Soma Capital Portfolio Jobs

Claims Support Executive - Remote

Loop Health

Loop Health

Customer Service
Posted on Friday, September 9, 2022

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.

About you

  • 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