Details of the Organization

Healthbridge has stood at the intersection of healthcare and insurance, building bridges where others see barriers. They support a thriving network of patients, providers and suppliers by creating seamless financial interactions across the healthcare ecosystem.

Details of the Job/Internship

Healthbridge is looking for a candidate for the position of Corporate Lawyer with 3 to 6 years of experience to join their office in Pune.

Role and Responsibilities

• Handle and represent the company in health insurance-related legal matters, claim disputes, and regulatory issues.
• Draft, review, and vet legal documents including contracts, indemnity agreements, circulars, and policy terms.
• Manage escalated claim disputes between insured members, TPAs, hospitals, and insurers.
• Lead dispute resolution, arbitration, and litigation processes, including filing responses and attending hearings if required.
• Advise internal claims, operations, and customer service teams on legal implications related to claim approvals, rejections, exclusions, and sub-limits.
• Liaise with external legal counsel, insurance regulatory bodies, IRDAI, and grievance redressal forums.
• Ensure compliance with IRDAI guidelines, consumer protection laws, and evolving health insurance regulations.
• Support audit teams with legal interpretation of claims flagged during reviews.
• Draft formal responses to legal notices, ombudsman matters, and consumer forum complaints.
• Mitigate legal risks by proactively identifying compliance gaps and implementing safeguards in internal processes.
• Stay updated on relevant court judgments, IRDAI circulars, and legal precedents impacting health insurance claims.

Eligibility

• Qualification: LLB or LLM from a recognized university; Bar Council registration mandatory.
• Experience: 3–6 years of corporate legal experience, with a minimum of 2 years in the health insurance or healthcare sector.
• Strong understanding of insurance laws, TPAs, policy interpretation, IRDAI regulations, and medical claims process.
• Experience in handling legal cases related to health insurance disputes, consumer complaints, and ombudsman matters.
• Excellent legal drafting, research, analytical, and negotiation skills.
• Ability to work collaboratively with claims, underwriting, risk, compliance, and audit teams.
• Exceptional communication and stakeholder management skills.

Salary/Stipend

Compensation details will be finalized during the interview process with the selected candidate.

Type of Opportunity

Fulltime

Country

India

State

Maharashtra

City

Pune

Address

Pune, Maharashtra, India.

Application and Registration Details

After you submit your application, you will receive the next steps in the process via email. Please follow the instructions provided to complete your application.

Incase you find any issue with the application process, please contact: [email protected]

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