Claim Processing Executive

TOP 1 Percent Career Club (opc); Bengaluru; On-site; INR 300,000 - 420,000; Full time

Job summary

We Assist is seeking a candidate for the Medical Insurance Adjudication Department to manage relationships with insurance companies, hospital partners, and billing related inquiries. The role supports cashless and reimbursement claims, ensures accurate paperwork, and collaborates with cross-functional teams to maintain smooth day-to-day operations in a fast-moving insure-tech environment.

Experience with Indian insurance claims is preferred, and the incumbent will work in a remote-friendly setup

Qualifications

• Strong analytical and problem-solving skills.
• Excellent interpersonal & communication skills.
• Attention to detail and ability to multitask.
• Willingness to learn new technologies quickly.
• Ability to work independently in a remote environment.

Responsibilities

• Manage relationships with Insurance Companies, Hospital Relations, and Billing.
• Handle Cashless & Reimbursement insurance claims paperwork and submission.
• Support day-to-day operations of the Insurance Adjudication Department.
• Collaborate with cross-functional teams to ensure smooth processes.

Skills

Analytical skills

Communication skills

Attention to detail

Independent work

Team player

Confidentiality

Education

Healthcare degree

Job description

Job Summary

Medical Insurance Adjudication Department at We Assist has an important role of

managing the relationship with Insurance Companies, Hospital Relations, Billing

Related Queries, Client Relationship Management to ensure that the We Assist

continues to be a competitive service provider in the Insure Tech, Reimbursement Claim

Settlement and the related industry. With ambitious growth plans in mind, We Assist is

looking to offer cutting edge solutions to both patients and the partner hospitals by

leveraging technology and with unique product offerings

Insurance Adjudication, candidate is required to contribute to the day-to-day operations

of Insurance Adjudication Department that supports the TPA/Insurance relationships

and necessary paperwork related to Cashless & Reimbursement insurance claims for

the smooth functioning of the day-to-today operation

Required Competencies

• Strong analytical and problem-solving skills


• Willingness to learn new technologies quickly


• Good communication skills


• Positive attitude and team player


• Ability to work independently in a remote environment


• Strong ownership and accountability


• Attention to detail


• Good time management and organizational skills

Qualifications

• BAMS / BHMS / BDS / Bsc / MSc / Nursing / Dph arm / Bpharm.


• 0-2 years of experience in TPA or Indian Insurance claims or similar field or


• Excellent interpersonal & communication skills & good analytical skills

Additional Skills

• Strong verbal skills Fluency


• Strong problem-solving skills and enthusiasm for new tasks and challenges


• Relationship building skills


• Ability to multitask and prioritize, with a strong work ethic and attention to detail


• Ability to operate with a high level of confidentiality and professionalism


• A willingness to accept a high degree of uncertainty, jump in and help wherever


• needed, get hands dirty, and wear multiple hats on a fast-moving team


• Should be able to manage the task assigned, while managing the tasks of the team/ team members that are assigned


• Should have an ability to manage and maintain smooth relationships with cross functional departments such as Finance, ClaimsRole & responsibilities

Preferred candidate profile

Perks and benefits