Claims Associate

3 weeks ago

Madurai, Tamil Nadu, India Zyla Health Full time
About Zyla (www.zyla.in)Zyla Health is India's highest-rated personalized care management platform focused on improving health outcomes.
Zyla enables care at scale for insurers and employers through its human-assisted AI on the 24x7 conversational Zyla app (consistently rated 4.7+).
Some of our clients include Aditya Birla, Max Life, Care Insurance, HDFC Ergo, IBM, Godrej, Jindal Steels, DHL, Tata Steel, Astra Zeneca, Pfizer.Care implemented by Zyla spans across medical, physical and mental health needs, and powered by a complete in-house team of Doctors and experts as well as our proprietary AI engines - Athena, Lea and Iris.
The care starts with a detailed health risk assessment of the population followed by personalized care journeys ranging from chronic disease management to wellness programs.Responsibilities:● Process and review reimbursement claims to ensure accuracy and compliance with policy guidelines.
● Verify supporting documents such as invoices, medical reports, and receipts for completeness and authenticity.● Address customer inquiries related to reimbursement claims, providing necessary clarifications and guidance.
● Prepare reports on claim processing metrics, reimbursement trends, and unresolved claims.Qualifications: ● Proficiency in Microsoft Excel, including data entry, sorting, filtering and basic formulas.
● Ability to organize and manage data effectively.
● Ability to interpret and analyze medical data, including familiarity with medical terminology, patient records, and healthcare-related information.
● Prior experience in a healthcare or medical research setting is a plus.
● Strong ability to communicate clearly and concisely in written form, including report writing, email correspondence, and documentationOffer: ● Opportunity to directly work on a very innovative product that has a big societal impact.
● Opportunity to work with a cross-functional team consisting of leading medical brains, tech geeks, and operation gurus.
● An open setup where you can innovate every day.
● A home-like office with home-like perks :)

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