
Senior Health Insurance Claims Specialist
22 hours ago
We are seeking an experienced Health Insurance Claims Manager to oversee the end-to-end claims process for customers. The ideal candidate 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 regulatory 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, or related field.
Experience
- 3–6 years of proven experience in health insurance claims management or related roles.
Certifications
- 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 systems.
Attributes
- Customer-first mindset with empathy and professionalism.
- Ability to work under pressure and meet strict deadlines.
- Strong organizational skills and accountability.
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