Health Insurance Claim Specialist

22 hours ago

Agra, Uttar Pradesh, India beBeeHealthInsuranceClaim Full time ₹ 6,00,000 - ₹ 10,00,000
Job Title: Health Insurance Claim Specialist

We are seeking a skilled and detail-oriented individual to join our claims handling team as a Health Insurance Claim Specialist. As a key member of the team, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.

This role requires strong analytical and problem-solving skills, as well as excellent customer service and communication abilities. If you have experience in health insurance claims handling and management, we encourage you to apply.

Key Responsibilities:
  • Process and evaluate health insurance claims in accordance with company policies and regulations.
  • Verify policy coverage, eligibility, and supporting documents to ensure timely resolution.
  • Coordinate with hospitals, third-party administrators (TPAs), and policyholders to facilitate smooth claim settlement.
  • Maintain accurate records and follow up on pending claims to ensure compliance with regulatory requirements.
  • Provide clear and concise communication to customers regarding claim status and outcomes.
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 collaborative team.
  • Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
Why Choose This Role?

As a Health Insurance Claim Specialist, you will have the opportunity to make a real difference in customers' lives by ensuring they receive fair and timely claim resolutions. Our organization values growth and development, offering a competitive salary and benefits package. We are committed to fostering a collaborative work culture that supports employee success and well-being.

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