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Claims Specialist

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Job Description

Work Schedule: 6 days a week

Experience: 1–3 years in Cashless Processing / TPA Desk

Joining: Immediate (Must be able to start within 0-7 days)

About Us

Today, Indian hospital revenue is dominated by insurance payers. With 200+ payers in the mix, the overall Revenue Cycle Management (RCM) in India is broken, opaque, and complex.

At Care.fi, we are building India's first AI-led RCM platform for hospitals to solve these pitfalls and improve margins.

Backed by marquee investors like Peak XV, July ventures, and Accion labs and having recently closed our $8M Series A, we are already a trusted partner for top brands like Apollo, Fortis, and Narayana Health. We are a fun, young, ambitious group of ex-entrepreneurs and engineers from top institutes (IITs, IIMs, BITS). We're looking for someone with a PhD mentality—Poor, Hungry, and Driven—to join our team.

Role Overview

As a Claims Executive in Bangalore, you won't just be checking boxes; you will be the bridge between the patient and their successful claim. This is a high-touch, high-impact role where you will be stationed at our partner hospitals to ensure that the document collection process is seamless, empathetic, and lightning-fast.

Key Responsibilities

  • Patient Interaction: Be the primary point of contact for patients. Explain the process clearly and empathetically to reduce their stress.
  • Document Retrieval: Proactively collect all necessary KYC, pre-auth, and post-auth documents directly from patients and hospital desks.
  • Quality Control: Conduct on-the-spot quality checks to ensure documents meet scheme guidelines (Govt/Private) before they are even uploaded.
  • Discrepancy Resolution: Work closely with patient and the Care.fi central team to resolve any missing info or query items immediately.
  • On-site Hustle: Navigate the hospital environment efficiently to ensure no claim is delayed due to missing paperwork.

Skills & Requirements

  • Experience: 1–3 years in cashless claim processing (TPA desk experience is a huge plus).
  • Communication: Fluent in Kannada, Malayala, and English to effectively talk to patients and hospital staff.
  • The Hustle: You are someone who doesn't wait for things to happen; you go out and get the documents yourself.
  • Detail Oriented: You can spot a missing signature or an incorrect date from a mile away.
  • Availability: You are ready to join immediately.

Why Care.fi

We are working at the intersection of healthcare and finance. We are passionate about saving lives, challenging legacy systems, and making money (:p). If you want to be part of the next big revolution in the Indian startup ecosystem, this is it.

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About Company

Job ID: 146980279

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