Senior Health Insurance Claims Manager

24 hours ago


Allahabad, Uttar Pradesh, India beBeeHealth Full time ₹ 1,12,20,000 - ₹ 1,49,35,000

As a dedicated professional, you will play a crucial role in the success of our health insurance claims management team.

The ideal candidate will possess a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.

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, third-party administrators (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.

Requirements:

  • Bachelor's degree in Business, Finance, Insurance, or related field.

Preferred Qualifications:

  • 3–6 years of proven experience in health insurance claims management or related roles.
  • IRDAI Health Insurance certification or equivalent preferred.

Desirable 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.

Attributes:

  • Customer-first mindset with empathy and professionalism.
  • Ability to work under pressure and meet strict deadlines.
  • Strong organizational skills and accountability.

Why Join Us?

Here's why we're different:

  • Guidance, not pressure—helping families make confident decisions.
  • Be part of creating a vertical from scratch at a fast-growing fintech.
  • IRDAI compliance, customer-first service, and honesty are non-negotiable.


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