Health Insurance Claims Specialist

YourMoneyWise; Hyderabad; On-site; INR 500,000 - 900,000; Full time

Job summary

YourMoneyWise in Hyderabad is seeking a full-time health claims professional to process and adjudicate insurance claims within tight turnaround times.

The ideal candidate is a graduate with health claims experience; ICD-10 knowledge is a plus. You will verify documents, coordinate with hospitals, and ensure IRDAI-compliant settlements while delivering empathetic customer service.

Join a dynamic team focused on accuracy, compliance, and client satisfaction.

Qualifications

• Graduate in any discipline; medical background preferred.
• Experience in health insurance claims processing.
• Knowledge of ICD-10 coding is a plus.
• Strong attention to detail and customer empathy.

Responsibilities

• Process and adjudicate health insurance claims within TAT.
• Verify medical documents and coordinate with hospitals.
• Detect fraudulent claims and ensure regulatory compliance with IRDAI norms.

Skills

Attention to detail

Customer empathy

Claims processing

Education

Graduate degree

Tools

ICD-10 knowledge

Job description

Hyderabad, India Full Time 5-9 LPA 2-5 years

Description

Process and adjudicate health insurance claims within TAT. Verify medical documents, coordinate with hospitals, and detect fraudulent claims. Ensure compliance with IRDAI claim settlement norms.

Requirements

• Graduate in any discipline; medical background preferred
• Experience in health insurance claims processing
• Knowledge of medical coding (ICD-10) is a plus
• Strong attention to detail and customer empathy