Health Insurance Claims Specialist

22 hours ago


Surat, Gujarat, India beBeeInsurance Full time ₹ 6,00,000 - ₹ 12,00,000

Health Insurance Claims Representative Job Description:

Job Title: Health Insurance Claims Specialist

We are seeking a skilled Health Insurance Claims Specialist to join our team. As a key member of our organization, 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 company policies and insurance regulations.
  • Verify policy coverage, eligibility, and supporting documents.
  • Coordinate with hospitals, third-party administrators, and policyholders to ensure seamless settlement.
  • Maintain accurate records and follow up on pending claims to ensure timely resolution.
  • Communicate clearly with customers and provide updates on claim status.

Requirements:

  • Minimum 2 years of experience in health insurance claims handling/management (third-party administrator or insurer background preferred).
  • Strong understanding of insurance processes and regulations.
  • Excellent customer service and communication skills (written and verbal).
  • 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).

What We Offer:

  • Competitive salary and benefits package.
  • Opportunity to make a real difference in customers' lives.
  • Collaborative work culture with growth opportunities.
  • Be part of a growing, people-first organization.


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