Operations Executive Mediclaim Verification

Year    KL, IN, India

Job Description

Role Summary:



The Operations Executive - Claim Verification will be part of the Central Allocation Team, responsible for screening, verifying, documenting, and forwarding medical claim cases received through email and portals. This role is critical for ensuring timely and error-free claim routing and initial processing.

Key Responsibilities:



Monitor all incoming claim-related emails and communication channels. Conduct initial screening to assess the nature and relevance of each case. Accurately tag and route cases to the appropriate department or state team. Ensure immediate forwarding of screened cases to the Central Allocation Team. Maintain and regularly update the Excel tracker with claim numbers.

2. Portal Case Handling



Receive, acknowledge, and process claim cases received through the company portal. Download and organize all documents related to each case. Draft concise case summaries including all relevant details. Dispatch case files and summaries to respective State Executives in a timely manner. Ensure proper file naming conventions and document handling. Update Excel tracker with full data across Columns A to E, G to M, and O. Maintain high accuracy in data entry and zero-error documentation. Prioritize timely turnaround and eliminate delays in portal case processing.

Key Skills & Competencies:



Strong attention to detail and accuracy Proficiency in MS Excel and documentation Excellent communication and coordination skills Ability to multitask and work under tight timelines Familiarity with document management and tagging systems is an advantage
*

1. Preferred Qualifications:

Bachelor's degree in any discipline 1-2 years of experience in claim processing, operations, or backend coordination (preferred) Freshers with strong analytical and documentation skills may also apply
Job Type: Full-time

Pay: ?18,000.00 - ?22,000.00 per month

Work Location: In person

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+91 9288000380

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Job Detail

  • Job Id
    JD3845999
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    KL, IN, India
  • Education
    Not mentioned
  • Experience
    Year