Claims Resolution Specialist

19 hours ago


Palakkad, Kerala, India beBeeNegotiation Full time ₹ 8,00,000 - ₹ 12,30,000
Job Title

Claims Settlement Expert

We are seeking an experienced Claims Settlement Expert to oversee the entire claims resolution process.

Main Responsibilities:

  • Claims Processing: Manage the entire claims lifecycle from reviewing submitted documentation to determining eligibility based on policy terms.
  • Data Analysis: Analyze data according to provided SOPs to ensure accurate and efficient claim handling.
  • Claim Validation & Investigation: Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
  • Client Communication: Keep policyholders informed on the status of claims and provide clarity on coverage decisions.
  • Settlement Negotiation: Negotiate settlement amounts with claimants ensuring that settlements are fair, within policy limits, and compliant with regulatory standards.

Required Skills and Qualifications:

  • Strong understanding of insurance policies, claims processes, and regulatory requirements.
  • Proven negotiation and conflict resolution skills.
  • Ability to analyze complex claims data for fair settlement decisions.

Benefits:

The ideal candidate will have excellent communication and problem-solving skills, as well as the ability to work independently in a fast-paced environment.

About the Role:

This is an exciting opportunity for a highly motivated and organized individual to join our team and contribute to the success of our organization.



  • Palakkad, Kerala, India beBeeClaims Full time ₹ 9,00,000 - ₹ 18,00,000

    Job Title: Claims SpecialistA Claims Specialist plays a vital role in managing claims and disputes for product tankers.Effectively manage claims and disputes to ensure timely resolution.Collaborate with client teams, vessel agents, and other stakeholders to gather necessary information.Evaluate claims based on contract clauses and provide analytical...


  • Palakkad, Kerala, India beBeeClaim Full time ₹ 60,00,000 - ₹ 80,00,000

    Job Title: Medical Claim Reimbursement SpecialistWe are seeking a highly organized and detail-oriented individual to join our team as a Medical Claim Reimbursement Specialist. As a key member of our revenue cycle operations, you will play a critical role in ensuring accurate reimbursement for medical claims.The ideal candidate will have excellent...


  • Palakkad, Kerala, India beBeeClaims Full time ₹ 6,00,000 - ₹ 8,00,000

    As a Dedicated Claims Specialist, you will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.Key Responsibilities:Denial Resolution: Initiate calls to insurance companies to inquire about the status of denied claims, maintaining thorough records of all interactions and...


  • Palakkad, Kerala, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000

    About UsWe are seeking a skilled Claims Specialist to join our team.The ideal candidate will be responsible for managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.This role involves verifying policy coverage, reviewing medical records, coordinating with...


  • Palakkad, Kerala, India beBeeHealth Full time ₹ 12,00,000 - ₹ 15,00,000

    At GrayQuest, we're looking for a skilled Health Insurance Claims Manager to oversee the entire claims process.The ideal candidate will have experience in health insurance claims management and excellent problem-solving skills.We offer a customer-first approach, transparency, and a dynamic work environment.This role involves managing claims from verification...


  • Palakkad, Kerala, India beBeeClaimsSpecialist Full time US$ 30,000 - US$ 32,000

    Job TitleDental Insurance Claims SpecialistAbout the RoleWe are seeking a detail-oriented and organized individual to join our team as a Dental Insurance Claims Specialist.This role is responsible for the timely submission of dental insurance claims, tracking payments, following up on outstanding balances, and ensuring the accuracy of accounts receivable.The...


  • Palakkad, Kerala, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000

    Job DescriptionAs a skilled Claims Representative, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.Key Responsibilities:Process and evaluate health insurance claims in accordance with established policies and procedures.Verify policy coverage, eligibility, and supporting documents to ensure compliance...


  • Palakkad, Kerala, India beBeeInsurance Full time ₹ 18,00,000 - ₹ 24,00,000

    Job Title: Insurance Claims Integration SpecialistJob Description:We are seeking a skilled professional to develop and maintain integrations with Guidewire Claim Center (Cloud Version).Key Responsibilities:Design and implement software integrations using Guidewire Claim Center.Collaborate with cross-functional teams to ensure seamless integration of...


  • Palakkad, Kerala, India beBeeCareer Full time ₹ 60,00,000 - ₹ 80,00,000

    Job OverviewThe Automotive Warranty Administrator role is responsible for processing warranty claims accurately and on time. This position requires strong attention to detail, effective communication, and the ability to work in an overnight shift aligned with US Central Standard Time.Key Responsibilities:Verify repair orders against dealership systems and...


  • Palakkad, Kerala, India beBeeHealthcare Full time ₹ 2,50,000 - ₹ 3,50,000

    Job DescriptionHiring for a Senior Process Executive to handle US Healthcare claims. The ideal candidate will have 1-3 years of experience in claims adjudication and strong analytical skills.The selected candidate will be responsible for reviewing and processing healthcare claims, managing claim adjustments, and ensuring accurate coding (ICD, CPT, HCPCS)....