Claims Manager

3 weeks ago


Gurgaon, Haryana, India PlanCover Full time
Job Title: Claims Manager - Health Insurance

PlanCover is seeking a highly skilled Claims Manager - Health Insurance to oversee the management and processing of health insurance claims. The ideal candidate will have excellent communication and interpersonal skills, with the ability to work closely with stakeholders and internal teams to facilitate the smooth processing and resolution of claims.

Key Responsibilities:

  • Manage the end-to-end process of health insurance claims through the insurance company/TPA.
  • Provide excellent customer service to policyholders and healthcare providers by addressing queries, concerns, and escalations related to claims.
  • Build and maintain strong relationships with insurance providers, healthcare professionals, and internal stakeholders to streamline communication and collaboration.
  • Implement quality assurance measures to ensure the accuracy and consistency of claims processed by the insurance company/TPA.
  • Ensure proactive outreach to clients and stakeholders.

Requirements:

  • Bachelor's degree or equivalent experience in a related field.
  • 1-3 years of experience in the Health Insurance industry or a similar customer service oriented industry.
  • Excellent communication and interpersonal skills.
  • Problem-solving and conflict resolution abilities.
  • Analytical mindset with the ability to gather and interpret data.

About PlanCover:

PlanCover is a rapidly growing Insure-tech broker, focused on providing insurance solutions to small businesses ranging from technology, start-ups, consulting, and professional businesses. We partner with some of the largest insurers and TPAs.

What we provide:

  • Opportunities for career growth and development.
  • A fun, collaborative environment with a flat structure.
  • Risk and rewards compensation matching industry-best.
  • Health and Accidental insurance coverage.

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