Insurance Claim Specialist

2 weeks ago

Morādābād, Uttar Pradesh, India beBeeClaims Full time ₹ 40,00,000 - ₹ 80,00,000

About this Job

This position is responsible for the efficient and accurate processing and management of cashless insurance claims, ensuring timely closure to policyholders and seamless coordination with insurance providers.

The role involves verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently.

The processor may also be responsible for communicating with employees or dependants to provide updates on the status of their claims and address any questions or concerns.

Key Responsibilities:
  • Manage end-to-end cashless claims of employees, verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring accurate and efficient processing.
  • Verify Policy Coverage: Review and verify policy details to ensure eligibility for cashless processing according to insurance policy terms and conditions.
  • Provide Customer Service: Respond to inquiries from employees and other stakeholders regarding claim status and related queries.
  • Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providers to obtain additional information, clarify details, and resolve issues.
  • Maintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
Interactions:
  • Internal Clients: Endorsement team, Onboarding team, Products & engineering, Claims teams, Support Inbound, Account Management
  • External Clients: Insurers, Client HRs, Hospitals

Our ideal candidate will have excellent communication skills, be detail-oriented, and possess a strong understanding of insurance policies and procedures.

We offer a competitive salary package, opportunities for professional growth, and a collaborative work environment.

If you are a motivated and organized individual looking to advance your career in insurance, please apply today

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