Urgent Opening For Back Office Executive - Pune

Job Description:

Key Responsibilities:

• Review and process incoming medical/health insurance claim investigation requests.

• Understand prescriptions, medical bills, diagnosis reports, and hospital records.

• Coordinate with field investigators for case updates, doctor verifications, and report follow-ups.

• Analyze investigation inputs and draft structured final reports for clients.

• Ensure accuracy in medical terminology and pharma-related data entry.

• Maintain updated records of claim files, both digital and physical.

• Communicate with clients (insurance companies) for additional documentation or clarifications.

• Ensure timely delivery of investigation reports within deadlines.

• Maintain strict confidentiality and data security protocols.

• Prepare regular MIS reports for internal tracking and client review.

Required Skills & Qualifications:

• Educational Qualification:

  • D. Pharma / B. Pharma / M. Pharma (mandatory)

• Experience:

  • 1–3 years in back office operations in a TPA, insurance, pharma company, or hospital preferred.

• Excellent knowledge of medical terminology and healthcare claim processes.

• Proficient in MS Office tools (Excel, Word, Outlook).

• Strong typing skills and attention to detail.

• Good communication (written & verbal) and coordination skills.

• High level of integrity and discretion in handling confidential data.

Preferred:

• Exposure to TPA claim processing, hospital billing, or insurance documentation is a plus.

• Experience working with CRM or claim management tools.