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
Full Time
o
Not Disclosed
English
Not Disclosed
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
  • ExperienceFresher
  • Salary Above 10 LAKHS ANNUALLY
  • Location for Hiring Mumbai
  • Apply Now
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