Health Insurance Specialist

1 day ago

Lucknow, Uttar Pradesh, India beBeeHealthInsurance Full time ₹ 10,00,000 - ₹ 15,00,000
Seeking an experienced Health Insurance Claims Manager to oversee the end-to-end claims process for our customers. The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.Key Responsibilities:
  • Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
  • Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
  • Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
  • Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
  • Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
  • Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.
Bachelor's degree in Business, Finance, Insurance, or related field required.Required Skills:
  • Strong knowledge of health insurance policies, products, and claims procedures.
  • Excellent communication, negotiation, and customer-handling skills.
  • High attention to detail with strong analytical and problem-solving abilities.
This is a full-time, on-site role based in Mumbai with immediate joining.

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