Claim Processing Executive

MDIndia; Chennai District; On-site; INR 200,000 - 320,000; Full time

Job summary

MDIndia in Chennai is seeking a BAMS/BHMS graduate to examine medical documents, adjudicate claims, and visit hospitals using their own bike. You will assess claim eligibility and determine financial outcomes as part of a field-based role.

Fresher to 1 year in a TPA is acceptable; internship completed with permanent registration is mandatory. This is an on-site position based in Tamil Nadu, requiring mobility and medical accuracy.

Qualifications

• BAMS/BHMS degree is required.
• Candidate should have good medical knowledge and basic computer skills.
• Fresher to 1 year of experience in TPA preferred.
• internship completed with permanent registration mandatory.

Responsibilities

• Scrutiny of medical documents and adjudication.
• Assess the eligibility of medical claims and determine financial outcomes.
• Identify trigger factors of insurance-related fraud and inform the concerned department.
• Determine accuracy of medical documents.
• Need to visit hospitals.
• Should have own bike.

Skills

Medical knowledge

Basic computer knowledge

Bike ownership

Education

BAMS/BHMS

Job description

Job Description:

1. Scrutiny of medical documents and adjudication.
2. Assess the eligibility of medical claims and determine financial outcomes.
3. Identification of trigger factors of insurance-related fraud and informing the concerned department.
4. Determine accuracy of medical documents.
5. Need to Visit the Hospitals
6. Should have own Bike

Required Candidate profile:

• BAMS,BHMS graduate.
• Male candidates preferred.
• Good Medical & basic computer knowledge
• Should have completed internship (Permanent Registration number is mandatory)
• Fresher to Minimum Experience of 1 year in TPA
• Work from office.