Cashless Claims Specialist

3 days ago


Kozhikode, Kerala, India beBeeClaims Full time ₹ 60,00,000 - ₹ 80,00,000

Key Job Responsibilities:

  • Manage cashless claims from start to finish, verifying policy details and coordinating with insurance providers.
  • Verify Policy Coverage: Review policy information to ensure claims are eligible for cashless processing according to terms and conditions.
  • Provide Customer Support: Respond to employee inquiries regarding claim status and other related queries.
  • Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providers to obtain additional information.
  • Resolve Issues: Investigate and resolve discrepancies or errors that arise during claim processing.
  • Maintain Accurate Records: Keep detailed records of all claim-related activities, communications, and transactions.

Interactions:

  • Internal Clients: Endorsement team, Onboarding team, Products & Engineering, Claims teams, Support Inbound, Account Management
  • External Clients: Insurers, Client HR's, Hospitals

Requirements:

  • At least 2 years of customer-facing experience
  • Past Experience in voice profile advantageous
  • Experience in cashless/TPA environments


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