Claims Resolution Specialist

15 hours ago


Vadodara, Gujarat, India beBeeClaims Full time ₹ 8 - ₹ 12

Health Insurance Claims Specialist Job Description

About the Role

We are seeking a skilled Health Insurance Claims Specialist to join our team. As a key member of our operations, you will be responsible for handling claims with accuracy, empathy, and efficiency.

Key Responsibilities:
  • Process and evaluate health insurance claims with fairness and attention to detail
  • Verify policy coverage, eligibility, and supporting documents to ensure smooth claim experiences
  • Coordinate with hospitals, third-party administrators (TPAs), and policyholders for seamless settlement
  • Maintain accurate records and follow up on pending claims to ensure timely resolution
  • Communicate clearly with customers and provide updates on claim status
  • Ensure compliance with regulatory requirements
Requirements:
  • Experience in health insurance claims handling or management, preferably with a TPA or insurer background
  • Strong understanding of insurance processes and regulations
  • Excellent customer service and communication skills, both written and verbal
  • Strong analytical, problem-solving, and attention-to-detail abilities
  • Ability to work independently and as part of a team
  • Bachelor's degree in Commerce, Healthcare, Insurance, or a related field
Why This Opportunity Matters

In this role, you will have the opportunity to make a real difference in customers' lives. Our collaborative work culture provides growth opportunities, a competitive salary and benefits package, and a chance to be part of a dynamic team.



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