Assistant Claims Director

Visit 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. 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: Preventive & OPD Care: Seamless primary care and OPD services, reducing out-of-pocket expenses through cashless OPD benefits. 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. Comprehensive & Flexible OPD Benefits: Accessible health support anytime, designed to address India’s diverse healthcare needs. Collaborations with leading insurers and doctors, reaching 2,500 major Indian corporations and MSMEs. - Introduced India’s first cashless OPD insurance program in partnership with Apollo Munich, with a network of over 35,000 doctors. - Secured over $40 million in investments to drive growth and service expansion. 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. 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) . Insurer & Internal Query Management Act as the primary contact for insurer communications and internal support queries. Ensure timely resolution of escalations and claim-related issues. Claims Processing – Reimbursement & Cashless Manage end-to-end processing of reimbursement claims , including documentation, validation, and settlement. Insurer Relationship Management Maintain strong working relationships with insurers (Health or General Insurance). Coordinate regularly to address claim-related issues and streamline processes. TAT Monitoring & SLA Compliance Monitor claims turnaround time (TAT) and ensure compliance with internal and external SLA benchmarks. Prepare 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 Operations Experience with Insurance Companies or Third Party Administrators (TPAs) preferred Exposure to Health or General Insurance is highly desirable Bachelor's degree in any discipline (preferred: Insurance, Healthcare, or Business Administration) In-depth knowledge of reimbursement and cashless claim processes Strong relationship management and coordination skills Familiarity with TAT and SLA monitoring Proficiency in MS Office and claims management systems If you're passionate about claims operations and committed to service excellence, we welcome you to apply here OR reach out at amee.