Insurance Claims Manager

3 days ago


Bikaner, Rajasthan, India beBeeClaim Full time ₹ 60,00,000 - ₹ 80,00,000
Role Summary:

The primary function of this position is to manage and process cashless insurance claims efficiently and accurately. This includes ensuring timely closure for policyholders and seamless coordination with insurance providers.

Key Responsibilities:
  1. Claims Processing: Manage end-to-end cashless claims, verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring accurate and efficient processing.
  2. Policy Verification: Review and verify policy details to ensure claim eligibility for cashless processing according to terms and conditions.
  3. Customer Service: Provide prompt responses to inquiries from employees and stakeholders regarding claim status and other related queries.
  4. Hospital Coordination: Communicate with healthcare providers to obtain additional information, clarify details, and resolve issues.
  5. Issue Resolution: Investigate and resolve discrepancies, errors, or issues arising during claim processing to ensure timely and accurate resolution.
  6. Record Keeping: Maintain detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
  7. SLA Adherence: Meet or exceed established service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction.
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