
Insurance Claim Resolution Manager
1 week ago
About the Role:
The Claims Management Specialist is responsible for efficiently and accurately processing cashless insurance claims, ensuring timely closure to policyholders and seamless coordination with insurance providers.
This position involves verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently. The Claims Management Specialist may also be responsible for communicating with employees or dependants to provide updates on the status of their claims and address any questions or concerns.
Key Responsibilities:
- Manage end-to-end cashless claims of employees, including verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring accurate and efficient processing.
- Verify Policy Coverage: Review and verify policy details to ensure claim eligibility according to insurance policy terms and conditions.
- Provide Customer Service: Respond to inquiries from employees and other stakeholders regarding claim status and related queries.
- Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providers to obtain additional information and clarify details as required.
- Resolve Issues: Investigate and resolve discrepancies, errors, or issues that arise during cashless claim processing to ensure timely and accurate resolution.
- Maintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
- Adhere to Service Level Agreements: Meet or exceed established service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction.
Interactions:
- Internal Clients: Endorsement team, Onboarding team, Products & engineering, Claims teams, Support Inbound, Account Management
- External Clients: Insurers, Client HRs, Hospitals
Requirements:
- At least 2 years of experience in customer-facing roles
- Past Experience in voice profile would be an added advantage
- Experience in cashless/ TPA
Benefits: This role offers a challenging and rewarding work environment with opportunities for professional growth and development. We value our employees' contributions and offer competitive compensation and benefits packages.
-
Claims Management Professional
1 week ago
Tirupati, Andhra Pradesh, India beBeeHealthInsuranceManager Full time ₹ 8,00,000 - ₹ 12,00,000About us, a FinTech innovator in the education ecosystem:We transform the $100B+ industry through cutting-edge financial solutions.Our flagship offering – monthly payment solutions for school and college fees – makes education more accessible, affordable, and rewarding for millions of families.We partner with 5,000+ top educational institutions across...
-
Medical Claims Specialist
2 weeks ago
Tirupati, Andhra Pradesh, India beBeeDenial Full time ₹ 8,00,000 - ₹ 16,00,000Job Title: Medical Claims SpecialistThis role plays a vital part in the revenue cycle by ensuring accurate reimbursement from insurance companies and patients. The primary responsibility is to follow up on outstanding medical claims and resolve any discrepancies or denials.Key Responsibilities:Claim Resolution: Initiate calls to insurance companies to...
-
Chief Claims Resolving Executive
1 week ago
Tirupati, Andhra Pradesh, India beBeeNegotiation Full time ₹ 80,00,000 - ₹ 1,20,00,000Insurance Claim Settlement SpecialistJob Description:We are seeking an experienced Insurance Claim Settlement Professional to oversee the entire claims settlement process from submission to final resolution.The ideal candidate will possess excellent analytical skills, with a strong understanding of insurance policies and regulatory requirements.The role...
-
Senior Dental Claim Processor
1 week ago
Tirupati, Andhra Pradesh, India beBeeDental Full time US$ 65,000 - US$ 79,000Billing SpecialistWe are seeking a detail-oriented and organized professional to fill this role as a Billing & Claims Processor. The ideal candidate has experience in dental billing and insurance claims, with excellent organizational and communication skills.Key Responsibilities:Process and submit dental insurance claims accurately and on time.Post insurance...
-
Senior Claims Professional
1 week ago
Tirupati, Andhra Pradesh, India beBeeClaim Full time ₹ 13,00,000 - ₹ 15,90,000About the RoleOur organization is seeking an experienced professional to fill a senior associate position.The ideal candidate will have strong analytical and communication skills, with a minimum of 2-5 years of experience in the London Insurance Market Claims industry.Responsibilities:Conduct thorough claims analyses and verify policy/claims documentsProcess...
-
Expert Consultant
2 weeks ago
Tirupati, Andhra Pradesh, India beBeeConstruction Full time ₹ 15,00,000 - ₹ 17,58,000Job OverviewMasin is a global consultancy specializing in expert witness services for complex engineering and construction disputes.We deliver independent assessments in delay analysis, quantum evaluation, and forensic technical analysis.Our team of experts has provided testimony in 200+ arbitrations at leading forums like ICC, LCIA, and SIAC.We are seeking...
-
Professional Dental Claims Specialist
2 weeks ago
Tirupati, Andhra Pradesh, India beBeeDental Full time US$ 3,000 - US$ 6,000Dental Claims Specialist OpportunityWe are seeking a highly detail-oriented and organized individual to join our team as a Dental Claims Specialist. The ideal candidate will have experience with dental insurance claims, accounts receivable, and medical billing software.Key Responsibilities:Process and submit dental insurance claims in a timely and accurate...
-
Careers: Corporate Insurance Risk Manager
1 week ago
Tirupati, Andhra Pradesh, India beBeeInsurance Full time ₹ 50,00,000 - ₹ 1,00,00,000We are seeking a seasoned Insurance Specialist to oversee underwriting and risk management for major corporate clients. The ideal candidate will possess in-depth knowledge of diverse insurance products, including Property, Fire, and Engineering.Key Responsibilities:Creation of detailed proposals and coordination with leading insurance providersPlacement of...
-
**Insuring a Brighter Future**
1 week ago
Tirupati, Andhra Pradesh, India beBeeInsurance Full time ₹ 5,00,000 - ₹ 10,00,000Job Title: Insurance Claim Field Representative\The ideal candidate will be responsible for accurately filling out insurance application forms and claim forms, in compliance with the client pharma company’s requirements.They must ensure that all forms are completed correctly and completely, maintaining records of submitted forms and tracking their...
-
Chief Risk Officer
1 week ago
Tirupati, Andhra Pradesh, India beBeeRiskManagement Full time ₹ 1,50,00,000 - ₹ 2,00,00,000Insurance Leadership OpportunityThis senior role is responsible for guiding the Marine Insurance and Claims department. The successful candidate will serve as the primary point of contact and escalation for all marine insurance and claims-related matters within the organization and with external entities.Key ResponsibilitiesLeadership & Governance: Lead the...