Sr. Associate OPD Claims
Acko · Bengaluru East
- Experience1–2 yrs
- SalaryNot disclosed
- Work modeonsite
- Posted22 Sept 2026
About Acko
Acko is hiring in Bengaluru East in insurance. This role looks for around 1+ years of experience.
Skills
- insurance claims processing software
- medical billing and coding systems
- ICD-10
- CPT
The role
A medical insurance claims processor at an insurance company reviews and settles reimbursement claims using medical billing and coding systems and ICD-10, while applying insurance claims processing software and coordinating accurate, compliant outcomes.
Full job description
About Job
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.
The Medical Claim Processor plays a critical role in ACKO by ensuring seamless claim processing, customer satisfaction, and financial stability. They are expected to work efficiently under pressure, manage multiple tasks simultaneously, and maintain high levels of accuracy and productivity.
Skills & Qualification
Strong analytical skills, with the ability to review and verify claim details for accuracy and compliance.Excellent communication skills, with the ability to effectively collaborate with hospitals, customers, internal teams, and third-party administrators.Ability to work efficiently under pressure, manage multiple tasks simultaneously, and maintain high levels of accuracy and productivity.Proficiency in insurance claims processing software, with the ability to adapt to new systems and technology.Knowledge of medical billing and coding systems, including ICD-10 and CPT.Strong problem-solving skills, with the ability to identify and resolve claim-related issues in a timely and efficient manner.Ability to maintain accurate records and reports, with a strong attention to detail and organizational skills.
Responsibilities
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.