Recruiter at Sapwood Ventures
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Senior Claims Specialist - Insurance - MBBS/BAMS/BHMS (3-5 yrs)
We are hiring a Senior 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.
Job Description :
- Serve as main point of contact for all claims related inquiries.
- Guiding 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.
- 3-4 years total work experience in health insurance claims at a broker or TPA
- Highly analytical and detail-oriented
- Willingness to travel to occasionally travel to client sites (conveyance is paid by company)
Education : BHMS.BDS,BAMS,MBBS
- 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
- We are building a diverse and energetic team determined to improve Indian health care. To do this, we need a team with diverse backgrounds in insurance, healthcare, technology, and operations.
- We offer comprehensive medical benefits, generous paid-time off, company social events, wellness programs, and opportunities for mentorship.
Job Type : Full-time