
Insurance Claim Professional
1 day ago
We are seeking a highly skilled Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.
As the primary liaison between clients, insurers, TPAs, and healthcare providers, you will ensure claims are handled smoothly, accurately, and on time.
- Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
- Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
- Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
- Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
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.
Why Join Us?
Here's why this opportunity is different:
- Guidance First: 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 organization.
- Trust & Transparency: Compliance, customer-first service, and honesty are non-negotiable.
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