Health Insurance Claims Professional

3 days ago


Jamnagar, Gujarat, India beBeeClaims Full time ₹ 8,00,000 - ₹ 15,00,000
Claims Management Opportunity

Transform the health insurance claims process with your exceptional skills and experience.

A leading provider of innovative financial solutions is seeking a seasoned Health Insurance Claims Manager to oversee the end-to-end claims lifecycle, ensuring seamless customer experiences and timely resolutions.

The ideal candidate will possess a strong background in health insurance claims management, excellent problem-solving skills, and the ability to analyze data to drive process improvements.

  • Manage claim verification, documentation, submission, follow-up, and settlement processes.
  • Guide customers through the claims journey, ensuring accurate and complete forms and documents are submitted promptly.
  • Collaborate with insurers, third-party administrators (TPAs), and hospitals to resolve claims efficiently.
  • Investigate discrepancies, clarify benefits, and negotiate fair outcomes for clients.
  • Ensure claims handling adheres to IRDAI guidelines, insurer protocols, and internal compliance standards.
  • Analyze claim turnaround times, identify trends, and prepare periodic reports on performance.
  • Recommend process enhancements to improve speed, accuracy, and customer satisfaction.

Key Requirements include:

  • Bachelor's degree in Business, Finance, or related field.
  • 3–6 years of proven experience in health insurance claims management or related roles.
  • IRDAI Health Insurance certification or equivalent preferred.


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