Senior Manager Health Insurance Claims

• Job Title: Sr Manager Health Insurance Claims 
• Location: Bangalore (Hybrid)
• Company: Pazcare
• Type: Full-time

About Pazcare

Pazcare is transforming employee healthcare and wellness for 2000+ companies including Mamaearth, Chaayos, Mindtickle, and more. We simplify health insurance and wellness benefits, giving HR teams superpowers through real-time claim tracking, analytics, and stellar employee experiences.

Role Overview

As a Claims Manager, you will be the frontline owner of ensuring claims are settled within the agreed turnaround time (TAT) across TPAs. You will play a critical role in driving TPA performance, resolving escalations, and advocating on behalf of our clients to ensure no valid claim is wrongly repudiated.

Key Responsibilities

• Ensure all reimbursement and cashless claims are processed within the committed TAT across clients.
• Track, analyze, and manage TAT performance of multiple TPAs; escalate and hold them accountable for delays or service gaps.
• Reopen wrongly repudiated claims with TPAs/insurers and fight for fair resolution on behalf of clients.
• Collaborate closely with the customer success and insurance teams to address claim escalations proactively.
• Drive continuous process improvement in claims handling and communication workflows.
• Maintain internal dashboards and reports to track SLAs and spot trends.

Requirements

• 3+ years of experience in health insurance claims (TPA/insurance broker/insurer preferred).
• Strong understanding of reimbursement, cashless claim processes, and IRDAI guidelines.
• Assertive communicator with negotiation skills to handle TPAs and insurers.
• Analytical mindset with ability to identify patterns in delays or rejections.
• Empathy for the end user the employee or HR dealing with a health issue.

Why Join Pazcare?

• Work with a mission-driven, fast-growing team redefining how India experiences employee health benefits.
• Ownership of high-impact outcomes and the opportunity to shape the future of claims at scale.
• Be part of a culture that values transparency, speed, and customer-first thinking.