Health Insurance Claims Manager

2 days ago


Thoothukudi, Tamil Nadu, India beBeeClaims Full time ₹ 9,00,000 - ₹ 12,00,000

Transform Lives through Health Insurance Claims Management

We are seeking an experienced professional to oversee and manage the end-to-end claims process for our customers.

In this role, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.

Key Responsibilities:

  • 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.
  • Ensure claims handling aligns with IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
  • Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.

Requirements:

  • 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.
  • Proficiency in MS Office and claims management/CRM systems.

Attributes:

  • Customer-first mindset with empathy and professionalism.
  • Ability to work under pressure and meet strict deadlines.
  • Strong organizational skills and accountability.

Why This Role is Unique?

This is a high-impact opportunity to be at the forefront of building and transforming lives through our innovative financial solutions.



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