Health Insurance Claims Specialist
1 day ago
About GrayQuest
We are India's leading FinTech innovator in the education ecosystem, transforming the $100B+ education industry through our cutting-edge financial solutions.
Our flagship offering—monthly EMI solutions for school and college fee payments—makes education more accessible, affordable, and rewarding for millions of Indian families.
We partner with 5,000+ top educational institutions across the country, making us a trusted name in education-focused financial services.
Backed by some of India's most respected investors and entrepreneurs, we are now entering an exciting new Phase.
As part of our strategic expansion, we've launched a new insurance vertical focused on providing customised life and health insurance products to families within our network and beyond.
This is a high-impact opportunity to be at the forefront of building this vertical from the ground up.
Role Overview
We seek an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. In this role, 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
- 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.
Skills
- Strong knowledge of health insurance policies, products, and claims procedures.
- Excellent communication, negotiation, and customer-handling skills.
- High attention to detail with strong analytical and problem-solving abilities.
- Proficiency in MS Office and claims management/CRM systems.
Attributes
- Customer-first mindset with empathy and professionalism.
- Ability to work under pressure and meet strict deadlines.
- Strong organizational skills and accountability.
Why Join Us?
We provide guidance, not pressure—helping families make confident decisions.
We build something new every day.
We trust and transparency in all our dealings.
-
Health Insurance Claims Specialist
1 week ago
Kannur, Kerala, India beBeeHealth Full time ₹ 5 - ₹ 8Job Title: Health Insurance Claims SpecialistWe are seeking a skilled professional to handle health insurance claims with accuracy and efficiency.Key Responsibilities:Process and evaluate health insurance claims with fairness and transparency.Verify policy coverage, eligibility, and supporting documents to ensure seamless settlement.Maintain accurate records...
-
Dental Insurance Claims Specialist
2 weeks ago
Kannur, Kerala, India beBeeDental Full time US$ 82,000 - US$ 1,12,000Dental Insurance Claims SpecialistOur organization is seeking a meticulous and well-organized Dental Insurance Claims Specialist to assume key responsibilities.This role involves timely submission of dental insurance claims, monitoring payments, following up on outstanding balances, and ensuring the accuracy of accounts receivable.The ideal candidate will...
-
Insurance Claims Resolution Professional
47 minutes ago
Kannur, Kerala, India beBeeSettlement Full time ₹ 8,00,000 - ₹ 12,00,000Insurance claims settlement specialist job descriptionJob Title: Insurance Claim Settlement SpecialistClaims Processing:Review submitted documentation, determine eligibility based on policy coverage, and handle the entire claims process.Data Analysis:Analyse data according to established procedures to ensure accurate and efficient claim handling.Claim...
-
Dental Claims Specialist
4 days ago
Kannur, Kerala, India beBeeClaims Full time US$ 36,000 - US$ 72,000Job SummaryWe are seeking a detail-oriented and organized Dental Claims Specialist to join our team.This role involves the timely submission of dental insurance claims, tracking payments, following up on outstanding balances, and ensuring the accuracy of accounts receivable.
-
Dental Claims Specialist
2 days ago
Kannur, Kerala, India beBeeDental Full time ₹ 7,20,000 - ₹ 10,80,000We are seeking a detail-oriented Dental Billing & Claims Specialist to join our team.Submit dental insurance claims accurately and in a timely manner.Post insurance and patient payments in practice management systems.Follow up on unpaid or denied claims to ensure resolution.Communicate with dental offices, insurance companies, and patients as needed.Maintain...
-
Medical Claims Specialist
1 week ago
Kannur, Kerala, India beBeeClaim Full time ₹ 12,00,000 - ₹ 24,00,000Medical Claims Representative Job DescriptionAbout the RoleWe are seeking a highly skilled Medical Claims Representative to join our team. As a Medical Claims Representative, you will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.Daily ResponsibilitiesContact...
-
Insurance Data Specialist
2 days ago
Kannur, Kerala, India beBeeData Full time ₹ 25,00,000 - ₹ 35,00,000Job OverviewAs a skilled data professional, you will play a crucial role in supporting the migration of claims data from legacy systems to Guidewire Claim Center. Your primary responsibility will be to analyze and map legacy system tables to Guidewire Claim Center structures.Key Responsibilities:Map legacy system tables to Guidewire Claim Center...
-
Expert Claims Professional
2 days ago
Kannur, Kerala, India beBeeClaimsAnalyst Full time ₹ 11,24,000 - ₹ 17,16,000Are you looking for a challenging role that allows you to utilize your skills in claims analysis and customer interaction?We have an exciting opportunity for a Senior Associate to join our team.About the RoleWe are seeking an experienced professional with strong analytical skills to manage end-to-end claims analyses, verify policy/claims documents, and...
-
Claims Resolution Specialist
1 week ago
Kannur, Kerala, India beBeeOncologist Full time ₹ 8,00,000 - ₹ 12,00,000We are seeking an experienced professional to fill a Collection Specialist position with a strong background in Oncology billing and collections. The ideal candidate should have at least 3 years of experience in AR calling, possess excellent communication skills, and be able to handle complex claim resolutions while ensuring compliance with industry...
-
Financial Services Claim Manager
2 days ago
Kannur, Kerala, India beBeeClaims Full time ₹ 35,00,000 - ₹ 50,00,000About the Role:The Claims Operations Manager is responsible for the efficient and accurate processing of cashless insurance claims. This involves ensuring timely closure to policyholders and seamless coordination with insurance providers.Key Responsibilities include verifying policy coverage, reviewing medical records, coordinating with Insurers, and...
