a strong work ethic and attention to detail

Ability to operate with a high level of confidentiality and professionalism

Added Advantage:

Candidates with 6 months to 2 years of sales experience and exceptional communication skills. Someone who can turn challenges into opportunities. (Note: This is not a sales role.)

Having experience of working in Hospital or Insurance (6 months to 02 years) is a plus.

Job Types: Full-time, Permanent, Fresher

Pay: ₹200,000.00 - ₹300,000.00 per month

Experience:

Insurance Claims TPA: 1 year (Preferred)
Work Location: In person

Beware of fraud agents! do not pay money to get a job

MNCJobsIndia.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.


Job Detail

  • Job Id
    JD4099262
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    KA, IN, India
  • Education
    Not mentioned
  • Experience
    Year