Claims Associate

About Zyla

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 on the 24x7 conversational Zyla app (consistently rated 4.7+). Some of our clients include Aditya Birla, Max Life, Care Insurance, HDFC Ergo, IBM, Godrej, Jindal Steels, DHL, Tata Steel, AstraZeneca, Pfizer.

Responsibilities:

• Process and review reimbursement claims to ensure accuracy and compliance with policy guidelines.
• Verify supporting documents such as invoices, medical reports, and receipts for completeness and authenticity.
• Address customer inquiries related to reimbursement claims, providing necessary clarifications and guidance.
• Prepare reports on claim processing metrics, reimbursement trends, and unresolved claims.

Qualifications:

• Proficiency in Microsoft Excel, including data entry, sorting, filtering, and basic formulas. 
• Ability to organize and manage data effectively.
• Ability to interpret and analyze medical data, including familiarity with medical terminology, patient records, and healthcare-related information. 
• Prior experience in a healthcare or medical research setting is a plus.
• Strong ability to communicate clearly and concisely in written form, including report writing, email correspondence, and documentation.

Offer:

• Opportunity to directly work on a very innovative product that has a big societal impact.
• Opportunity to work with a cross-functional team consisting of leading medical brains, tech geeks, and operation gurus.
• An open setup where you can innovate every day.
• A home-like office with home-like perks :)
• 5 days of work a week schedule.