Health Insurance Claims Reviewer

3 days ago


Kolkata, West Bengal, India beBeeInsurance Full time ₹ 6,00,000 - ₹ 10,10,000

We are seeking a detail-oriented and analytical professional to fill the role of Health Insurance Claims Reviewer.

Key Responsibilities:
  • Evaluate health insurance claims with accuracy and fairness.
  • Verify policy coverage, eligibility, and supporting documents.
  • Collaborate with hospitals, TPAs, and policyholders for efficient claim settlement.
  • Maintain accurate records and follow up on pending claims for timely resolution.
  • Communicate effectively with customers and provide regular updates on claim status.
Requirements:
  • Experience in health insurance claims handling or management (TPA/insurer background preferred).
  • Strong understanding of insurance regulations and processes.
  • 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.

Nucleon Health offers a collaborative work environment with opportunities for growth, a competitive compensation package, and the chance to make a positive impact on customers' lives.

About the Role:

The Health Insurance Claims Reviewer will be responsible for ensuring that all claims are processed accurately and efficiently. This includes verifying policy coverage, eligibility, and supporting documents, as well as collaborating with hospitals, TPAs, and policyholders for smooth claim settlement.

The ideal candidate will possess strong analytical and problem-solving skills, as well as excellent customer service and communication skills. They will also be able to work independently and as part of a team, with a strong attention to detail and ability to maintain accurate records.



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