Key Responsibilities

- Claim Tracking & Follow-ups: Proactively track and follow up on pending cashless and reimbursement health insurance claims with TPAs and insurance companies.
- Query Resolution: Coordinate with internal operations, patients, and insurers to obtain, compile, and submit required documents (PODs, original bills, prescriptions, justifications) for quick query closure.
- Claim Expediting: Drive daily resolution of queries to prevent unnecessary claim rejections or delays in final settlement.
- Documentation & Data Management: Maintain up-to-date status records of all active claims, dispatch tracking IDs (courier PODs), and communication logs.
- Stakeholder Coordination: Serve as the main point of contact between healthcare providers, patients, and TPA desk teams.





Requirements & Qualifications

- Experience: 1–3 years of hands-on experience in health insurance operations, TPA follow-ups, or hospital desk management.
- Domain Knowledge: Robust understanding of health insurance claim lifecycles, cashless authorization, pre-/post-hospitalization processes, and TPA operations
- Communication: Clear written and verbal communication skills for effective follow-ups and documentation.
- Problem-Solving: Proactive attitude toward resolving outstanding queries and escalating stuck claims.

📌 Operations Executive – Insurance Follow-up (Gurugram)
🏢 Care.Fi
📍 Gurugram