Job title: Claims Specialist

Company: Loop Health

Job description: About Us Getting access to high-quality healthcare should be simple. But today’s healthcare system is failing us. Patients are plagued with doubt, they’re left in the dark and insurance doesn’t cover their needs. At Loop, we are on a mission to c

About Us Getting access to high-quality healthcare should be simple. But today’s healthcare system is failing us. Patients are plagued with doubt, they’re left in the dark and insurance doesn’t cover their needs. At Loop, we are on a mission to change that. We want to make a healthier life accessible for all. We believe everyone deserves affordable, quality health care that fits their life. Fromfamilies with young children to folks with chronic conditions, we want to make sure no one is left behind. If you’d like to learn more, there are tons of resources about what we are building at Loop. Here are some of our favorites: Join us in making health insurance simple, reliable and human. We are hiring a Claims Specialist to help us maintain 100% retention and high-satisfaction in our health insurance clients. This person is customer-obsessed, is highly supportive and empathetic towards patients, and will help us scale our account management and client servicing teams in the years to come. Requirements Serve as main point of contact for Loop Health members for all claims related inquiries. Guiding Loop Members for cashless and reimbursement process, quickly supporting them with all required information. Build relationships and familiarity with all TPAs and insurers to improve TATs and approval time. Connect users with our Medical Team and doctors in case of any health queries. Escalate issues in claims to TPA, conduct a root-cause analysis, and share with the client. Coordinate with hospitals for resolution of claims issues. Maintain a clean and useful claims tracker. Flexible with rotating night shifts. Qualifications 3+ years total work experience in health insurance claims at a broker or TPA -Patient-facing experience is preferred either at a clinic, medical tourism, hospital IPD department -Some fluency with techmology -Highly analytical and detail-oriented -Willingness to travel to occasionally travel to client sites (conveyance is paid by company) -Education: Doctor (MBBS/ BHMS / BAMS / BDS) -Strong oral and written communication skills -Expert user in MS Office (Excel, Word) and highly fluent with technology -Fluency in English, Marathi, and Hindi -Passion to improve the Indian healthcare system What you can expect from us ???? ???? ???? Loop Family Healthcare Health insurance for you and your family for all medical emergencies. ???? High agency You’ll always have the agency to shape projects, processes and outcomes independently. ????Learning Budget If there’s a workshop, book or event you think will help you learn, we’ll cover your bill. ???? Work from home setup We’ll help you set up your office the way you want to with the best equipment around.

Expected salary:

Location: Pune, Maharashtra

Job date: Fri, 24 Jun 2022 22:50:20 GMT

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