Health Insurance Expert

2 days ago

Hubli, Karnataka, India beBeeHealth Full time ₹ 18,00,000 - ₹ 21,00,000
Health Insurance Claims Manager

We are seeking an experienced and skilled professional to manage the end-to-end claims process for our customers.

Key Responsibilities
  • Claims Processing & Adjudication: Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
  • Customer Coordination: Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
  • Insurance & TPA Liaison: Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
  • Issue Resolution: Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
  • Compliance & Accuracy: Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Monitoring & Reporting: Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
  • Process Improvement: Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.
Requirements
  • Education: Bachelor's degree in Business, Finance, Insurance, or related field.
  • Experience: 3–6 years of proven experience in health insurance claims management or related roles.
  • Certifications: IRDAI Health Insurance certification or equivalent preferred.
Benefits
  • Customer-first mindset: We provide guidance, not pressure—helping families make confident decisions.
  • Opportunity to build something new: Be part of creating a vertical from scratch at a fast-growing fintech.
  • Trust & Transparency: IRDAI compliance, customer-first service, and honesty are non-negotiable.

Join us and contribute your expertise to shape the future of healthcare claims management

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