Claims Associate

Year    TS, IN, India

Job Description

Position : Claims Associate Location : Hyderabad Reporting to: Associate Manager - Operations Salary: 2.5LPA Overview :
As a Claims Associate in the Operations Department, your role involves ensuring accurate processing of OPD Insurance claims, auditing to eliminate mistakes, and prioritizing internal team requests. You'll also collaborate with insurers on claim decisions, communicate effectively with customers, and maintain proper documentation in compliance with regulations. Eligibility Criteria:
Qualification: Graduate from BAMS/BDS/BHMS or similar streams
Passing Year: 2022, 2023 and 2024
Joining Month: August 2024 Responsibilities •: Handling OPD Insurance claims adjudication process with 100% accuracy.
• Auditing the process to eradicate errors.
• Handling Ad-hoc requests from internal teams and close them on priority.
• Coordinate with the Insurer on Inclusions/exclusions, and rejection/approval of claims.
• Effective communication with customers, handling customer queries and communications to customer.
• Documentation of reports and invoices as per the regulations.

Key success metrics for this role: • 100% Accuracy.
• Schedule adherence.
• Process enhancements.



The Successful Applicant: • Sound medical background with an ability to understand doctor prescriptions and medical terminologies.
• Problem solving, Critical thinking, and Analytical reasoning.
• Decision-making and prioritization.
• Good excel and presentation skills.
• Good communication and multi-tasking.
• Ownership to pick an ad-hoc task and closing it.
• Flexible to changes and adapt to new methods as per requirement.

Career opportunities: • Play a key role in a successful high-growth startup
• Be at the forefront of new-age healthtech
• Enjoy attractive compensation, incentives, health and fitness-sponsored benefits

About Ekincare:
Join the fastest-growing health benefits platform in India. ekincare is a Series B funded startup, Operating in one of the few industries with tailwinds from COVID-19. We are at the intersection of health & insure-tech, targeting South East Asia's multi-billion-dollar corporate health benefits market. Trusted by 100s of companies like Nike, Netflix, Airbnb, S&P Global, Dmart etc., our predictive and personalized platform helps employers administer their health benefits efficiently, reduce health care costs by 20% and increase employees' engagement. Recognized for our innovations by NASSCOM (10 most innovative start-ups), Google for startups.

If you are ambitious, willing to unlearn and relearn in a fast-growing start up and looking to make an impact in millions of employees' lives and make India Inc. healthy, ekincare is the right place.

For more details about us please visit www.ekincare.com

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Job Detail

  • Job Id
    JD3378689
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Contract
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    TS, IN, India
  • Education
    Not mentioned
  • Experience
    Year