Insurance Claims Advocate

14 hours ago

Dindigul, Tamil Nadu, India beBeeClaims Full time ₹ 40,00,000 - ₹ 75,00,000

About this role:

The Claims Management Specialist plays a crucial role in processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.

Key Responsibilities:

  • Cashless Claim Management: Manage end-to-end cashless claims of employees, verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring accurate and efficient processing.
  • Policy Verification: Review and verify policy details to ensure claim eligibility for cashless processing according to insurance policy terms and conditions.
  • Customer Support: Respond to inquiries from employees and other stakeholders regarding claim status and related queries.
  • Hospital Coordination: Communicate with healthcare providers to obtain additional information and clarify details when required.
  • Error Resolution: Investigate and resolve discrepancies, errors, or issues that may arise during cashless claim processing to ensure timely and accurate resolution.
  • Record Maintenance: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.

Interactions:

  • Internal Collaborations: Endorsement team, Onboarding team, Products & engineering, Claims teams, Support Inbound, Account Management.
  • External Partnerships: Insurers, Client HRs, Hospitals.

This is an exciting opportunity to join our team as a Claims Specialist and make a real difference in the lives of our customers. If you are passionate about delivering exceptional service and have a knack for problem-solving, we want to hear from you

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