Claims Processing Specialist

1 day ago

Meerut, Uttar Pradesh, India beBeeInsurance Full time ₹ 8,00,000 - ₹ 15,00,000

Role Overview:

Health Insurance Claims Professional

We are seeking a Health Insurance Claims Professional who is passionate about delivering excellent customer service and ensuring smooth claim experiences. In this role, you will be the bridge between customers, hospitals, and insurers—handling claims with accuracy, empathy, and efficiency.

Our ideal candidate has experience in health insurance claims handling/management and possesses strong analytical, problem-solving, and attention-to-detail abilities. They also have excellent communication skills (written and verbal) and can work independently and as part of a team.

The successful candidate will 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. They will also communicate clearly with customers and provide updates on claim status while ensuring compliance with company policies and insurance regulations.

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.
What We're Looking For:
  • Experience in health insurance claims handling/management (TPA/insurer background preferred).
  • Strong understanding of insurance processes and regulations.
  • Excellent customer service and communication skills (written and verbal).
  • Strong analytical, problem-solving, and attention-to-detail abilities.
  • Ability to work independently and as part of a team.
Benefits:

Be part of a growing, people-first organization. Opportunity to make a real difference in customers' lives. Collaborative work culture with growth opportunities. Competitive salary and benefits package.

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