
Senior Health Insurance Claims Specialist
22 hours ago
We're seeking a skilled Health Insurance Claims Manager to oversee and manage the end-to-end claims process for customers. In this role, you will serve as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.
Key Responsibilities:- Claims Processing & Adjudication: Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
- Customer Coordination: Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
- Insurance & TPA Liaison: Collaborate with insurers, TPAs, and hospitals to ensure quick and accurate claim resolutions.
- Issue Resolution: Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
- Compliance & Accuracy: Ensure claims handling aligns with regulatory guidelines, insurer protocols, and internal compliance standards.
- Monitoring & Reporting: Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
- Process Improvement: Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.
- 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.
- 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.
-
Insurance Claims Specialist
1 week ago
Rajkot, Gujarat, India beBeeClaims Full time ₹ 50,00,000 - ₹ 70,00,000Health Insurance Claims ProfessionalWe seek an individual to process and evaluate health insurance claims with accuracy and fairness.Key Responsibilities:Verify policy coverage, eligibility, and supporting documents.Coordinate hospital visits, Third-Party Administrator (TPA) interactions, and customer communication for seamless claim resolution.Ensure timely...
-
Senior Cashless Insurance Claims Coordinator
2 days ago
Rajkot, Gujarat, India beBeeClaims Full time ₹ 60,00,000 - ₹ 1,20,00,000About the JobA Claims Management Specialist plays a pivotal role in ensuring timely and accurate processing of cashless insurance claims for policyholders.This position involves efficiently managing end-to-end cashless claims, verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring seamless communication with employees...
-
Insurance Claim Resolution Specialist
2 hours ago
Rajkot, Gujarat, India beBeeSettlement Full time ₹ 9,00,000 - ₹ 13,50,000Insurance Claim Resolution ExpertThe ideal candidate will be responsible for evaluating insurance claims, investigating their legitimacy, and facilitating timely and fair settlements.Key Responsibilities:Claim Processing: Manage the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.Data...
-
Dental Claims Specialist
3 days ago
Rajkot, Gujarat, India beBeeClaims Full time ₹ 50,00,000 - ₹ 80,00,000Job OverviewWe are seeking a skilled Billing & Claims Specialist to join our team. This role involves preparing and submitting dental insurance claims accurately and on time.The ideal candidate is detail-oriented, organized, and familiar with dental billing processes. Key responsibilities include:Preparing and submitting dental insurance claims for...
-
Marine Insurance and Claims Manager
2 days ago
Rajkot, Gujarat, India beBeeInsurance Full time ₹ 1,00,00,000 - ₹ 1,50,00,000This role will be responsible for the overall management of marine insurance and claims within the organization. The successful candidate will serve as the leader of the MI&C department, acting as the primary point of contact for all marine insurance and claims related matters.Key ResponsibilitiesLeadership and Management: Oversee the MI&C team, ensuring...
-
Senior Claims Specialist
2 days ago
Rajkot, Gujarat, India beBeeInsurance Full time ₹ 10,00,000 - ₹ 25,00,000Insurance Claims AnalystAbout Our Company:We are a leading Business Process Management (BPM) company that combines deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across various industries.Our services include finance and accounting, procurement, customer interaction...
-
Medical Claims Resolution Specialist
2 weeks ago
Rajkot, Gujarat, India beBeeClaims Full time ₹ 6,00,000 - ₹ 8,00,000As a Medical Claims Resolution Specialist, you will play a vital role in ensuring accurate reimbursement for healthcare providers. Your responsibilities will include contacting insurance companies to follow up on outstanding medical claims and navigating complex billing and coding rules.Key Responsibilities:Follow-up and Resolution:You will initiate calls to...
-
AR Claims Recovery Specialist
1 day ago
Rajkot, Gujarat, India beBeeDenial Full time ₹ 36,60,000 - ₹ 61,10,000Job Summary:A Medical Claims Resolution Specialist is responsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement by navigating complex billing and coding rules.Key Responsibilities:Follow-up and Resolution: Initiate calls to insurance companies to inquire about denied claims...
-
Insurance Underwriting Specialist
11 hours ago
Rajkot, Gujarat, India Swan Energy Limited Full timeInsurance Underwriting SpecialistJob Title: Insurance Underwriting SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 3-5 years in agriculture insurance underwriting or a related fieldEducation: Bachelor's degree in Agriculture, Risk Management, Insurance, or a related field.Job Overview:We are seeking an experienced Agriculture...
-
AR Medical Claims Resolutions Specialist
4 days ago
Rajkot, Gujarat, India beBeeCommunication Full time ₹ 30,00,000 - ₹ 60,00,000As an AR calling specialist, you play a vital role in communicating with insurance companies and patients to resolve outstanding medical claims.Key Responsibilities:Initiate follow-up calls to inquire about denied claims statuses.Maintain thorough records of all interactions and follow-up actions.Re-submit claims with corrected information or appeal...