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.
Roles and Responsibilties
- Serve as the 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 the resolution of claims issues.
- Maintain a clean and useful claims tracker.
- Flexible with rotating night shifts.
- Some fluency with technology (or)
- 01+ years total experience in the customer service industry or customer-facing environment.
- Highly analytical and detail-oriented
- Strong oral and written communication skills
- Expert user in MS Office (Excel, Word) and highly fluent with technology
- Fluency in English and Hindi-Passion to improve the Indian healthcare system