Claim Processing Executive
Manipalcigna Health Insurance
- Posted On: 2026-04-04 13:56:35
- Openings: 10
- Applicants: 0
Job Description
Job Title: Claims Registration Executive
Level: Executive/ Senior Executive (0-3 years experience)
Key Responsibilities:
- Claim Initiation & Registration: Receive and register claims (Cashless Pre-authorization or Reimbursement) via email, online portals, mobile apps, or phone, ensuring all details are logged in the Claims Management System (CMS).
- Document Verification: Verify policyholder eligibility, coverage, and the completeness of documents (e.g., claim form, discharge summary, medical bills, investigation reports).
- Data Accuracy: Ensure accurate data entry of patient details, diagnosis codes, and hospital information into the system.
- Inter-departmental Coordination: Coordinate with Third Party Administrators (TPAs), hospitals, and internal medical teams for smooth claim handling.
- Communication: Handle customer queries regarding claim procedures, status, and outstanding requirements via phone or email.
- Confidentiality & Compliance: Ensure compliance with company policies, regulatory guidelines (e.g., IRDAI), and maintain the confidentiality of medical records.
- Record Maintenance: Maintain and scan claim documents securely, creating proper logs and reports.
Required Skills & Qualifications:
- Education: Bachelor’s degree in any discipline.
- Experience: 1-3 years of experience in insurance claims.
- Technical Skills: Proficiency in MS Excel and MS Office; familiarity with Claims Management Software is preferred.
- Domain Knowledge: Basic understanding of health insurance policies, medical terminology, and TPA procedures.
More Info
Education
Any Graduate
Not Disclosed
Required Skills
Health Claims
Claims Adjudication
Claims Processing
TPA
Claim Settlement
Claims
settlements
Process
Contact Details
Manipalcigna Health Insurance
+91 987654567
customercare@manipalcigna.com
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