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Associate, Cashless Claims (Mumbai)
Plum
Anywhere
via LinkedIn
18 hours ago
Work from home
Full–time
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India
Sector 6, Sector 2, Vidyadhar Nagar, Jaipur, Rajasthan - From your device
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Plum
Associate, Cashless Claims (Mumbai)
Plum · Mumbai, Maharashtra · via LinkedIn
18 hours ago
Full–time
No Degree Mentioned
Apply on LinkedIn
Apply directly on Trabajo.org
Job description
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
The Cashless Claims Associate provides on-ground support to insured members during hospitalization, facilitating seamless cashless claim processing from admission through discharge. This position requires presence at hospital premises to coordinate between patient, hospital administration, and insurance providers, ensuring efficient claim settlement while delivering superior customer service in accordance with organizational policies and insurance regulations.
Role Responsibilities
1.Patient Assistance
• Provide in-person support to insured members and families during hospitalization
• Verify network hospital status assist with pre-authorization, claim queries, and discharge formalities
• Explain policy coverage, exclusions, and cashless claims process
2.Claims Coordination
• Collect required documentation (ID proofs, medical records, discharge summaries)
• Validate billing details and ensure accuracy of pre-authorization approvals
• Monitor claim progress and coordinate enhancement requests
3.Stakeholder Management
• Liaise between patients, hospital insurance desks, and insurance companies
• Resolve claim-related disputes and queries promptly
• Escalate cases per established protocols and timelines
4.Documentation & Compliance
• Ensure complete and accurate medical documentation collection
• Verify final bills before submission to insurers
• Maintain records of payments and reimbursement-eligible expenses
5.Feedback Collection
• Gather patient feedback to improve service quality and the claims process, reporting insights to management.
Role Requirements
• 1-2 years in insurance claims with customer-facing responsibilities
• Proficiency in English, Hindi, and local language
• Strong communication and negotiation abilities
• Knowledge of health insurance processes and terminology
• Mandatory: Two-wheeler with valid driving license
insurance jobs in mumbai since yesterday
AI Mode
All
News
Forums
Jobs
Short videos
Web
Flights
Images
Finance
Videos
Books
Maps
Shopping
Search tools
Feedback
Yesterday
Remote
Remote
Job type
Date posted
Date posted
Job type
Mumbai, Maharashtra ∙ Choose area
Jobs
Follow
Job postings
Saved jobs
Following
Associate, Cashless Claims (Mumbai)
Plum
Anywhere
via LinkedIn
18 hours ago
Work from home
Full–time
It looks like there aren’t many ‘Jobs’ matches on this topic
See all results
India
Sector 6, Sector 2, Vidyadhar Nagar, Jaipur, Rajasthan - From your device
Update location
Dark theme: off
Help
Feedback
Privacy
Terms
Plum
Associate, Cashless Claims (Mumbai)
Plum · Mumbai, Maharashtra · via LinkedIn
18 hours ago
Full–time
No Degree Mentioned
Apply on LinkedIn
Apply directly on Trabajo.org
Job description
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
The Cashless Claims Associate provides on-ground support to insured members during hospitalization, facilitating seamless cashless claim processing from admission through discharge. This position requires presence at hospital premises to coordinate between patient, hospital administration, and insurance providers, ensuring efficient claim settlement while delivering superior customer service in accordance with organizational policies and insurance regulations.
Role Responsibilities
1.Patient Assistance
• Provide in-person support to insured members and families during hospitalization
• Verify network hospital status assist with pre-authorization, claim queries, and discharge formalities
• Explain policy coverage, exclusions, and cashless claims process
2.Claims Coordination
• Collect required documentation (ID proofs, medical records, discharge summaries)
• Validate billing details and ensure accuracy of pre-authorization approvals
• Monitor claim progress and coordinate enhancement requests
3.Stakeholder Management
• Liaise between patients, hospital insurance desks, and insurance companies
• Resolve claim-related disputes and queries promptly
• Escalate cases per established protocols and timelines
4.Documentation & Compliance
• Ensure complete and accurate medical documentation collection
• Verify final bills before submission to insurers
• Maintain records of payments and reimbursement-eligible expenses
5.Feedback Collection
• Gather patient feedback to improve service quality and the claims process, reporting insights to management.
Role Requirements
• 1-2 years in insurance claims with customer-facing responsibilities
• Proficiency in English, Hindi, and local language
• Strong communication and negotiation abilities
• Knowledge of health insurance processes and terminology
• Mandatory: Two-wheeler with valid driving license
💡 Quick Summary
Seeking a career-building opportunity? The Associate, Cashless Claims (Mumbai) position is now open for candidates interested in the Insurance sector. This role in Mumbai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Insurance is a plus.