Claims SpecialistHexaHealth • Gurgaon, Haryana, India
Claims Specialist
HexaHealth • Gurgaon, Haryana, India
18 hours ago
Job descriptionPolicy Review & KYP Verification : Review and validate policy information under the Know Your Policy (KYP) process, ensuring customer details, policy terms, and documentation are accurate and complete. Insurance Terminology & Policy Interpretation : Interpret key insurance components such as premiums, sum insured (SI), deductibles, co-pay, exclusions, waiting periods, riders, endorsements, underwriting notes, and overall policy structure. Coordination with Customers, TPAs & Internal Teams : Liaise with customers, TPAs, and internal Discrepancy Resolution & Compliance Management : Identify discrepancies in policy data, ensure timely rectifications, and maintain accurate records in compliance with operational, regulatory, and audit standards. Claims, Cashless & Billing Support : Support insurance operations including cashless approvals, claims flow understanding, and preparation of accurate patient billing with correct documentation and coding. Basic Excel Knowledge Medical Billing Knowledge
Job Title : - Sr. Executive - Insurance Location : Gurugram, Sector - 14
Experience : 2-3 years
Salary : As per market standards
Working Days : 6
Shifts and Week-Offs : Rotational
Eligibility :
- Any Graduate
- Prior Hospital Background Preferred
Position Overview :
We are seeking a detail-oriented Insurance Executive to oversee accurate and timely patient billing. The role involves coordinating with medical teams and insurance providers, validating documentation, resolving billing queries, and ensuring smooth desk operations.
Key Responsibilities :
departments for clarifications, document follow-ups, and smooth handling of policy-related or
claims-related processes.
Skills we value :
About Hexa Health :
At HexaHealth, 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.
Website Link : LinkedIn Link :
Careers Page Link :
Whatsapp Channel Link :
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Specialist • Gurgaon, Haryana, India
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