Insurance Claim Evaluation Specialist

2 days ago


Mumbai Bengaluru Bangalore Pune, India beBeeClaims Full time US$ 90,000 - US$ 1,20,000
Insurance Claim Evaluation Specialist

The role of Insurance Claim Evaluation Specialist involves a thorough examination and processing of insurance claims to ensure accurate and fair assessments, thus contributing to the overall efficiency of the claims department.

Key responsibilities include:

  • Assessing and evaluating insurance claims to determine validity and coverage based on policy terms.
  • Conducting in-depth investigations into claims by gathering relevant information, interviewing claimants, and consulting with medical professionals when necessary.
  • Preparing detailed reports documenting findings and recommendations for claim resolution.
  • Collaborating with underwriting and legal teams to ensure compliance with policies and regulations.
  • Effective communication with clients, claimants, and colleagues to provide updates and resolve issues promptly.

Required skills and qualifications include:

  • Bachelor's degree in Finance, Business Administration, or a related field.
  • Strong analytical skills with the ability to interpret complex data and make informed decisions.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and experience with claims management software.
  • Excellent verbal and written communication skills for effective interaction with clients and stakeholders.
  • Attention to detail and strong organizational skills to manage multiple claims efficiently.

Additionally, the ideal candidate will have:

  • A minimum of 2-3 years of experience in insurance claims handling.
  • A proven track record of successful claim resolutions and customer satisfaction.
  • Strong knowledge of insurance regulations, policies, and procedures.

We are seeking highly motivated and skilled candidates to join our team. If you are interested in this opportunity, please submit your resume.



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