
Health Insurance Claims Professional
2 days ago
We are seeking a Health Insurance Claims Professional who is dedicated to delivering exceptional customer experiences and ensuring seamless claim processes. In this role, you will be the key liaison between customers, hospitals, and insurers—handling claims with precision, empathy, and efficiency.
Key Responsibilities:- Process and evaluate health insurance claims with accuracy and fairness.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with hospitals, TPAs, and policyholders for smooth settlement.
- Maintain records and follow up on pending claims to ensure timely resolution.
- Communicate effectively with customers and provide updates on claim status.
- Ensure compliance with industry regulations and company policies.
- Experience in health insurance claims handling/management (TPA/insurer background preferred).
- Strong understanding of insurance processes and regulations.
- Excellent customer service and communication skills.
- Strong analytical, problem-solving, and attention-to-detail abilities.
- Ability to work independently and as part of a team.
- Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
Be part of a dynamic organization that prioritizes customer satisfaction.
Opportunity to make a real difference in customers' lives through efficient and personalized service.
Collaborative work environment with opportunities for growth and development.
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