Role Summary

We are looking for a detail-oriented Reimbursement Claims Team Lead / Specialist to manage daily

claim operations within our TPA workflow. The ideal candidate ensures accurate and timely claim

adjudication, handles escalations efficiently, and maintains clean reconciliation records across all

stakeholders.

Key Responsibilities
- Claim Adjudication & TAT Management: Manage daily claim volumes, coordinate with

doctors, and ensure timely adjudication within defined turnaround times.
- Escalation Handling: Handle daily AM and insurer escalations promptly; manage the

reimbursement escalation team to resolve issues efficiently.
- Claim Reconciliation: Perform daily, weekly, and monthly claim reconciliation to ensure





accuracy and completeness of records.
- Debit Note Issuance: Ensure timely daily issuance of debit notes to insurers as per operational

requirements.

Qualifications & Experience
- Bachelors degree (any discipline)
- 12 years in TPA industry (preferred)
- Experience in health insurance / claim

processing is an advantage

Skills Required
- Advanced Excel
- Basic data analysis
- Data reconciliation
- Positive communication skills
- Interdepartmental coordination
- Team & escalation management

📌 Team Lead (Bengaluru)
🏢 Medibuddy
📍 Bengaluru