Executive- Reimbursement Claim

1 day ago


Bengaluru Karnataka, India Plum Benefits Full time

**Bengaluru**

**Customer Success - 7. Customer Success /**

**Full Time /**

**On-Site**

**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.

**JOB PURPOSE
- **
- The primary job purpose of an Executive Reimbursement Claim Processor is to accurately and efficiently process reimbursement claims submitted by policyholders for medical expenses covered under their health insurance policies. This role plays a critical part in ensuring that policyholders receive timely payments for eligible medical costs incurred.

**PRINCIPAL ACCOUNTABILITIES**:

- Processing of reimbursement insurance claims, ensuring adherence to company policies and Terms & conditions of the policy.
- Responsible for the following transactional activities
- Scrutiny of reimbursement claims
- Submission to Insurer
- Informing incomplete documentation requirement to the employees
- Liaising with employees in explaining the reason for requirements/plum rejections
- Leading team of claims experts who guides the employees to submit the claims
- Collaborating with internal& external stakeholders, such as Onboarding team, endorsements team Account management team to resolve complex claims issues and ensure a seamless claims submission
- Communicating with Insurance companies policyholders, and internal departments to gather necessary information and resolve claim discrepancies
- Maintaining accurate records of claims processing activities and documentation for audit and reporting purposes.
- Providing customer service support to address inquiries and concerns related to reimbursement claims.
- Working with Insurance companies to ensure that eligible claims are paid completely to the end customer



  • Bengaluru, Karnataka, India Plum Benefits Full time

    **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;...


  • Bengaluru, Karnataka, India Plum Benefits Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    About PlumPlum 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...

  • Claims Executive

    1 week ago


    Mahatma Gandhi Road, Bengaluru, Karnataka, India Disha Capital Insurance Brokers Full time

    **Claims Executive - EB** - **Job Summary**: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have indepth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a...


  • Bengaluru, India Total RCM Solutions Full time

    Company Overview: Total RCM Solutions, LLC, established in June 2018, is a prominent revenue cycle management company catering to healthcare providers across the United States. With over 100 years of combined expertise, our team excels in applying tailored processes and workflows to optimize practice success. We offer comprehensive end-to-end RCM services,...


  • Bengaluru, India Total RCM Solutions Full time

    Job Description Company Overview: Total RCM Solutions, LLC, established in June 2018, is a prominent revenue cycle management company catering to healthcare providers across the United States. With over 100 years of combined expertise, our team excels in applying tailored processes and workflows to optimize practice success. We offer comprehensive end-to-end...


  • Bengaluru, Karnataka, India Mongoose Minds Private Limited Full time

    **Job Duties & Responsibilities** - Play as an intermediate role Between the Insurance co. and Hospital and the Team. - Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. - Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the...


  • Bengaluru, Karnataka, India Sri Sri Tattva Full time

    **Role Description** This is a full-time on-site role for a Sr. Claims Executive with strong MS. Excel, located in Bengaluru. The Sr. Claims Executive will be responsible for handling and managing claims, ensuring accurate processing, and maintaining effective communication with stakeholders. Daily tasks include claims assessment, documentation, customer...


  • HSR Layout, Bengaluru, Karnataka, India Infomap Solutions Private Limited Full time

    Registration of Claims in Portal - Validate the Claims & ensure the arithmetical accuracy - Effectively communicating with stakeholders to provide updates, resolve queries, and address concerns. - Posting accounting entries in SAP - Reconciliation b/w SAP entries & Distributor Claim working - Ensure / Validate Invoice raised by the distributors are according...


  • Bengaluru, Karnataka, India The Cigna Group Full time

    **JOB DESCRIPTION**: **About US** At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great...


  • Bengaluru, Karnataka, India saptagiri University Full time ₹ 3,70,388 - ₹ 5,00,000 per year

    Job Duties & ResponsibilitiesTo interact with hospital insurance patients.Sending Pre-Authorization and getting approval for Cashless claims.Cross checking Packages or tariff before sending to Insurance Company or TPA.Educating patient about deduction on settlement.To create awareness about reimbursement claims. (Pre, Post & Hospitalization)Collecting claim...