Cashless Insurance Claim Specialist

24 hours ago


Mount Abu, Rajasthan, India beBeeClaimsManager Full time ₹ 60,00,000 - ₹ 1,20,00,000

Job Summary

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Manage and process cashless insurance claims with efficiency, ensuring timely resolution for policyholders.

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This role involves verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring accurate claim processing.

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Key Responsibilities:

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  • Process end-to-end cashless claims for employees, verifying policy details and coordinating with healthcare providers.">
  • Verify policy coverage according to terms and conditions of the insurance policy.">
  • Provide customer service, responding to inquiries about claim status and related queries.">
  • Coordinate with healthcare providers to resolve discrepancies or errors during claim processing.">
  • Maintain accurate records of claim-related activities and transactions.">
  • Meet established service level agreements and performance metrics for claim processing and customer satisfaction.">
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Interactions:

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  • Internal Clients: Endorsement team, Onboarding team, Products & engineering, Claims teams, Support Inbound, Account Management">
  • External Clients: Insurers, Client HRs, Hospitals">
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Required Skills and Qualifications:

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  • At least 2 years of experience in customer-facing roles">
  • Past experience in voice profile an added advantage">
  • Experience in cashless/TPA">
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