{"@context":"https://schema.org","@type":"JobPosting","title":"Walk-in || Claim Processing Associate","description":"

Roles and Responsibilities

Conduct claim investigations, audits, and document verifications to ensure accurate processing of insurance claims.
Review medical records, police reports, and other relevant documents to determine claim validity.
Collaborate with TPAs (Third Party Administrators) to resolve claim disputes and negotiate settlements.
Ensure compliance with regulatory requirements and internal policies during the entire claims lifecycle.
Maintain accurate records of all interactions with clients, including phone calls, emails, and correspondence.

Desired Candidate Profile

1-2 years of experience in back office operations or related field such as audit compliance, claims processing, or insurance processing.
Degree holder from a recognized university (M.B.B.S., BAMS/BNYS).
Strong understanding of medical insurance concepts and regulations governing healthcare industry practices.
Proficiency in using computer systems for data entry and record-keeping purposes.

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