Sr. Associate OPD Claims

About the role

The Medical Claim Processor is responsible for end-to-end processing of medical insurance claims (reimbursement), ensuring accuracy, compliance with policy terms, and adherence to turnaround time (TAT). This role requires close coordination with hospitals, customers, internal teams, and third-party administrators to deliver timely and efficient claim settlements.

What you'll do

• End-to-end processing of medical insurance claims (reimbursement), ensuring accuracy, compliance with policy terms, and adherence to turnaround time (TAT)
• Collaborate with hospitals, customers, internal teams, and third-party administrators to deliver timely and efficient claim settlements
• Review and verify claim details for accuracy and compliance, identifying and resolving any discrepancies or errors
• Manage multiple claim files simultaneously, prioritizing tasks and meeting deadlines to ensure timely claim settlements

What you need

• Compliance
• Insurance
• Claims processing
• Medical coding
• Any graduate