Health Insurance Claims Resolution Specialist

5 days ago

Solapur, Maharashtra, India beBeeClaims Full time ₹ 6,00,000 - ₹ 9,00,000

Health Insurance Claims Representative Job Description:

We're looking for a Claims Resolution Specialist who is passionate about helping people and ensuring smooth claim experiences. In this role, you'll be the bridge between customers, hospitals, and insurers—handling claims with accuracy, empathy, and efficiency.

Key Responsibilities:
  • Process and evaluate health insurance claims with precision and fairness.
  • Verify policy coverage, eligibility, and supporting documents.
  • Coordinate with hospitals, third-party administrators, and policyholders for seamless settlement.
  • Maintain accurate records and follow up on pending claims to ensure timely resolution.
  • Communicate clearly with customers and provide updates on claim status.
  • Ensure compliance with regulatory requirements and company policies.
Requirements:
  • Experience in health insurance claims handling/management (third-party administrator or insurer background preferred).
  • Strong understanding of insurance processes and regulations.
  • Excellent customer service and communication skills (written and verbal).
  • Strong analytical, problem-solving, and attention-to-detail abilities.
  • Ability to work independently and as part of a team.
  • Bachelor's degree (commerce, healthcare, insurance, or related field preferred).
Why Join Our Organization?

Be part of a growing organization that prioritizes people-first values.

Opportunity to make a real difference in customers' lives.

Collaborative work culture with growth opportunities.

Competitive salary and benefits package.

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