Assistant Claims Manager

About UsVisit Health is a pioneering health-tech platform, founded in 2016 by BITS Pilani alumni, dedicated to making healthcare accessible, affordable, and preventive. Originated as a telemedicine platform during the 2015 Swine Flu epidemic, Visit Health has grown into an all-in-one wellness ecosystem that connects doctors, insurers, and millions of Indian families. Our services range from physical and mental wellness to OPD benefits, empowering both individuals and corporations to prioritize well-being.Our Core Offerings- Employee Assistance Program (EAP): Mental health support services for a balanced work-life experience.- Personalized Health Plans: Tailored wellness programs with fitness, meditation, and nutritional guidance.- Health Check-ups & Screenings: Preventive check-ups and vaccinations for proactive health management.- Comprehensive Wellness Programs: Designed to boost morale, productivity, and holistic employee health.- Preventive & OPD Care: Seamless primary care and OPD services, reducing out-of-pocket expenses through cashless OPD benefits.Founding TeamThe founding team — Chetan Anand, Anurag Prasad, Vaibhav Singh, and Shashvat Tripathi — established Visit Health to bridge the healthcare gap in India. Driven by their experiences with limited healthcare access in Pilani, they have built Visit Health into a platform that advocates quality, accessible healthcare for everyone.What Sets Us Apart- Comprehensive & Flexible OPD Benefits: Visit offers unlimited access packages for employees and dependents, covering mental health, nutrition, diagnostics, and doctor consultations.- Integrated Platform: Combining primary and secondary care, our platform connects corporates, insurers, and retailers, making healthcare seamless and holistic.- Engagement & Gamification: AI-driven insights, step challenges, and rewards (FitCoins) drive high engagement and builds lasting healthy habits.- 24/7 Accessibility: Accessible health support anytime, designed to address India’s diverse healthcare needs.Key Milestones & Achievements- Expanding Primary Care Access: Serving over 5 million users with 1.5 million annual health checkups, 500,000 doctor consultations, and 200,000 pharmacy orders.- Strategic Partnerships: Collaborations with leading insurers and doctors, reaching 2,500 major Indian corporations and MSMEs.- Technological Innovation: Introduced India’s first cashless OPD insurance program in partnership with Apollo Munich, with a network of over 35,000 doctors.- Awards & Recognition: Honored in Forbes 30 Under 30 Asia (2020) and BITSAA Global 30 Under 30 (2022).- Funding Success: Secured over $40 million in investments to drive growth and service expansion.Future VisionVisit Health aims to further strengthen India’s primary care infrastructure, expand its corporate and insurer partnerships, and introduce advanced health tech solutions. With a focus on universal health coverage, we’re committed to making healthcare accessible for all employees and their families, supporting them in leading healthier lives.Visit Health — Empowering workplaces with accessible, affordable, and impactful healthcare.Job Summary:We are looking for an experienced and detail-oriented Assistant Manager – Claims to join our Claims team. The ideal candidate will have 4–5 years of experience in insurance claims handling or operations, with strong expertise in managing insurer relationships, handling both reimbursement and cashless claims, and driving adherence to Turnaround Time (TAT) and Service Level Agreements (SLAs).Key Responsibilities:Insurer & Internal Query ManagementAct as the primary contact for insurer communications and internal support queries.Ensure timely resolution of escalations and claim-related issues.Claims Processing – Reimbursement & CashlessManage end-to-end processing of reimbursement claims, including documentation, validation, and settlement.Generate and send cashless debit notes to insurers and follow up for approvals and payments.Insurer Relationship ManagementMaintain strong working relationships with insurers (Health or General Insurance).Coordinate regularly to address claim-related issues and streamline processes.TAT Monitoring & SLA ComplianceMonitor claims turnaround time (TAT) and ensure compliance with internal and external SLA benchmarks.Identify delays or inefficiencies and implement corrective actions to improve process efficiency.Reporting & Process ImprovementPrepare regular reports on claims performance, TAT, and issue trends.Recommend and support initiatives for process enhancement and operational excellence.Experience & Qualifications:Experience: 4–5 years in Claims Handling or Insurance OperationsIndustry Background:Experience with Insurance Companies or Third Party Administrators (TPAs) preferredExposure to Health or General Insurance is highly desirableEducation: Bachelor's degree in any discipline (preferred: Insurance, Healthcare, or Business Administration)Skillset:In-depth knowledge of reimbursement and cashless claim processesStrong relationship management and coordination skillsFamiliarity with TAT and SLA monitoringProficiency in MS Office and claims management systemsStrong communication, analytical, and problem-solving skillsIf you're passionate about claims operations and committed to service excellence, we welcome you to apply here OR reach out at amee.thakar@getvisitapp.com and grow with us