Claims Executive

Location:

Work Schedule:

Experience: 1–3 years in Cashless Processing

Salary:

About Us

Today, an Indian hospital revenue is largely dominated by Insurance payers - Govt + Private. With 200+ payers in the mix, the overall revenue cycle management (RCM) in India is broken, opaque, and complex filled with unexpected shortfalls and delayed realizations.

At Care.fi, we are building India’s first AI-led RCM platform for hospitals which will enable them to solve these pitfalls and thereby improving margins. Backed by marquee investors such as Peak XV (erstwhile Sequoia India) we are already a trusted partner for top Indian brands including Apollo, Fortis, Narayana Health, and Aster Group.

Care.Fi is working at the intersection of two big industries – healthcare and finance. We are

passionate about saving lives, challenging legacy systems, and making money (:p). We believe the next revolution in the Indian start-up ecosystem would be in the Health-Fintech vertical.

We are a fun, young, ambitious group of ex-entrepreneurs, generalists, Biz Dev folks, and engineers from top institutes of the country (IIMs, IITs, BITS, Ashoka, etc.). We have previously built and scaled products to $100M Business across HealthTech and FinTech.

We are looking for a like-minded individual to join our Founder’s Office team. We want you to have a PhD mentality – poor, hungry, and driven.

Role Overview

As the Claims Executive at Care.fi, you will be our key person responsible for conducting quality checks of documents at the hospital level for cashless cases under government/private schemes. This role involves reviewing pre-authorization and post-authorization documents attached during post-claim submission and providing scheme-specific inputs.

Key Responsibilities

• Perform quality checks of documents for cashless cases under government/private schemes.
• Verify pre-auth and post-auth documents before claim submission.
• Ensure accuracy and completeness of documentation as per scheme guidelines.
• Coordinate with hospital teams to resolve discrepancies quickly and efficiently.

Skills Required

• Prior experience in government/private cashless claim processing is essential.
• Strong understanding of pre-auth and post-auth documentation processes.
• High accuracy, attention to detail, and quick learning ability.
• Ability to manage multiple cases efficiently .
• Excellent communication and coordination skills with internal and external stakeholders.