Executive - Contact Centre

Niva Bupa Health Insurance Company Limited; Dadri; On-site; INR 240,000 - 320,000; Full time

Job summary

Nivabupa in India seeks a Medical Claims Call Center Representative to handle inbound calls related to medical claims and their rejection, delivering courteous service to customers.

The role requires knowledge of medical billing codes, claim procedures, and documentation; you will document interactions and collaborate with claims processing teams to resolve complex issues.

Qualifications

• Medical background preferred
• Strong customer service skills
• Familiarity with medical billing terms

Responsibilities

• Handle inbound calls related to medical claims and their rejection.
• Provide information on claim procedures, documentation, and coverage.
• Investigate and resolve customer concerns to ensure satisfaction.
• Collaborate with claims processing and other internal teams to address complex issues.
• Maintain up-to-date knowledge of medical billing codes and claim processes.
• Document interactions and update customer records accurately.

Job description

Permanent

Job Description

Primary Role Description

We are seeking a highly motivated and experienced individual from a medical background to join ourteam as a Medical Claims Call Center Representative. In this role, you will be responsible for handlinginbound customer calls related to claims and the rejection of claims. Your primary focus will be toprovide exceptional customer service while resolving customer inquiries and concerns effectively.

Answer incoming customer calls in a professional and timely manner.

Assist customers with inquiries including medical claims and rejections.

Provide accurate and detailed information about claim procedures, documentationrequirements, and coverage.

Investigate and resolve customer concerns, ensuring high levels of customer satisfaction.

Collaborate with internal departments, such as claims processing to address and resolvecomplex issues.

Maintain thorough and up-to-date knowledge of products, medical billing codes, and claimprocesses.

Document customer interactions and update customer records accurately in the system.

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Adhere to company policies, procedures, and compliance guidelines.

Job Snapshot

Updated Date

18-12-2025

Job ID

MB_JOB_4932

Department

Contact center

Location