
Health Insurance Claims Manager
22 hours ago
We are seeking a seasoned Health Insurance Claims Specialist to oversee and manage the end-to-end claims process for our customers.
This is a high-impact opportunity to be at the forefront of building a new insurance vertical from the ground up.
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.
- 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.
Here's why this role is attractive:
- Advice First: We provide guidance, not pressure—helping families make confident decisions.
- Build Something New: Be part of creating a vertical from scratch at a fast-growing fintech company.
- Trust & Transparency: IRDAI compliance, customer-first service, and honesty are non-negotiable.
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