Claims Executive

Good Health Tpa Services; New Delhi; On-site; INR 223,000 - 335,000; Full time

Benefits offered by this job

Training in claims and TPA processes

Stable job with growth opportunities

Competitive fresher salary + incentive

Job summary

Good Health Tpa Services in Hyderabad is seeking a fresh Claims Processing Executive with BAMS/BHMS/BUMS to join our Claims Processing team. You will review medical documents and help process health insurance claims (cashless/reimbursement) as per policy guidelines.

Key responsibilities include validating claims, applying treatment protocols, coordinating with hospitals and internal teams, ensuring timely processing, and maintaining proper documentation to support compliance.

Qualifications

• BAMS/BHMS/BUMS degree required.
• 1 year experience required; freshers welcome.
• Hyderabad location; office-based role.

Responsibilities

• Review and validate medical claims (hospitalization, diagnostics, prescriptions).
• Apply standard treatment protocols for claim decisions.
• Coordinate with hospitals and internal teams for clarification.
• Ensure accurate and timely claim processing.
• Maintain documentation and support compliance.

Skills

Basic medical knowledge & terminology

Good communication & attention to detа

Computer skills (MS Office)

Education

BAMS / BHMS / BUMS

Job description

Job Title:

Claims Processing Executive BAMS/BHMS/BUMS (Freshers)Location: Gautam Nagar Delhi

Industry: Health Insurance / TPA Employment Type: Full-Time

Job Summary:

Looking for fresh BAMS, BHMS/ BUMS graduates to join our Claims Processing team. This role involves reviewing medical documents and helping process health insurance claims (cashless/reimbursement) as per policy guidelines.Key Responsibilities:

• Review and validate medical claims (hospitalization, diagnostics, prescriptions).
• Apply standard treatment protocols for claim decisions.
• Coordinate with hospitals and internal teams for clarification.
• Ensure accurate and timely claim processing.
• Maintain documentation and support compliance.

Eligibility:

• Education: BAMS / BHMS / BUMS
• Experience: 01 year (Freshers welcome)
• Location: Hyderabad (work from office)

Skills Required:

• Basic medical knowledge & terminology
• Good communication & attention to detail
• Computer skills (MS Office)

What We Offer:

• Training in claims and TPA processes
• Stable job with growth opportunities
• Competitive fresher salary + performance incentives