Claims Executive

Primary:

 Verify the documents received as per the checklist

 Process the documents to send to the insurance co

 Advice the missing docs and information and ensure to collect the same before TAT

 Follow the compliance of Group Medical Terms (Training will be provided)

 Manage MIS on a Monthly basis / on ad hoc request

 Electronic Filing all the docs in the respective assigned Systems – ensure 100%

compliance to this area.

 Attention to details on accuracy – to be maintained at 100% at all time

 Handling the complaints and maintain the tracker

Secondary:

 Coordinate between the client and insurance company

 Collect all relevant docs from clients and closure as per the set TAT

KPI’s

 TAT of Claims received Vs Actioned

 TAT of OP claims closed

 Tracker updating

 TAT for the email revert

 No. of Claims received Vs Settled

Qualifications

 Education: Graduation in any stream with minimum 50%

 Skills: Excellent communication skills

 Characteristics: Go getter with “Can do Attitude”

 Experience: Minimum 3 years from the Service Industry – Medical claims preferred

 Good Communication skills in English and Hindi required and MS Office skills

 Arabic speaking knowledge is an additional advantage