
Insurance Claim Professional
2 days ago
About us
We are a leading provider of financial solutions in the education sector, transforming the industry through our cutting-edge technology.
Our flagship product makes education more accessible and affordable for millions of families.
We partner with 5,000+ educational institutions across the country, making us a trusted name in education-focused financial services.
This is a high-impact opportunity to be at the forefront of building our new insurance vertical from the ground up.
We're seeking 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, third-party administrators, 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 experience.
This is a full-time, on-site role based in Mumbai with immediate joining.
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, 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 regulatory 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.
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