Job Description

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 insure 10mn lives by 2025. Backed by leading global investors including Tiger Global, and Sequoia Capital, we help companies care better for their employees by providing.
About this role:-
The Cashless Claims Associate is responsible for facilitating the seamless processing of cashless claims for patients receiving medical treatment in the hospital. This role involves providing in-person assistance to patients and their families, ensuring a smooth and efficient claims experience. The executive acts as a liaison between the hospital administration, insurance providers, and patients, with a focus on delivering excellent customer service while adhering to company policies and Insurance regulations. \
Roles & Responsibilities:-

• Insured Interaction: Provide in-person support to Insured and their families at the hospital, assisting them with cashless treatment queries and the claims process. This include assisting them during pre-authorisation and discharge of cashless claims
• Coordination with Insurance Providers: Liaise with insurance companies resolving any issues that may arise in a timely manner and ensure a great experience to the Insured.
• Information Dissemination: Educate patients about their insurance benefits and the cashless claims process, ensuring they are well-informed and comfortable with the procedures during the hospitalisation
• Problem Resolution: Address any concerns or disputes related to claims, working collaboratively with hospital Insurance desk, insurers, and Insured to find effective solutions.
• Feedback Collection: Gather patient feedback to improve service quality and the claims process, reporting insights to management.

Who can Apply:-

• 1- 2 years experience in Insurance claims role which is customer facing
• Excellent communication and interpersonal skills.
• Proficiency in English, Hindi & Kannada
• Mandatory to own a 2-wheeler with valid driving license

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