Insurance Claim Manager
14 hours ago
Our organization is in the forefront of revolutionizing the education ecosystem through innovative financial solutions.
We provide a platform for making education more accessible, affordable, and rewarding for millions of families by offering cutting-edge financial services.
Partnering with 5,000+ top educational institutions makes us a trusted name in education-focused financial services.
We've expanded our portfolio by launching a new insurance vertical focused on providing customised life and health insurance products to families within our network and beyond.
This is a high-impact opportunity to be at the forefront of building this vertical from the ground up.
Job Overview
We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.
In this role, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.
The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.
Key Responsibilities
- Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.
- Assist and guide customers through the claims journey, ensuring forms and documents are accurate, complete, and submitted promptly.
- Collaborate with insurers, third-party administrators (TPAs), and hospitals to ensure quick and accurate claim resolutions.
- Handle escalations, rejections, and disputes by investigating discrepancies, clarifying benefits, and negotiating fair outcomes for clients.
- Ensure claims handling aligns with regulatory guidelines, insurer protocols, and internal compliance standards.
- Track claim turnaround times, analyze claim outcomes, and prepare periodic reports on performance and trends.
- Identify inefficiencies in claims workflows and recommend process enhancements to improve speed, accuracy, and customer satisfaction.
Requirements
- Bachelor's degree in Business, Finance, Insurance, or related field.
Experience
- 3–6 years of proven experience in health insurance claims management or related roles.
Certifications
- Regulatory certification or equivalent preferred.
Skills
- Strong knowledge of health insurance policies, products, and claims procedures.
- Excellent communication, negotiation, and customer-handling skills.
- High attention to detail with strong analytical and problem-solving abilities.
- Proficiency in MS Office and claims management/CRM systems.
Attributes
- Customer-first mindset with empathy and professionalism.
- Ability to work under pressure and meet strict deadlines.
- Strong organizational skills and accountability.
Why Join Us?
Here's why we're different:
- We provide guidance, not pressure—helping families make confident decisions.
- Be part of creating a vertical from scratch at a fast-growing organization.
- Regulatory compliance, customer-first service, and honesty are non-negotiable.
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