Claims Executive 12th Pass Fresher Jobs in Bangalore

ob Title: Claims Process ExecutiveDepartment: Insurance OperationsExperience: 03 YearsLocation: [Mention Location]Job Summary:We are looking for a detail-oriented and efficient Claims Process Executive to handle insurance claims processing, verification, and coordination. The candidate will be responsible for reviewing claims, ensuring accuracy, and supporting customers throughout the claims lifecycle.Key Responsibilities:Process and review insurance claims as per company guidelines.Verify claim documents for accuracy and completeness.Coordinate with customers, hospitals, agents, and internal teams for claim clarification.Ensure timely settlement of claims within TAT.Maintain accurate records of claims in the system.Follow up on pending documents and approvals.Resolve claim-related queries and escalations.Ensure compliance with company policies and IRDA regulations.Required Skills:Basic knowledge of insurance and claims processing.Good communication skills (verbal & written).Strong attention to detail.Ability to work under deadlines.Basic computer knowledge (MS Office, email handling).Qualification:Any Graduate (Commerce/Management preferred).Insurance certification (if any) is an added advantage.

Key Responsibilities:1. Review and process insurance claims: As a Claim Associate, you will be responsible for reviewing and validating insurance claims submitted by policyholders or healthcare providers.2. Communicate with policyholders: You will need to communicate with policyholders to gather additional information, clarify details, or provide updates on the status of their claim.3. Investigate claims: You will be expected to investigate the validity of claims by verifying information, analyzing policy coverage, and determining claim eligibility.4. Collaborate with team members: Working closely with other team members, you will collaborate to ensure efficient processing of claims and provide support as needed.Required Skills and Expectations:1. Strong attention to detail: The ability to carefully review and analyze documents and information is essential for accurately processing claims.2. Good communication skills: Clear and effective communication with policyholders and team members is crucial for resolving issues and providing updates on claims.3. Analytical thinking: The ability to assess information, identify patterns, and make informed decisions is necessary for investigating and processing claims.4. Ability to work in a fast-paced environment: As a Claim Associate, you will need to manage multiple claims simultaneously and meet deadlines while maintaining accuracy.

To give the estimate to the patients according to the treatment advised and as per the hospital tariff.To connect with Insurance company and get the relevant information required for claimsTo treat all communication about patients, staff, and other organizational business confidentially.To maintain appropriate departmental documentation.Coordinating all kinds of internal billing queriesMinimum 2 years of experience in a hospital as a TPA.Good communication skillsGood knowledge of working on excelWilling to work in a hospital setting in shifts

Managing the insurance desk in hospitals, Preauth processing, patient coordination, Claim adjudication .Follow up with insurance and TPAs .Healthcare management domain.