Insurance Claim Specialist

2 weeks ago


Nellore, Andhra Pradesh, India beBeeClaims Full time ₹ 6,00,000 - ₹ 10,00,000
Health Insurance Claims Handler

This role is responsible for processing and evaluating health insurance claims with accuracy and fairness.

  • Claims handlers work closely with customers, hospitals, and insurers to ensure seamless settlement of claims.
  • Strong analytical and problem-solving abilities are required to verify policy coverage and handle complex claims effectively.

Key Responsibilities:

  • Process and evaluate health insurance claims with accuracy and fairness.
  • Verify policy coverage, eligibility, and supporting documents.
  • Coordinate with hospitals, TPAs, and policyholders for seamless settlement.
  • Maintain records and follow up on pending claims to ensure timely resolution.
  • Communicate clearly with customers and provide updates on claim status.

Requirements:

  • Experience in health insurance claims handling/management (TPA/insurer background preferred).
  • Strong understanding of insurance processes & regulations.
  • Excellent customer service & communication skills (written & verbal).
  • Strong analytical, problem-solving & attention-to-detail abilities.
  • Ability to work independently and as part of a team.
  • Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).


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