Claims Manager - Health Insurance

YourMoneyWise; Pune District; On-site; INR 1,000,000 - 2,000,000; Full time

Job summary

YourMoneyWise in Pune, India is seeking an experienced Health Insurance Claims Manager to lead the claims processing team and ensure timely settlements. You will oversee day-to-day operations, optimize processes, and ensure compliance with industry regulations.

Ideal candidates have 5–10 years of experience, MBBS/BAMS/BHMS or a relevant bachelor's degree, and a proven ability to implement best practices and manage risk, while driving quality and efficiency in a dynamic environment.

Qualifications

• Extensive experience in health insurance claims management.
• Knowledge of medical terminology, healthcare protocols, and insurance regulations.
• Strong leadership and decision-making abilities.

Responsibilities

• Manage the health insurance claims processing team, ensuring timely and accurate settlement of claims.
• Implement best practices for claims management and fraud prevention.

Skills

Health insurance claims management

Medical terminology

Leadership

Education

MBBS/BAMS/BHMS or Bachelor's in relevant field

Job description

Pune, India Full Time 10-20 LPA 5-10 years

Description

Manage the health insurance claims processing team, ensuring timely and accurate settlement of claims. Implement best practices for claims management and fraud prevention.

Requirements

• Medical degree (MBBS/BAMS/BHMS) or Bachelor's in relevant field
• Extensive experience in health insurance claims management
• Knowledge of medical terminology, healthcare protocols, and insurance regulations
• Strong leadership and decision-making abilities