Insurance Executive (Hospital Background Only)

VSH Hospital; Bengaluru; On-site; INR 360,000 - 540,000; Full time

Job summary

VSH Hospital in Bengaluru is seeking an Insurance & Billing executive with 3 years of claims experience to process, verify, and settle health insurance claims. You will review policy coverage, coordinate with TPAs, and ensure regulatory compliance.

You will evaluate cashless and reimbursement claims, verify documents against coverage terms, and communicate with hospitals, clients, and insurers to resolve discrepancies. Attention to detail and knowledge of health insurance processes are essential.

Qualifications

• Bachelor's degree in any field; healthcare-related backgrounds preferred.
• Familiarity with medical terminology and health insurance policies.
• Experience with hospital billing systems is a plus.

Responsibilities

• Evaluate cashless and reimbursement claims for accuracy and completeness.
• Verify documents: policies, bills, and medical records against coverage terms.
• Coordinate with providers, clients, and insurers to resolve discrepancies.
• Identify unusual billing patterns to prevent fraudulent payouts.
• Handle customer inquiries about claim statuses, approvals, or rejections.

Skills

Medical terminology

Health insurance

Data entry

Excel

Education

Bachelor's degree

Tools

TPA software

Job description

Insurance & Billing 3 Years of Experience Salary: Not Specified Qualification: Any Degree Posted on July 29, 2026

Job Summary

A medical insurance claims executive processes, verifies, and settles health insurance claims. Key responsibilities include reviewing policy coverage, coordinating with hospitals and TPAs (Third Party Administrators), and ensuring regulatory compliance.

Responsibilities

• Claim Processing: Evaluate cashless and reimbursement claims for accuracy, validity, and completeness.
• Document Verification: Check patient insurance policies, hospital bills, and medical records against coverage terms.
• Coordination: Communicate with healthcare providers, clients, and insurers to resolve discrepancies or missing details.
• Fraud Detection: Identify suspicious patterns or irregularities in medical bills to prevent fraudulent payouts.
• Customer Support: Answer inquiries regarding claim statuses, approvals, or rejections.

Required Skills And Qualifications

• Education: Bachelor's degree in any field; backgrounds in life sciences, nursing, pharmacy (Any Degree), or hospital administration are often preferred.
• Knowledge: Familiarity with basic medical terminology, health insurance policies, and hospital billing systems.
• Technical Skills: Proficiency in data entry, TPA software, and Microsoft Office (especially Excel).
• Soft Skills: Strong attention to detail, problem-solving abilities, and clear communication.