- Salary
- ₹4 - 7 LPA
- Experience
- 1+ yrs
- Location
- Noida, Baghpat, NCR
Required skills
- medical terminology
- ICD codes
- MS Excel
About the role
Job Overview The TPA Claims Executive. To help team in filling error free health claim end to end & resolving query raised. To reconcile claim filed vs claim received. The goal is to ensure fast and accurate claim processing for hospital. Key Responsibilities • Reconciliation: Review Claim filled & claim received. • Claim Assessment: Review Claim status & reply to query. • Verification: Check policy terms, exclusions, Errors and deductions. • Adjudication: Reply to query & coordinate for cashless claims. • Hospital Coordination: Network with empanelled hospitals for billing updates. • Data Management: Enter accurate claim details into the core CRM/TPA software. • Required Skills & Qualifications • Education: Bachelor’s degree • Experience: 1 to 6 years in health insurance for Pvt & Govt Claims. • Medical Knowledge: Strong grasp of medical terminology, ICD codes, and treatments. • Communication: Clear verbal and written skills to handle disputes. • Tech Savvy: Proficiency in MS Excel and insurance claim management systems. Location- NOIDA- 61/62, Baghpat, U.P. Salary- 4 LPA- 7 LPA
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