Claim Processor Job Vacancies in Bangalore

Job 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.Preferred Qualities:Analytical thinkingGood coordination skillsCustomer-focused approachTeam player

To confirm the claim is received in correct MAID, Hospital, etc,To capture the bifurcation of Admissible and Non-admissible paymentsTimings : 8 hrs /6 daysRequired Candidate profileQualification : BSC / MSC Nursing,Fresher & experience both are welcomed!!

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