Claim Associate

About Zyla Health

Zyla Health is India's highest-rated personalized care management platform, focused on improving health outcomes. Zyla enables care at scale for insurers and employers through its human-assisted AI-powered, 24/7 conversational Zyla app.

Role Overview

Looking for an Associate – Claim Healthcare to join our team. The role involves processing and reviewing reimbursement claims, verifying medical documents, maintaining accurate claim records, and assisting customers with reimbursement-related queries.

Key Responsibilities

• Process and review reimbursement claims to ensure accuracy and compliance with policy guidelines.
• Verify supporting documents, including invoices, medical reports, and receipts, for completeness and authenticity.
• Address customer inquiries related to reimbursement claims and provide necessary clarifications and guidance.
• Maintain accurate records of claim processing activities.
• Prepare reports on claim processing metrics, reimbursement trends, and unresolved claims.

Qualifications & Skills

• Proficiency in Microsoft Excel, including data entry, sorting, filtering, and basic formulas.
• Ability to organize, maintain, and manage data effectively.
• Ability to interpret and analyze medical data.
• Familiarity with medical terminology, patient records, and healthcare-related information.
• Strong written communication skills, including report writing, email correspondence, and documentation.
• Prior experience in a healthcare or medical research setting will be an added advantage.

Employment Type

Contractual (6 Months)

Location

Gurgaon, Haryana (Work from Office)

Working Days

5 Days a Week