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