Claim Processing Executive - US Health Care

Purview Services; Bengaluru; On-site; INR 420,000 - 600,000; Full time

Job summary

Purview Services is seeking a dedicated professional in Bengaluru to process health insurance claims. The role involves adherence to policy, verification of patient eligibility, and accurate calculation of benefits, with frequent coordination with clients and internal teams.

The ideal candidate will have basic to strong experience in claims processing, solid communication and analytical skills, and the ability to perform well in a fast-paced environment while meeting deadlines.

Qualifications

• Minimum 1 year of experience in claim processing.
• Understanding of US health care claim processing.
• Strong communication and interpersonal skills.
• Ability to work in a fast-paced environment and meet deadlines.

Responsibilities

• Process claims according to company policies and procedures.
• Verify patient eligibility and benefits under various insurance plans.
• Review medical records and calculate benefit amounts accurately.
• Communicate effectively with clients and internal teams regarding claim status.
• Maintain accurate records of all interactions with customers.
• Identify and elevate potential issues or discrepancies to senior management.

Skills

Claim processing

Communication

Interpersonal skills

Analytical skills

Problem solving

Computer proficiency

Job description

Roles and Responsibility

• Process claims according to company policies and procedures.
• Verify patient eligibility and benefits under various insurance plans.
• Review medical records and calculate benefit amounts accurately.
• Communicate effectively with clients and internal teams regarding claim status.
• Maintain accurate records of all interactions with customers.
• Identify and elevate potential issues or discrepancies to senior management.

Job Requirements

• Minimum 1 years of experience in claim processing, preferably in the US Health Care industry.
• Strong knowledge of claim processing principles and practices.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and meet deadlines.
• Proficient in using computer systems and software applications.
• Strong analytical and problem-solving skills.