Claim Processing Executive - US Health Care

Purview Services; Surat; On-site; INR 200,000 - 260,000; Full time

Job summary

Purview Services in Surat, Gujarat, India seeks a claim processing associate to handle health insurance claims end-to-end. The role requires attention to policy details, fast-paced delivery, and accurate documentation.

You will verify eligibility, review records, and calculate benefits while coordinating with clients and internal teams. The ideal candidate demonstrates strong communication, analytical skills, and proficiency with relevant software to support efficient processing.

Qualifications

• Minimum 1 year of experience in claim processing, preferably in US Health Care.
• 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.

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 knowledge

Communication skills

Interpersonal skills

Analytical thinking

Problem solving

Computer literacy

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.