Health Insurance TPA of India Claims Executive Interview Questions and Answers

Q1. Tell me about your self
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Q2. What you know about insurance in specificaly about health insurance
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Q1. What is your previous company experience?
Ans. I have 2years in claims executive billing and audit
Answered by Thirumala Ravali
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Q2. Explain the roles and responsibilities?
Ans. Check the member documents, processing the billing
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Q3. Why previous company job leave me?
Ans. Carrier growth and improve my skills in another company
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Q4. Explain the member cashless claim mandatory documents?
Ans. Cashless Authouztion letter All original documents discharge summary Final bill with breakups, patients paid cash paid receipts, patient Id proofs.
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Q5. How any types in claims?
Ans. 
There are several types of claims including property, liability, auto, health, and workers' compensation.
• Property claims involve damage to physical property such as homes or vehicles.

• Liability claims involve someone being held responsible for causing harm or injury to another person.

• Auto claims involve damage to vehicles and injuries sustained in car accidents.

• Health claims involve medical expenses and treatments cover...read more
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Q1. (2-3 chance are given)
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Q1. Tell me about Yourself?
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Q2. What do you know about the company?
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Q1. Self details and job description
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Q1. Basic Questions related to educational background and some practical questions
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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
Ans. 
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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Insurance Co Questions Asked and my past job experience questions asked and what I role I had expressed

Q1. What are Insurance Companies in India?
Ans. 
Insurance companies in India provide various types of insurance policies to individuals and businesses.
• Insurance companies in India offer life insurance policies to provide financial protection to individuals and their families.

• General insurance companies in India provide coverage for property, health, motor, travel, and other non-life risks.

• Public sector insurance companies in India include Life Insurance Corporation ...read more
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Q2. In Which Category Health Insurance Comes under?
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Q1. About my past experiences
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