Health Insurance Claims Professional

2 days ago


India beBeeHealth Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title:
Health Insurance Claims Specialist

About the Role:
We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.

As a Health Insurance Claims Specialist, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.

The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.

Key Responsibilities:
  • Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
  • Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
  • Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
  • Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
  • Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.

Requirements:

A bachelor's degree in Business, Finance, Insurance, or related field is required. ~3–6 years of proven experience in health insurance claims management or related roles is necessary. IRDAI Health Insurance certification or equivalent preferred.


Why Choose Us:

We provide guidance, not pressure—helping families make confident decisions.


Be Part of Our Journey:

Be part of creating a vertical from scratch at a fast-growing fintech company.


  • ate - CLAIMS SC

    3 days ago


    India ICICI Prudential Life Insurance Full time

    Job DescriptionJob descriptionRetail Claims - Automation & ProjectsKey Responsibilities1. Automate Claims Processes- Design and develop automated workflows and business rules to streamline claims processing.2. Integrate with Existing Systems- Integrate automated claims processing solutions with existing systems and technologies.3. Testing and UAT - Test and...


  • India beBeeBilling Full time ₹ 4,00,000 - ₹ 8,00,000

    Job OverviewWe are seeking a highly skilled Billing and Claims Specialist to join our team. The ideal candidate will have experience in dental insurance claims, possess strong organizational skills, and be familiar with dental practice management software.Key Responsibilities:Submit dental insurance claims accurately and on timePost payments and verify...

  • Bpo Health Claims

    7 days ago


    India CIEL HR Full time

    Job Summary **Role**: - BPO Health Claims & Insurance Operations - Enrolment **Experience**: - 2 to 5 year **Work Location**: - Chennai only (Work From Office) **Shift Timing**: - 6:00 PM to 4:00 AM IST Transport - Only DROP **In this Role you will be Responsible For**: - Stay up to date on new policies, processes, and procedures impacting the -...


  • India Allianz Full time ₹ 5,00,000 - ₹ 10,00,000 per year

    POSITION SUMMARY As an Associate for the Insurance Claim Settlement process, you will play a crucial role in efficiently and effectively reviewing claims, ensuring all required documentation is in place, and facilitating the seamless settlement of claims. Serving as a key point of contact for associates, you will utilize your expertise to address queries,...


  • India Allianz Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    POSITION SUMMAR As an Associate for the Insurance Claim Settlement process, you will play a crucial role in efficiently and effectively reviewing claims, ensuring all required documentation is in place, and facilitating the seamless settlement of claims. Serving as a key point of contact for associates, you will utilize your expertise to address queries,...

  • Claims Specialist

    3 days ago


    India Plum Full time

    About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...

  • Claims Agent

    5 days ago


    India EZ Dental Billing LLC Full time

    We Help dentists get paid fairly and have peace of mind while providing excellent dental care. For more than ten years, EZ Dental Billing has been providing dental offices all over the US with billing solutions to help clients track receivables and maintain efficiency. We are proud to be able to offer 50 years' worth of combined experience in both accounts...


  • India Bajaj Allianz General Insurance Company Limited Full time

    Job DescriptionJob Description :- Conduct assessment of risk parameters associated with various health products as per defined underwriting guidelines to ensure coverage of future liabilities and minimization of loss ratios for BAGIC's retail health business.- Provide underwriting inputs for the allocated region, review all escalation cases, legal cases and...


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

    Claims SpecialistThis is a key role within the organization responsible for processing and managing cashless insurance claims efficiently and accurately. The Claims Specialist will ensure timely closure to policyholders and seamless coordination with insurance providers.Job Purpose:The job purpose of a Claims Management Specialist is to process and manage...


  • India CIEL HR Full time

    Job Summary Requirement - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong...