Medical Insurance jobs in Kerala

Job Title: Insurance Executive
Department: Insurance / TPA
Industry: Hospital
Experience: Minimum 2 years of experience in hospital insurance
Salary: Based on experience and qualifications

Key Responsibilities

• Handle cashless hospitalization and reimbursement insurance processes.
• Coordinate with insurance companies and TPAs for pre-authorizations and claim approvals.
• Verify patient insurance eligibility and policy coverage.
• Prepare and submit pre-authorization requests with accurate documentation.
• Follow up on pending approvals, queries, and claim settlements.
• Ensure accurate documentation of insurance records and patient files.
• Coordinate with consultants, nursing staff, billing, and medical records for required documents.
• Process discharge approvals and ensure timely claim closure.
• Address patient and attendant queries regarding insurance coverage and claim procedures.
• Maintain daily MIS reports of insurance cases, approvals, rejections, and pending claims.
• Ensure compliance with hospital policies, insurance guidelines, and regulatory requirements.
• Support internal and external audits related to insurance documentation.

Qualifications

• Bachelor's Degree in any discipline
• Minimum 2 years of experience in hospital insurance
• Knowledge of cashless claims, reimbursement claims, insurance policies, and TPA procedures.
• Proficiency in Hospital Information Systems (HIS) and MS Office.

Pay: ₹20,000.00 - ₹30,000.00 per month

Work Location: In person