Health Insurance Claims Professional

20 hours ago

Salem, Tamil Nadu, India beBeeClaimsManagement Full time ₹ 90,00,000 - ₹ 1,25,00,000

Health Insurance Claims Management is a pivotal role at our organization, where you will oversee and manage the entire claims process for our customers. As part of our strategic expansion, we are seeking an experienced Health Insurance Claims Manager to handle the end-to-end claims journey.

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.

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:
  • 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, TPAs, and hospitals to ensure quick and accurate claim resolutions.
  • Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
Requirements:
  • 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.
Attributes:
  • Customer-first mindset with empathy and professionalism.
  • Ability to work under pressure and meet strict deadlines.
  • Strong organizational skills and accountability.

We offer a unique opportunity to join our team and be part of creating a new vertical from scratch at a fast-growing fintech company. Our commitment to IRDAI compliance, customer-first service, and honesty makes us stand out in the industry.

Why Choose Us?
  • Advice First, Always: We provide guidance, not pressure—helping families make confident decisions.
  • Trust & Transparency: These core values drive everything we do, ensuring our customers receive the best possible experience.

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