Job Description

Roles and Responsibilities

All immediate Hiring

Semi calling / Process Executive

Open Positions 5

Salary 11,000/- take home per month

Location ICICI Bank towers, Nanakramguda, Gachibowli, Hyderabad

Job Profile

  1. Should be good in English and Hindi
  2. Processing of Personal Accident claim files
  3. Data Entry and semi calling

Should be Graduate

Preferred Science background graduates


Process Executive Health Claims

Open Positions 6

Salary 15k to 25k take home per month

Location ICICI Bank towers, Nanakramguda, Gachibowli, Hyderabad

Prerequisite: Science graduate like B.Pharmacy, M.Pharmacy, B.Sc., etc. with minimum of about 1-2 years’ experience in health Insurance domain.

Job Responsibility:

  1. Required knowledge, skills, abilities, and attributes are knowledge of medical terminology and insurance industry terminology.
  2. Knowledge of medical provider billing and payment procedures.
  3. Working knowledge of non-medical admissibility and eligibility of the customer.
  4. Knowledge of Policy T&C. Knowledge of various Corporate and Retail health insurance products.
  5. Technical knowledge of various health claims processing platforms
  6. Ability to communicate and coordinate with internal and external stakeholders.
  7. Should be fast learner and
  8. Expectation is to process at least 40 error-free claims per day

Job Description:

  1. Understanding terminology of health insurance like UHID, DOA, DOA, DOJ, DOC.
  2. Identifying type of documents like fresh, pre-post addendum, OPD and process accordingly.
  3. Cross checking parameters like policy tagging, UHID tagging, hospital tagging, DOA, DOD captured by data entry and correct if required.
  4. Checking Balance Sum Insured (BSI)
  5. Checking name and bill date on every bill and deduct bills without name/different name and out of pre-post bills.
  6. Separation of claim if received claims of more than one person or more than one admission and send for tagging.
  7. Checking previous policies and previous claim history of claimant.
  8. Verifying claim documents and determine insurance eligibility as per policy terms and conditions like sublimit and room eligibility.
  9. QC proper bifurcation of bill tabs and apply deductions where ever required like IRDA non payables, deductible, Co-Pay, proportionate deductions, discounts (based on policy)
  10. Trigger for PMT, CF as and when required.
  11. Tagging to top up policy/base policy if required.
  12. Verifying payment details for payment to happen to proposer of policy.
  13. Querying for deficient documents in case any deficiency noted for claim processing.
  14. In case of payable, capturing proper reasons of deductions happened.
  15. Sensitivity and other deviation approvals for CF and others.
  16. Inter-team (CPMT, PMT) and intra-team (CRM) communication and coordination

Job Role :

Back Office Executive

Industry :

IT-Software / Software Services

Qualification Required :


Experience Required :

0 - 1 Years

Location :


Gender Preference :


Required Skills :


Job Detail:

Job Timing :

9:30 am - 6:30pm | Monday to Saturday

Interview Details :

11:00 am - 4:00pm | Monday to Saturday

Employer Contact Details:

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Job Summary
  • Location


  • Job Type

    Full Time

  • Salary

    ₹18000- ₹26000

  • Date Posted

    07 December,2022