Health Insurance TPA of India Claims Executive Interview Questions and Answers

Q1. Give a brief intro
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I am a highly motivated and detail-oriented individual with a strong background in customer service and problem-solving.
• Customer service experience

• Strong attention to detail

• Problem-solving skills
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Q2. Are u comfortable with night shift
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Q1. Give a brief introduction about yourself
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Q2. Why did u leave your last company
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Q1. Tell me about yourself.
Ans. 
Experienced claim processing executive with a strong background in insurance industry.
• Over 5 years of experience in processing insurance claims

• Proficient in using claim processing software and tools

• Strong attention to detail and accuracy in claim verification

• Excellent communication skills in dealing with clients and stakeholders
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Q2. What is your previous rolls and responsibility.
Ans. 
I have previously worked as a Claims Processor at XYZ Company, where I was responsible for accurately processing insurance claims and ensuring timely payments.
• Processed insurance claims for accuracy and completeness

• Verified policy information and coverage details

• Communicated with policyholders, healthcare providers, and insurance companies

• Resolved claim discrepancies and issues

• Maintained accurate records and documentat
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Q3. Do you know about claim settlement and insurance.
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Yes, claim settlement involves processing and resolving insurance claims for individuals or organizations.
• Claim settlement involves reviewing and verifying insurance claims to determine coverage and validity.

• It also includes negotiating settlements with claimants or their representatives.

• Claim settlement may involve coordinating with various parties such as policyholders, insurance companies, and healthcare providers.

• E...read more
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Q4. What is your understanding about motor claim.
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Motor claim refers to the process of filing for compensation for damages or losses incurred due to a vehicle accident.
• Motor claim involves submitting documentation such as police reports, repair estimates, and insurance policy details.

• The claim is reviewed by the insurance company to determine coverage and liability.

• Compensation may be provided for vehicle repairs, medical expenses, and other related costs.

• Motor claim ...read more
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Q1. Tell me about your self .
Ans. Need to be very confident and tell them about us.
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Q1. Its a insurance based company so it's important to have a very good knowledge about claims and insurance... Its the best company to work for freshers.
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Q1. Tell me about yourself
Ans. 
I am a dedicated and experienced Claims Executive with a strong background in handling insurance claims and ensuring customer satisfaction.
• Over 5 years of experience in the insurance industry

• Proficient in claim processing and documentation

• Excellent communication and negotiation skills

• Proven track record of resolving claims efficiently and effectively

• Strong attention to detail and ability to work under pressure
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Q2. What is claims in insurance
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Claims in insurance refer to requests made by policyholders to receive compensation for covered losses or damages.
• Claims involve the process of investigating, evaluating, and settling insurance claims.

• Policyholders submit claims to their insurance company after experiencing a covered loss or damage.

• Insurance adjusters assess the validity of the claim and determine the amount of compensation to be paid.

• Claims can be rel...read more
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Q1. MORATORIUM PERIOD, EMBOLISM, THROMBUS, ANEURYSM, PED, PROCESS OF CASHLESS
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Q2. PROCESS OF CASHLESS
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Q3. EMBOLISM, THROMBUS, ANEURYSM
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Q1. SALARY NEGOTIATION
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