Claim Associate
4 hours ago
Claims Associate Health Claims TPA
Position Description
Support end-to-end coordination and execution of health claims serviced via Third Party Administrators (TPAs). Ensure timely claim closures, partner communication, and customer satisfaction while maintaining internal SLAs and service quality.
Key Responsibilities
- Ensure processing of all TPA claims within the defined TAT by actively tracking, following up, and resolving pending cases.
- Conduct daily huddles with TPA partners to monitor outstanding claims and provide timely guidance for resolution.
- Manage and resolve customer grievances and escalations received via calls and emails, ensuring closure within agreed timelines.
- Respond to and clear all daily tickets and email queries with detailed resolutions, adhering to specified TATs.
- Collaborate with internal teams for issue resolution and smooth claim workflows.
- Maintain quality documentation of communications and follow-ups.
Experience & Skills Required
- Experience: 1–2 years of relevant experience in a similar role, preferably within Digit.
- Internal Systems: Familiarity with Digit's health claims processes and system workflows is essential.
- Technology:
- Working knowledge of Microsoft Excel
- Comfort in navigating ticketing/email systems
- Behavioural Traits:
- Effective communication skills
- Assertive yet empathetic handling of escalations
- Proactive approach to claim follow-up and issue resolution
Education & Qualification
- Qualification: Graduation in any stream
- Preferred Background: Healthcare, insurance, or customer service roles
What You Bring to Digit
You ensure every travel claim is handled with speed, accuracy, and empathy, making stressful journeys easier for our customers.
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