Insurance Claims Specialist

4 days ago


Pune, Maharashtra, India beBeeHealthcare Full time

Healthcare insurance professionals play a crucial role in ensuring that patients receive the medical care they need. As a Healthcare Claims Associate, you will be responsible for processing claims and providing support to members and healthcare providers.

Key Responsibilities
  • Process health insurance claims accurately and efficiently, ensuring compliance with federal and state regulations.
  • Communicate effectively with members and healthcare providers to resolve billing issues and provide policy information.
  • Work closely with internal departments and third-party administrators to ensure seamless claim processing and resolution.
  • Verify member eligibility and update enrollment records accurately.
  • Assist with prior authorizations, appeals, and denials as necessary.
  • Maintain accurate and timely documentation of all claim-related activities.
Eligibility Criteria
  • Qualification: 10+2 / Any Graduate (any stream).
  • Excellent verbal and written communication skills in English are essential. Knowledge of additional regional languages is a plus.
  • Basic computer knowledge and proficiency in navigating software applications.
  • Ability to work flexible shifts, including nights.
  • Positive attitude and strong willingness to learn and grow.
Benefits
  • Competitive salary and performance-based incentives.
  • Comprehensive training program to ensure success in the role.
  • Supportive work environment that fosters growth and development.
  • Opportunities for career advancement within the healthcare domain.
How to Apply

To apply for this position, please send your updated resume directly to our HR team.



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