Claims Management Professional

7 days ago

Jaipur, Rajasthan, India beBeeHealthinsurance Full time ₹ 90,00,000 - ₹ 1,40,00,000

Health Insurance Claims Manager

Are you a detail-oriented professional with expertise in health insurance claims management?

We're 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.

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 regulatory 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.
Benefits:

Our team is committed to providing exceptional service to our customers. We value honesty, transparency, and integrity in all our interactions.

Why work with us?

  • Advice First, Always: We provide guidance, not pressure—helping families make confident decisions.
  • Build Something New: Be part of creating a vertical from scratch at a fast-growing fintech.
  • Trust & Transparency: IRDAI compliance, customer-first service, and honesty are non-negotiable.

Join us in building a better future for our customers

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