AddressAbout The Role
We are hiring a Claims Specialist to help us maintain 100% retention and high-satisfaction in our health insurance clients. This person is customer-obsessed, is highly supportive and empathetic towards patients, and will help us scale our account management and client servicing teams in the years to come.
What You Will Be Doing
- Serve as main point of contact for Loop Health members for all claims related inquiries
- Guiding Loop Members for cashless and reimbursement process, quickly supporting them with all required information
- Build relationships and familiarity with all TPAs and insurers to improve TATs and approval time
- Connect users with our Medical Team and doctors in case of any health queries
- Escalate issues in claims to TPA, conduct a root-cause analysis, and share with the client
- Coordinate with hospitals for resolution of claims issues
- Maintain a clean and useful claims tracker
- Flexible with rotating night shifts
- 3+ years total work experience in health insurance claims at a broker or TPA
- Patient-facing experience is preferred either at a clinic, medical tourism, hospital IPD department
- Some fluency with technology
- Highly analytical and detail-oriented
- Willingness to travel to occasionally travel to client sites (conveyance is paid by company)
- Education: Doctor (MBBS/ BHMS / BAMS / BDS)
- Strong oral and written communication skills
- Expert user in MS Office (Excel, Word) and highly fluent with technology
- Fluency in English, Marathi, and Hindi
- Passion to improve the Indian healthcare system
Skills: Word, Health Insurance, TPA, Marathi, Ms Office, English, Claims, Doctors, Hindi, Excel
Experience: 3.00-5.00 Years
