hireejobs
Register for Job
Hyderabad Jobs
Banglore Jobs
Chennai Jobs
Delhi Jobs
Ahmedabad Jobs
Mumbai Jobs
Pune Jobs
Vijayawada Jobs
Gurgaon Jobs
Noida Jobs
Oil & Gas Jobs
Banking Jobs
Construction Jobs
Top Management Jobs
IT - Software Jobs
Medical Healthcare Jobs
Purchase / Logistics Jobs
Sales
Ajax Jobs
Designing Jobs
ASP .NET Jobs
Java Jobs
MySQL Jobs
Sap hr Jobs
Software Testing Jobs
Html Jobs
IT Jobs
Logistics Jobs
Customer Service Jobs
Airport Jobs
Banking Jobs
Driver Jobs
Part Time Jobs
Civil Engineering Jobs
Accountant Jobs
Safety Officer Jobs
Nursing Jobs
Civil Engineering Jobs
Hospitality Jobs
Part Time Jobs
Security Jobs
Finance Jobs
Marketing Jobs
Shipping Jobs
Real Estate Jobs
Telecom Jobs

Dedicated Claims Specialist

2.00 to 4.00 Years   Mumbai (Maharashtra)   02 May, 2025
loop health
Job LocationMumbai (Maharashtra)
EducationAny Graduate
SalaryAs per Industry Standards
IndustryHealthcare, Manufacturing/Industrial
Functional AreaBanks/Insurance/Financial Services
EmploymentTypeFull-time

Job Description

About the RoleWe are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies. The ideal candidate should have 2-4 years of experience in claims processing or CRM roles.Key Responsibilities

  • Handle end-to-end processing of reimbursement claims for group medical corporate policies.
  • Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk.
  • Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing.
  • Liaise with internal teams, insurers, TPAs, and hospitals to ensure seamless claims settlement and timely resolutions.
  • Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach.
Required Skills
  • In-depth knowledge of corporate group medical insurance policies and claims processing.
  • Ability to understand medical terminology, treatment procedures, and health-related documentation.
  • Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools.
  • Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively.
  • Attention to detail to ensure accuracy in claim processing and documentation review.
  • Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks.
Qualifications
  • Bachelors degree in healthcare, insurance, or related field preferred.
  • 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.
Locations
  • Mumbai

Keyskills :
claims processing expertise medical terminology knowledgecustomer service skillsproblem solving abilities attention to detailinsurance health insurance claims management

APPLY NOW

Dedicated Claims Specialist Related Jobs

© 2019 Hireejobs All Rights Reserved