Insurance Executive

HexaHealth; Gurugram District; On-site; INR 360,000 - 600,000; Full time

Job summary

Hexa Health is seeking a dynamic Insurance Executive to join our team in India. The role focuses on understanding insurance products, promoting them to clients, and managing policy administration and client satisfaction.

Responsibilities include handling cashless and reimbursement claims, coordinating with TPA and insurers, supporting pre-auth and policy terms, and ensuring timely processing. Proficiency in Excel and strong ownership are valued.

Qualifications

• Knowledge of cashless and reimbursement claims processes.
• Experience coordinating with TPA and insurers on claims.
• Ability to fill pre-auth forms correctly.
• Understanding of policy terms and health insurance guidelines.
• Effectively managing claim processing turnaround times.

Responsibilities

• Handle cashless and reimbursement claims processes.
• Follow up with TPA and insurers for claim issues.
• Coordinate pre-auth documentation with internal stakeholders.
• Quality check TPA billing and track status.
• Coordinate with doctors for surgeries.
• Resolve internal queries related to insurance.
• Ensure accurate pre-auth form submission.
• Understand policy terms and health insurance protocols.
• Manage volumes to maintain claim processing turnaround times.

Skills

Ownership

Proactive attitude

Client relationship management

Tools

Microsoft Excel

Job description

• Prior Experience in Healthcare/Hospital Background is preferred

Position Overview:

We are seeking a dynamic and results-driven Insurance Executive to join our team. The ideal candidate will have a strong understanding of insurance products and services and be capable of effectively promoting and selling them to prospective clients. This role involves client relationship management, policy administration, and ensuring client satisfaction.

Key Responsibilities:

• Cashless, Reimbursement claims process knowledge.
• Follow up & coordinate with TPA for cashless cases payment with TPA and insurance company for any issue related to claims.
• Coordinate with internal stakeholders related to pre -auth documents.
• TPA Billing Quality Checking and tracking.
• Coordination with Doctors related to Surgery.
• Resolving the internal Query related to insurance.
• Filling Pre auth form correctly.
• Understanding of Policy terms & conditions & Various Protocols / Guidelines of all health insurance policies.
• Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.

Skills we seek:

• Strong ownership and a commitment to flawless execution
• A proactive and go-getter attitude
• Proficiency in Microsoft Excel

About Hexa Health:

At HEXA, we are building a platform that will help users choose the right hospital/surgeon for their surgical procedure. We are working towards building India's largest hospital network, and we will ensure a hassle-free experience for the patient at the hospital.