Health Insurance Claim Manager

OR

Health Claims Processing Manager
Medical Insurance Claim Manager

Last updated on 11 Nov 2025

Overview

Oversee the health insurance claim process, ensuring accurate documentation, efficient processing, and timely settlements. Collaborate with healthcare providers and policyholders to provide seamless claims management and excellent customer service for comprehensive coverage.

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Job Description
  1. Manage the end to end process of health insurance claims, ensuring accuracy and compliance with regulations
  2. Directly supervise a team responsible for processing claims, providing guidance, training, and performance evaluations
  3. Implement and maintain quality assurance measures to uphold standards of claim accuracy and timeliness
  4. Liaise with healthcare providers to resolve claim issues, negotiate pricing, and ensure timely payments
  5. Stay updated on healthcare insurance policies, procedures, and regulatory changes to ensure adherence
  6. Analyze claims data to identify trends, errors, and opportunities for process improvement
  7. Respond to inquiries and complaints from policyholders regarding claim status and payments, ensuring high customer satisfaction
Key Skills for this Job Role

Documentation

Problem Solving

Team Collaboration

Health Insurance Knowledge

TPA Software

Fraud Detection

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Recruiter Hiring For this Job Role
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Mar Sleeva Medicity Palai, Puliyannoor

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