Insurance Claim Examiner

4 days ago


Palakkad, Kerala, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000
Job Description

As a skilled Claims Representative, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.

Key Responsibilities:
  • Process and evaluate health insurance claims in accordance with established policies and procedures.
  • Verify policy coverage, eligibility, and supporting documents to ensure compliance with regulatory requirements.
  • Coordinate with healthcare providers, third-party administrators, and policyholders to facilitate timely settlement of claims.
  • Maintain accurate records and follow up on pending claims to ensure timely resolution.
  • Communicate effectively with customers and provide updates on claim status in a clear and concise manner.
  • Ensure compliance with company policies, industry regulations, and applicable laws.
Requirements:
  • Experience in health insurance claims handling or management (TPA/insurer background preferred).
  • Strong understanding of insurance processes, policies, and regulations.
  • Excellent customer service and communication skills, including written and verbal communication.
  • Strong analytical, problem-solving, and attention-to-detail abilities.
  • Ability to work independently and as part of a team.
  • Bachelor's degree in Commerce, Healthcare, Insurance, or related field preferred.


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