Cashless Claims

As a Cashless Claims Team Associate, your role involves processing and managing cashless insurance claims efficiently and accurately to ensure timely closure for policyholders and seamless coordination with insurance providers. Your responsibilities include: - Managing end-to-end cashless claims for employees by verifying policy coverage, reviewing medical records, and coordinating with insurers - Verifying policy details to ensure claim eligibility for cashless processing - Providing customer service by responding to inquiries from employees and stakeholders regarding claim status - Coordinating with healthcare providers and hospitals to obtain additional information and clarify details - Investigating and resolving discrepancies, errors, or issues that may arise during claim processing - Maintaining detailed and accurate records of all claim-related activities for documentation and audit purposes - Adhering to service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction - Aim to achieve an NPS of 92+ in the cashless claims handled Interact with internal clients such as Endorsement team, Onboarding team, Products & Engineering, Claims teams, Support Inbound, and Account Management. Also, engage with external clients including Insurers, Client HRs, and Hospitals. Qualifications required for this role: - At least 2 years of experience in customer-facing roles - Past experience in voice profile would be an added advantage - Experience in cashless/TPA This job offers you the opportunity to play a crucial role in ensuring that employees receive the benefits they are entitled to through efficient and accurate processing of cashless claims.,