
Health Insurance Claims Manager
1 day ago
About us
We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.
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.
Requirements
- Bachelor's degree in Business, Finance, Insurance, or related field.
Skills
- Strong knowledge of health insurance policies, products, and claims procedures.
- Excellent communication, negotiation, and customer-handling skills.
Benefits
- A customer-first mindset with empathy and professionalism.
- Ability to work under pressure and meet strict deadlines.
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