Claims Associate

Job Description:

Key Responsibilities

• Review and evaluate medical insurance claims and documents.

• Analyze clinical information and medical reports for claim validation.

• Ensure accurate processing of claims as per policy guidelines.

• Maintain proper documentation and records.

• Coordinate with internal teams for claim-related queries.

• Adhere to process guidelines, quality standards, and TAT.

Eligibility Criteria

Educational Qualification:

Eligible Degrees:

• BPT, BDS, BMLT, BAMS, BHMS, BUMS

• B. Pharma (minimum 6 months experience required)

Experience:

• Minimum 6 months of relevant claims experience preferred.

• Freshers considered for:

  • BPT, BDS, BMLT, BAMS, BHMS, BUMS

Skills Required

• Basic knowledge of medical terminology and healthcare processes.

• Understanding of medical insurance and claims processing.

• Good analytical and decision-making skills.

• Attention to detail and accuracy.

• Basic computer knowledge and documentation skills.

• Ability to work in rotational shifts.

Interview Process

• Mode: Walk-in Interview

• Process: All interview rounds will be completed on the same day.

Additional Information

• Work Mode: Office-based

• Shift : Rotational Shift (24*7)

• Cabs : Both side cabs provided by company (under hiring zone)

• Career Growth: Opportunities in healthcare and insurance domain