Health Insurance Claims Specialist

7 days ago


Gandhinagar, Gujarat, India beBeeSpecialist Full time ₹ 50,00,000 - ₹ 80,00,000
Job Overview

We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. In this role, you will serve as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.

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. This is a full-time, on-site role based in Mumbai with immediate joining.

Key Responsibilities
  • Claims Processing & Adjudication: Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
  • Customer Coordination: Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
  • Insurance & TPA Liaison: Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
  • Issue Resolution: Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
  • Compliance & Accuracy: Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Monitoring & Reporting: Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
  • Process Improvement: Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.
Requirements

Education: Bachelor's degree in Business, Finance, Insurance, or related field.

Experience: 3–6 years of proven experience in health insurance claims management or related roles.

Certifications: IRDAI Health Insurance certification or equivalent preferred.

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.

Proficiency in MS Office and claims management/CRM systems.

Why Choose Us?

Our organization provides guidance, not pressure—helping families make confident decisions.

We offer a unique opportunity to build something new at a fast-growing fintech.

We prioritize trust, transparency, and honesty in all aspects of our business.



  • Gandhinagar, Gujarat, India beBeeClaim Full time ₹ 9,00,000 - ₹ 12,00,000

    Job Title: Claims SpecialistAbout this role:The primary objective of a claims specialist is to efficiently and accurately process and manage cashless insurance claims, ensuring timely closure for policyholders and seamless coordination with insurance providers.This role involves verifying policy coverage, reviewing medical records, coordinating with...


  • Gandhinagar, Gujarat, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000

    Health Insurance Claims Professional OpportunityAre you passionate about delivering exceptional customer experiences and ensuring smooth claim resolutions? We're seeking a skilled Health Insurance Claims Professional to join our team. In this role, you'll serve as the bridge between customers, hospitals, and insurers, handling claims with accuracy, empathy,...


  • Gandhinagar, Gujarat, India beBeeClaims Full time US$ 28,800 - US$ 38,400

    Claims SpecialistThe role of Claims Specialist is critical in ensuring the timely and accurate submission of dental insurance claims. This position requires a high degree of organization, attention to detail, and proficiency with dental management software.Key Responsibilities:Submit dental insurance claims electronically and manually, verifying accuracy and...


  • Gandhinagar, Gujarat, India beBeeClaims Full time ₹ 90,00,000 - ₹ 1,20,00,000

    Insurance Claims Settlement ProfessionalThe company is seeking a seasoned Insurance Claims Settlement Specialist to oversee the entire claims settlement process. This includes assessing claims, investigating their validity, coordinating with adjusters, and ensuring timely and fair settlements.The ideal candidate will have a deep understanding of insurance...


  • Gandhinagar, Gujarat, India beBeeSpecialist Full time ₹ 6,00,000 - ₹ 10,00,000

    We are seeking a detail-oriented and organized Billing & Claims Specialist to help us scale efficiently.The ideal candidate is responsible for preparing and submitting dental insurance claims accurately and on time, posting insurance and patient payments in practice management systems, and following up on unpaid or denied claims to ensure resolution.A key...


  • Gandhinagar, Gujarat, India beBeeClaims Full time ₹ 50,00,000 - ₹ 75,00,000

    Job OverviewWe are seeking a skilled and detail-oriented Insurance Claims Coordinator to join our team. In this role, you will play a critical part in ensuring a smooth post-payment customer journey.


  • Gandhinagar, Gujarat, India beBeeClaims Full time US$ 55,000 - US$ 75,000

    Medical Claims Specialist Role Overview">This role entails processing and submitting medical claims to insurance companies for reimbursement.Key Responsibilities:We are seeking an individual with experience in medical billing to join our team. The ideal candidate will possess a strong understanding of ICD-10 coding, be proficient in handling insurance...


  • Gandhinagar, Gujarat, India Star Health and Allied Insurance Co. Ltd Full time ₹ 4,50,000 per year

    Urgent Requirement In Star Health - Gandhinagar - GujaratCompany - Star HealthLocation - Gandhinagar ( Gujarat)Designation - ADMVertical - AgencyEducation - GraduationExperience - 3 Year In Agency Vertical ( Health insurance Experience is Must)CTC- 4.5 LacsFor Interview call


  • Gandhinagar, Gujarat, India beBeeReimbursement Full time ₹ 9,00,000 - ₹ 12,00,000

    As a key figure in medical claims processing, you will play a crucial role in ensuring accurate reimbursement. Your responsibility will involve navigating complex billing and coding rules to follow up on outstanding claims.Main Responsibilities:Claim ResolutionYou will initiate calls to insurance companies to inquire about the status of denied...


  • Gandhinagar, Gujarat, India beBeeClaims Full time ₹ 12,00,000 - ₹ 15,00,000

    Claims Professional OpportunityWe are seeking a highly skilled Claims Professional to process Life Insurance and Living Benefits Claims for Canadian customers.Key ResponsibilitiesProcess claims efficiently and effectively.Coordinate with teams and clients to ensure timely processing of claims transactions.Required Skills and QualificationsFluent French...