Insurance Claims Resolution Expert

2 days ago

Gulbarga, Karnataka, India beBeeCompliance Full time ₹ 8,00,000 - ₹ 12,00,000
Claims Management Specialist

Our organization is seeking a skilled Claims Management Specialist to ensure seamless claim experiences for customers. This key role involves bridging the gap between customers, hospitals, and insurers, handling claims with accuracy, empathy, and efficiency.

Key Responsibilities:

  • Process and evaluate health insurance claims with precision and fairness.
  • Verify policy coverage, eligibility, and supporting documents to prevent delays or rejections.
  • Coordinate with hospitals, third-party administrators, and policyholders for efficient settlement.
  • Maintain accurate records and follow up on pending claims to guarantee timely resolution.
  • Communicate clearly with customers and provide updates on claim status in a timely manner.
  • Ensure compliance with industry regulations and company policies.

Requirements:

  • Experience in health insurance claims management (third-party administrator background preferred).
  • Strong understanding of insurance processes and regulatory frameworks.
  • 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.
  • Bachelor's degree in a relevant field (Commerce, Healthcare, Insurance, or related discipline) preferred.

Why Join Our Organization?

  • Be part of a growing organization that prioritizes people-first values.
  • Opportunity to make a tangible difference in customers' lives through exceptional service.
  • Collaborative work culture with opportunities for growth and development.

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