Insurer Liaison Manager – Claims Resolution (Bengaluru)

Insurer Liaison Manager – Claims Resolution (Bengaluru)

21 Aug
|
PLUM BENEFITS PRIVATE
|
Bengaluru

21 Aug

PLUM BENEFITS PRIVATE

Bengaluru

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 provide the highest quality insurance and healthcare to
10 million lives by FY2030, through companies that care. Plum is backed by Tiger
Global and Peak XV Partners.

ABOUT JOB

Insurer Liaison Manager – Claims Resolution is a dedicated, on-ground role
responsible for resolving complex and long-pending health insurance claims that
cannot be closed through regular remote coordination with insurers.

The role is based full-time at the insurer's claims processing office and is
specifically focused on claims that have breached TAT, remain unresolved beyond
SLA, are stuck as escalations, or involve unique, grey-area,



or high-level
cashless cases. The Insurer Liaison Manager works directly with the insurer's
processing and decision-making teams to drive these cases to closure.

The role requires solid knowledge of health insurance policy terms, conditions
and medical terminology, along with a customer-first mindset. The role holder
will be expected to deep-dive into complex claim scenarios, interpret policy and
medical information accurately, and bring multiple stakeholders—including
insurers, Plum Operations, clients/HR teams and hospitals—onto the same page to
arrive at a fair, swift and well-reasoned resolution.

ROLE RESPONSIBILITIES

1. Manage TAT-Breached Claims: Take ownership of claims that have breached the
agreed TAT and remain unresolved despite prior coordination between Plum's
Claims Operations team and the insurer through email and calls. Drive these
cases to closure through in-person coordinati

📌 Insurer Liaison Manager – Claims Resolution (Bengaluru)
🏢 PLUM BENEFITS PRIVATE
📍 Bengaluru

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