
Claims Specialist
4 days ago
About Job:-
Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.
The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently. The processor may also be responsible for communicating with employees or dependants to provide updates on the status of their claims and to address any questions or concerns. Overall, the job purpose is to facilitate the smooth and timely processing of cashless claims to ensure that employees receive the benefits they are entitled to.
PRINCIPAL ACCOUNTABILITIES:-
- Act as a Claims buddy - Manage end-to-end cashless claims of employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently.
- Verify Policy Coverage: Review and verify policy details to ensure that the claim is eligible for cashless processing according to the terms and conditions of the insurance policy.
- Provide Customer Service: Respond to inquiries from employees, and other stakeholders regarding claim status, and any other related queries.
- Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providers
- to obtain additional information, clarify details,( whenever required)
- Resolve Issues: Investigate and resolve any discrepancies, errors, or issues that may
- arise during the processing of cashless claims to ensure timely and accurate resolution
- Maintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
- Adhere to Service Level Agreements: Meet or exceed established service level
- agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction.
- Achieve NPS of 92+ in the cashless claims handled
INTERACTIONS:-
-Internal Clients:
Endorsement team Onboarding team Products & engineering- Claims teams Support Inbound-
Claim Inspector
5 days ago
India Driver Logistics Full timeClaims inspector / scrap handlers review claims to verify both the claimant and claim adjuster followed due process during the investigation and reporting phase of a case. Claims examiners ensure compliance and approve or deny claims while assisting adjusters when needed. They diligently review reports to ensure that no errors have been made in the appraisal...
-
Cashless Claims Processor
3 days ago
India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000Claims SpecialistThis is a key role within the organization responsible for processing and managing cashless insurance claims efficiently and accurately. The Claims Specialist will ensure timely closure to policyholders and seamless coordination with insurance providers.Job Purpose:The job purpose of a Claims Management Specialist is to process and manage...
-
Automotive Warranty Claims Specialist
2 weeks ago
India beBeeWarranty Full time US$ 40,000 - US$ 60,000Automotive Warranty Claims SpecialistAbout the JobThis position offers a unique opportunity to work remotely as an Automotive Warranty Claims Specialist. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to work overnight hours aligned with US Central Standard Time.Job Responsibilities:Verify repair...
-
Automated Claims Processor
3 days ago
India beBeeClaims Full time ₹ 10,00,000 - ₹ 15,00,000Claims SpecialistOverview:This is a specialist position that deals with claims processing. The successful candidate will be responsible for streamlining the claims process, troubleshooting issues, and collaborating with various stakeholders to understand requirements.Key Responsibilities:Process Improvement: Analyze current claims processes and identify...
-
Healthcare Claims Resolution Specialist
1 week ago
India beBeeHealthcare Full time ₹ 9,00,000 - ₹ 14,25,000We are currently seeking a skilled Healthcare Claims Resolution Specialist to join our team. As an experienced AR caller with a strong background in oncology billing and collections, you will play a vital role in resolving outstanding accounts receivable, analyzing denied or underpaid claims, and ensuring compliance with industry standards.Key...
-
Health Insurance Claims Professional
3 days ago
India beBeeHealth Full time ₹ 9,00,000 - ₹ 12,00,000Job Title:Health Insurance Claims SpecialistAbout the Role:We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.As a Health Insurance Claims Specialist, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled...
-
Healthcare Claims Adjudication Specialist
13 hours ago
India beBeeHealthcare Full time ₹ 8,00,000 - ₹ 15,00,000Job Description: We are seeking a skilled Healthcare Claims Adjudication Specialist to join our team. As a key member of our healthcare claims process, you will be responsible for reviewing and processing claims in a timely and accurate manner.Required Skills and Qualifications: To be successful in this role, you will need to possess the following...
-
Dental Claims Professional
4 days ago
India beBeeBilling Full time ₹ 4,00,000 - ₹ 8,00,000Job OverviewWe are seeking a highly skilled Billing and Claims Specialist to join our team. The ideal candidate will have experience in dental insurance claims, possess strong organizational skills, and be familiar with dental practice management software.Key Responsibilities:Submit dental insurance claims accurately and on timePost payments and verify...
-
Senior QA Specialist
4 days ago
India beBeeQuality Full time ₹ 70,000 - ₹ 1,30,000About the RoleThe position is a Quality Assurance (QA) specialist role focused on Claim Center testing.Strong knowledge of Software Testing Life Cycle (STLC) and Software Development Life Cycle (SDLC).Good experience in Agile projects and processes.Able to effectively demonstrate user stories to Scrum Masters.Minimum 5 years of testing experience in Claim...
-
Healthcare Claims Adjudication Specialist
2 weeks ago
India beBeeClaims Full time ₹ 6,00,000 - ₹ 12,00,000As a team member of our healthcare claims adjudication unit, you will play a crucial role in ensuring timely and accurate processing of medical claims.Key ResponsibilitiesReview and process healthcare claims according to established policies and procedures.Analyze and resolve claim discrepancies in a prompt and efficient manner.Collaborate with internal...