
Claims Process Expert
7 hours ago
We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.
The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.
- 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.
• Manage the entire claims cycle from start to finish, adhering to regulatory guidelines and internal protocols.
• Provide exceptional customer service, ensuring timely and accurate communication throughout the claims process.
• Work closely with cross-functional teams to resolve complex claims issues efficiently.
Bachelor's degree in Business, Finance, Insurance, or related field
3–6 years of proven experience in health insurance claims management or related roles
IRDAI Health Insurance certification or equivalent preferred
Excellent analytical, problem-solving, and communication 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.
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