Insurance Claims Examiner

2 weeks ago


Mumbai, Maharashtra, India beBeeMedical Full time ₹ 8,00,000 - ₹ 11,00,000
Job Opportunity

Seeking a skilled and organized Medical Insurance Verification/Prior Authorization Specialist to support our high-volume Sleep Specialist office.

This role is vital to our operations, supporting both sleep studies and DME services. The ideal candidate will be comfortable multitasking and stepping into different roles as needed.

Key Responsibilities:
  • Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.
  • Obtain prior authorizations efficiently and accurately.
  • Explain co-pays, deductibles, and co-insurance to patients.
  • Work with various insurance plans including HMO and PPO.
  • Document and track authorizations in EMR systems and Excel.
  • Communicate clearly and professionally with patients and insurance companies.
  • Support front office and billing teams when needed.
  • Handle a high call volume with excellent phone etiquette and attention to detail.
Requirements:
  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
  • Familiarity with sleep studies and DME services (preferred but not required).
  • Ability to multitask, stay organized, and shift roles when necessary.
  • Excellent verbal and written communication skills.
  • Proficiency in EMR systems and Microsoft Office (especially Excel).
  • Strong team player with a positive and proactive attitude.


  • Mumbai, Maharashtra, India beBeeClaims Full time ₹ 8,00,000 - ₹ 15,00,000

    Job Title: Claims ExaminerThe Claims Analyst plays a pivotal role in ensuring seamless claims handling processes, fostering exceptional client relationships, and driving business growth through data-driven insights.Responsibilities include:Managing claims with utmost accuracy and efficiencyLiaising with clients, vessels, and agents to obtain necessary...


  • Mumbai, Maharashtra, India beBeeClaimsevaluation Full time ₹ 9,00,000 - ₹ 12,00,000

    Job Description:We are seeking an experienced Claims Examination Expert to join our team. As a Claims Examination Expert, you will be responsible for examining and evaluating claims related to Demurrage & Post-fixture claims.Tasks and Responsibilities:Examine claims thoroughly to ensure accuracy and fairnessLiaise with client teams, vessel agents to gather...

  • Claims Examiner

    6 days ago


    Mumbai, Maharashtra, India beBeeClaimsexaminer Full time ₹ 8,00,000 - ₹ 15,00,000

    We are seeking a skilled Claims Examiner to join our team.About the Role:This is an exciting opportunity for a detail-oriented and analytical individual to manage claims related to product tankers.Key Responsibilities:Manage demurrage & post-fixture claimsLiaise with client teams, vessel, agents to gather necessary informationEvaluate claims based on...


  • Mumbai, Maharashtra, India beBeeInsurance Full time ₹ 15,00,000 - ₹ 28,00,000

    Job Title: Virtual Surveyor and Loss AssessorWe are seeking a skilled Virtual Surveyor and Loss Assessor to join our team.Job Description:This is a full-time role for a Virtual Surveyor and Loss Assessor. The Surveyor and Loss Assessor will be responsible for conducting property insurance surveys, assessing damages, and evaluating claims related to property...

  • Claims Examiner

    2 weeks ago


    Mumbai, Maharashtra, India beBeeInsurance Full time ₹ 9,00,000 - ₹ 12,00,000

    Job OverviewThis position is responsible for reviewing and auditing closed files to ensure accuracy and compliance. The ideal candidate will have in-depth knowledge of medical cases, including policy coverages for OPD, hospitalization, personal accident, and travel claims.Candidate RequirementsProven experience in audit with a strong analytical...


  • Mumbai, Maharashtra, India beBeeClaims Full time ₹ 12,00,000 - ₹ 24,00,000

    Claims Resolution ExpertAs a Claims Resolution Expert, you will play a pivotal role in ensuring timely and effective resolution of complex claims.Receive claim notices from stakeholders and promptly notify relevant parties through our operations team.Follow up with each party and the assigned claim adjuster to secure timely acknowledgment of the claim.Ensure...


  • Mumbai, Maharashtra, India beBeeClaims Full time ₹ 20,00,000 - ₹ 25,00,000

    Claims Management ProfessionalAbout this role:As a Claims Management Specialist, you will be responsible for processing and managing cashless insurance claims efficiently and accurately.This includes verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring that claims are processed accurately and efficiently.As a Claims...

  • Claims Executive

    1 week ago


    Mumbai, Maharashtra, India BimaGuru Insurance Brokers Private Limited Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    Job Description:Claims ExecutiveLocation:On-siteWorking Days:Monday to FridayWorking Hours:9:00 AM – 5:30 PMProbation Period:6 months (No paid leave during probation)Experience Required:1–2 yearsCompany OverviewBimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help clients secure their...


  • Mumbai, Maharashtra, India Swan Corp Full time

    Job Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking for an...


  • Mumbai, Maharashtra, India beBeeClaimsProfessional Full time ₹ 40,00,000 - ₹ 80,00,000

    Insurance Claims ProfessionalWe're seeking a detail-oriented and empathetic professional to handle health insurance claims with accuracy, fairness, and efficiency.About the RoleThis is an exciting opportunity to make a real difference in customers' lives by providing seamless claim experiences.Key Responsibilities:Process & evaluate health insurance claims...