Claims Specialist
4 weeks ago
About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. About the Role The Claims Team is responsible for the dedicated processing and servicing of all health claims for key strategic accounts. The primary purpose of this team is to deliver streamlined and efficient claims management, ensuring timely resolution and exceptional service tailored to the unique needs of each clients. By serving as a single point of contact for health claims-related inquiries and processes the team enhances client satisfaction, promotes trust, and drives continuous improvement in service delivery. The Claims Team is committed to optimizing claims processing workflows, facilitating effective communication with clients, and leveraging insights to enhance the overall client experience while supporting the organization's strategic goals. Role Responsibilities Act as a Claims buddy- Manage end-to-end cashless/reimbursement claims of employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, communicating with the end customers and ensuring that claims are processed accurately and efficiently. Verify Policy Coverage: Review and verify policy details to ensure that the claim is eligible for claims processing according to the terms and conditions of the insurance policy. Provide Customer Service: Respond to inquiries from customers, and other stakeholders regarding claim status, and any other related queries via call as well as email. Coordinate with Healthcare Providers/Hospitals and Insurance companies: Communicate with healthcare providers to obtain additional information, and clarify details, (whenever required). Resolve Issues: Investigate and resolve any discrepancies, errors, or issues that may arise during the processing of claims to ensure timely and accurate resolution. Work with all internal stakeholders, HR of the account, employees to ensure a great experience to the employee. Be proactive in doing all communications with the employees on the claims status. Maintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes. Adhere to Service Level Agreements: Meet or exceed established service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction. Achieve NPS of 90+ in the claims handled. Role Requirements At least 2 years of experience in customer-facing roles Past Experience in voice profile would be an added advantage Experience in cashless/ TPA Additional Info It will be 5 days of onsite work. Week-offs will be rotational. It would be rotational shifts.
-
Insurance Claims Specialist
1 week ago
bangalore, India NYVO Full timeCompany DescriptionNYVO is a trusted leader in guiding individuals and families toward achieving financial clarity and stability. With a mission to prioritize what truly matters, NYVO fosters confidence in securing your financial future. The company is dedicated to providing genuine and reliable financial solutions without falling for shortcuts or gimmicks....
-
Carrier Claim Specialist
2 weeks ago
bangalore, India BolsterBiz Full timeCompany Description BolsterBiz is a leading provider of offshoring and outsourcing services based in New Delhi. We specialize in driving business growth, optimizing operational efficiency, and ensuring long-term success. With over 2,000 completed projects and more than 100 clients in the USA, we offer cost-effective solutions with access to expert...
-
Billing/Claims Submissions Specialist
5 days ago
bangalore, India Gentell Full timeCompany Description Gentell is a leading global provider of innovative, efficient, and affordable wound care solutions tailored to meet the individualized needs of patients in nursing homes, hospices, and hospitals. With clinical specialists across the United States and Canada, we offer expert recommendations and education to support proper use of wound care...
-
Claims Resolution Specialist
1 week ago
Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru -Karnataka 560103...
-
Claims Specialist
5 hours ago
bangalore, India Anand Rathi Insurance Brokers Ltd Full timeJob Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...
-
Logistics Specialist(Marine Claims, Contract
2 weeks ago
Bangalore, India Live Connections Full timeProcess Specialist / Analyst - Logistics (Marine Claims, Contract & Billing) Bangalore - Electronic City EMEA Shift: 12:30 PM - 9:30 PM Qualification: Graduate Experience: 2-5 Years We're hiring professionals with experience in Marine Claims , Contract Management , and Billing Operations . You'll handle claims, invoicing, contract analysis, and process...
-
Logistics Specialist(Marine Claims, Contract
2 weeks ago
Bangalore Division, India Live Connections Full timeProcess Specialist / Analyst – Logistics (Marine Claims, Contract & Billing) Bangalore – Electronic City EMEA Shift: 12:30 PM – 9:30 PM Qualification: Graduate Experience: 2–5 Years We’re hiring professionals with experience in Marine Claims , Contract Management , and Billing Operations . You’ll handle claims, invoicing, contract analysis, and...
-
Logistics Specialist(Marine Claims, Contract
2 weeks ago
Bangalore Rural, India Live Connections Full timeProcess Specialist / Analyst – Logistics (Marine Claims, Contract & Billing) Bangalore – Electronic City EMEA Shift: 12:30 PM – 9:30 PM Qualification: Graduate Experience: 2–5 Years We’re hiring professionals with experience in Marine Claims , Contract Management , and Billing Operations . You’ll handle claims, invoicing, contract analysis, and...
-
Logistics Specialist(Marine Claims, Contract
3 weeks ago
Bangalore Rural, India Live Connections Full time🌊 Process Specialist / Analyst – Logistics (Marine Claims, Contract & Billing)📍 Bangalore – Electronic City 🌍 EMEA Shift: 12:30 PM – 9:30 PM 🎓 Qualification: Graduate 🕐 Experience: 2–5 YearsWe’re hiring professionals with experience in Marine Claims, Contract Management, and Billing Operations. You’ll handle claims, invoicing,...
-
Logistics Specialist(Marine Claims, Contract
3 weeks ago
Bangalore Division, India Live Connections Full time🌊 Process Specialist / Analyst – Logistics (Marine Claims, Contract & Billing)📍 Bangalore – Electronic City 🌍 EMEA Shift: 12:30 PM – 9:30 PM 🎓 Qualification: Graduate 🕐 Experience: 2–5 YearsWe’re hiring professionals with experience in Marine Claims, Contract Management, and Billing Operations. You’ll handle claims, invoicing,...
