Insurance Claim Resolution Specialist

7 days ago


Davangere, Karnataka, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000

Job Title: Health Insurance Claims Representative

Role Overview

We are seeking a dedicated professional who is passionate about delivering exceptional customer experiences and ensuring smooth claim processes. In this role, you will act as a liaison between customers, healthcare providers, and insurers – handling claims with accuracy, empathy, and efficiency.

Key Responsibilities
  • Process and evaluate health insurance claims with precision and fairness.
  • Verify policy coverage, eligibility, and supporting documentation.
  • Collaborate with hospitals, third-party administrators, and policyholders to facilitate seamless claim settlements.
  • Maintain accurate records and follow up on pending claims to ensure timely resolution.
  • Communicate effectively with customers and provide regular updates on claim status.
  • Ensure compliance with regulatory requirements and organizational policies.
Requirements
  • Experience in health insurance claims management (third-party administrator or insurer background preferred).
  • Strong understanding of insurance principles 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 collaboratively as part of a team.
  • Bachelor's degree in a relevant field (Commerce, Healthcare, Insurance, or related field preferred).


  • Davangere, Karnataka, India beBeeClaims Full time ₹ 15,00,000 - ₹ 20,00,000

    About the Role:The Claims Processing Specialist is responsible for efficiently and accurately handling cashless insurance claims, ensuring timely resolution for policyholders and seamless collaboration with insurance providers.This position involves verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring accurate and...


  • Davangere, Karnataka, India beBeeDentalCare Full time ₹ 5,00,000 - ₹ 7,50,000

    Job TitleWe are seeking a skilled professional to handle dental billing and claims.This role involves submitting accurate and timely insurance claims, posting payments, verifying insurance coverage, and following up on outstanding balances.Prepare and submit dental insurance claims accurately and in a timely manner.Post insurance and patient payments in...


  • Davangere, Karnataka, India beBeeInsurance Full time ₹ 50,00,000 - ₹ 80,00,000

    Medical Insurance Verification SpecialistThis role involves verifying insurance benefits and eligibility for medical services, ensuring timely and accurate processing of claims.We are seeking a reliable professional to join our team in this vital support position.The ideal candidate will have strong knowledge of medical insurance plans, excellent...


  • Davangere, Karnataka, India beBeeDenial Full time ₹ 30,00,000 - ₹ 45,00,000

    Job DescriptionAn AR Calling Specialist plays a pivotal role in ensuring timely and accurate reimbursement for medical claims. This involves contacting insurance companies and patients to follow up on outstanding claims, navigating complex billing and coding rules, and effectively managing denials.The process requires strong communication skills, attention...


  • Davangere, Karnataka, India beBeeDataMapper Full time ₹ 15,00,000 - ₹ 21,00,000

    We are looking for a Data Mapping Specialist to support the migration of claims data from legacy systems to Guidewire Claim Center.Key Responsibilities:Analyze and map legacy system tables to Guidewire Claim Center structuresDevelop and validate SQL queries for data extraction and transformationCollaborate with business and technical teams to ensure accurate...


  • Davangere, Karnataka, India beBeeClaims Full time ₹ 15,00,000 - ₹ 25,00,000

    Claims Data Specialist Role">Job Overview">We are seeking a Claims Data Specialist to join our team. The successful candidate will be responsible for driving discussions and client calls with strong communication skills.">Key Responsibilities">">The ideal candidate will lead a team and take ownership of deliverables, ensuring timely completion.">They will...


  • Davangere, Karnataka, India beBeeInsurance Full time ₹ 15,00,000 - ₹ 25,00,000

    Finance and Insurance SpecialistWe are seeking an experienced Finance and Insurance Specialist to join our team. This is a unique opportunity to leverage your technical skills and industry knowledge in finance and insurance systems, cash management, and risk assessment.Key Responsibilities:Design and execute comprehensive test cases for finance-specific...


  • Davangere, Karnataka, India beBeeDental Full time US$ 20,000 - US$ 40,000

    About this role:We are seeking a detail-oriented and organized individual to submit dental insurance claims, track payments, follow up on outstanding balances, and ensure the accuracy of accounts receivable.This is a challenging and rewarding career with opportunities for growth and development.Submit dental insurance claims electronically and manually with...

  • Lead Claims Expert

    4 hours ago


    Davangere, Karnataka, India beBeeClaim Full time ₹ 10,00,000 - ₹ 15,00,000

    Insurance Claims Analyst PositionThe ideal candidate for this role will possess a strong understanding of P&C insurance principles, with 2-5 years of experience in the London Insurance Market. They should be comfortable working from the office and have rotational shifts.Responsibilities include:End to End Claims Analyses and VerificationPolicy and Claims...


  • Davangere, Karnataka, India beBeeAnalytical Full time ₹ 1,20,00,000 - ₹ 1,50,00,000

    Gyanindit Pvt. Ltd., a prominent player in the industry, empowers individuals and organizations through knowledge and expertise, living by our motto "Encouraging Empowerment". Our mission is to make a meaningful difference by offering guidance, resources, and innovative solutions that help you achieve your personal and professional goals.Role: Senior Claims...