Claims Resolution Specialist

2 days ago

Gandhinagar, Gujarat, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000
Health Insurance Claims Professional Opportunity

Are you passionate about delivering exceptional customer experiences and ensuring smooth claim resolutions? We're seeking a skilled Health Insurance Claims Professional to join our team. In this role, you'll serve as the bridge between customers, hospitals, and insurers, handling claims with accuracy, empathy, and efficiency.

Key Responsibilities:
  • Process and evaluate health insurance claims with precision and fairness.
  • Verify policy coverage, eligibility, and supporting documents.
  • C coordinate with hospitals, 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 industry regulations and company policies.
Requirements:
  • Experience in health insurance claims handling or management (TPA/insurer background preferred).
  • Strong understanding of insurance processes and regulations.
  • Excellent customer service and communication skills (written and verbal).
  • Strong analytical, problem-solving, and attention-to-detail abilities.
  • Ability to work independently and collaboratively as part of a team.
  • Bachelor's degree in Commerce, Healthcare, Insurance, or related field preferred.
Why Choose This Role?

Be part of a dynamic organization committed to excellence.

Opportunity to make a real difference in customers' lives.

Collaborative work culture with growth opportunities.

Competitive compensation package.

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