Healthcare Claims Specialist

6 days ago


Vadodara, Gujarat, India beBeeHealthcare Full time ₹ 8,00,000 - ₹ 10,00,000

Job Title: Healthcare Claims Specialist

About the Role:

We are seeking a skilled and detail-oriented individual to join our team as a Healthcare Claims Specialist.

The successful candidate will be responsible for processing and evaluating health insurance claims with accuracy and fairness. This role requires strong analytical, problem-solving, and attention-to-detail abilities.

Key Responsibilities:

  • Process and evaluate health insurance claims in accordance with company policies and insurance regulations.
  • Verify policy coverage, eligibility, and supporting documents.
  • Coordinate with healthcare providers, TPAs, and policyholders to ensure seamless claim settlement.
  • Maintain accurate records and follow up on pending claims to ensure timely resolution.
  • Communicate effectively with customers and provide updates on claim status.

Requirements:

  • Experience in health insurance claims handling or management (TPA/insurer background preferred).
  • Strong understanding of insurance processes and regulations.
  • Excellent customer service and communication skills (written and verbal).
  • Ability to work independently and as part of a team.
  • Bachelor's degree in Commerce, Healthcare, Insurance, or related field.

What We Offer:

A dynamic work environment, opportunities for growth and development, and a competitive compensation package.

This is an excellent opportunity for individuals who are passionate about delivering exceptional customer service and making a positive impact in the healthcare industry.



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