Insurance Career Builder

24 hours ago

Kota, Rajasthan, India beBeeClaims Full time ₹ 90,00,000 - ₹ 1,20,00,000
Health Insurance Claims Specialist

About this opportunity:

As a leading innovator in the education ecosystem, we transform the industry through our cutting-edge financial solutions.

We partner with top educational institutions across India, making us a trusted name in education-focused financial services.

This is a high-impact opportunity to be at the forefront of building a new insurance vertical from the ground up.

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

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.
  • Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
  • Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.

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.

Requirements:
  • Bachelor's degree in Business, Finance, Insurance, or related field.
  • 3–6 years of proven experience in health insurance claims management or related roles.
  • IRDAI Health Insurance certification or equivalent preferred.

You'll be part of creating a vertical from scratch at a fast-growing fintech and enjoy a customer-first mindset, empathy, and professionalism.

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