Senior Business Claims Director

7 days ago


Chennai, Tamil Nadu, India beBeeClaim Full time ₹ 1,20,00,000 - ₹ 2,50,00,000

Job Summary:

The role entails claim analysis and processing facilitation with third-party administrators (TPAs) and insurance companies.

Responsibilities:

  • Leading a team to minimize escalations.
  • Managing relationships with TPAs/insurers for timely claims settlement.
  • Resolving client queries related to policy terms.
  • Reviewing denied claims in accordance with policy terms.
  • Representing clients' claims to insurer/TPA in case of ambiguity.
  • Supporting analytics teams in data analysis.
  • Managing team productivity for excellent client experience.
  • Collaborating with insurer offices for necessary approvals.
  • Assisting client servicing teams in claims-related issues.

Desired Profile:

  • Graduate with any specialization.
  • 10-15 years of experience in managing external business (EB) claims teams processing (cashless/reimbursements).
  • Good knowledge about TPA/insurance processes.
  • Familiarity with health insurance policy conditions.
  • Knowledge of current medical practices and advancements.
  • Awareness of IRDA health regulations.
  • Excellent communication skills.
  • Problem-solving attitude.
  • Team leading and mentoring skills.
  • Decision-making ability.


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 6,00,000 - ₹ 12,34,567

    Job SummaryWe are seeking a skilled and experienced professional to fill the role of Senior Claims Operations Associate. This individual will be responsible for managing claims processes, ensuring timely and qualitative resolutions, and meeting production and quality goals.Process insurance claims efficiently and effectively, adhering to company policies and...


  • Chennai, Tamil Nadu, India RMV Workforce Corporation Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Role: Business AnalystExp-8+ yrsLocation- ChennaiNotice period: ImmediateJob DescriptionInsurance BA with E2E claimsDrive operational improvements in claims systems by defining business needs and supporting testing efforts.Business and functional requirements documentationCollaboration with test engineers for scenario designData analysis and defect triageKPI...


  • Chennai, Tamil Nadu, India beBeeInsurer Full time ₹ 8,00,000 - ₹ 15,00,000

    Job Title: Insurance Claims ProcessorAs a professional in our Healthcare and Insurance Operations team, you will be responsible for processing insurance claims efficiently and effectively. Your primary objective is to analyze complex insurance claims and process them according to standard operating procedures.Key Responsibilities:Analyze insurance claims and...


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 30,00,000 - ₹ 55,00,000

    Job TitleBusiness Process Analyst - Claims ExaminerA Business Process Analyst in this role will analyze multiple documents, contracts, and decide to pay or deny claims submitted by members or providers, adhering to required turnaround times and quality standards.ResponsibilitiesAnalyze multiple documents and contracts to determine the validity of claimsRoute...


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 15,00,000 - ₹ 25,00,000

    Insurance Claims Examiner Senior Associate RoleThe ideal candidate will be responsible for processing insurance claims efficiently and effectively, meeting productivity, quality, and production goals.Cognitive skills required include language proficiency, basic math skills, reasoning ability, excellent written and verbal communication skills, staying...

  • Claims Specialist

    2 days ago


    Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 15,00,000 - ₹ 20,00,000

    Job Description:A seasoned Claims Specialist is needed to drive business process improvements in claims systems by identifying operational needs and supporting the testing and implementation phases.Key Responsibilities:Analyze and document detailed business requirements related to insurance claims processes, ensuring seamless integration with existing...


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 6,00,000 - ₹ 10,00,000

    Job Summary:A skilled Claims Examiner is needed to accurately process and adjudicate medical claims in accordance with established policies, industry regulations, and contractual agreements.The ideal candidate will be responsible for ensuring timely processing of claims for healthcare services rendered, maintaining high standards of accuracy and efficiency...


  • Chennai, Tamil Nadu, India beBeeFinancial Full time ₹ 2,00,00,000 - ₹ 2,50,00,000

    Senior Financial DirectorJob Title: Senior Financial DirectorThe Senior Financial Director serves as a key strategic partner to the CEO and Board, providing leadership and direction across all financial functions of the organization.Key Responsibilities:Develop and implement effective financial strategies to drive business growth and profitabilityOversee...


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 1,04,000 - ₹ 1,30,878

    Job Description:Clients face a business challenge that needs to be resolved through effective problem-solving.Our client is a leading health plan in the US, providing services in Florida. We have entered into a contract with the client to manage end-to-end claims administration services. Our NTT Business Process Outsourcing team has implemented processes and...


  • Chennai, Tamil Nadu, India beBeeFinancial Full time ₹ 2,70,00,000 - ₹ 3,12,00,000

    Senior Financial DirectorWe are seeking a seasoned senior financial director to lead our finance team. The successful candidate will be responsible for developing and executing the group's financial strategy, aligned with business goals.The ideal candidate will have a deep understanding of financial planning, capital allocation, risk management, and industry...