Claims Processing (Medical)_ HR Operations

Paytm is India’s leading digital payments and financial services company, which is focused on driving consumers and merchants to its platform by offering them a variety of payment use cases. Paytm provides consumers with services like utility payments and money transfers. To merchants, Paytm offers acquiring devices like Soundbox, EDC, QR, and Payment Gateway where payment aggregation is done through PA and also other banks’ financial instruments. To further enhance merchants’ business, Paytm offers merchants commerce services through advertising and the Paytm Mini app store. Operating on this platform leverage, the company then offers credit services such as merchant loans, personal loans, and business loans, sourced by its financial partners.

Daily Claim Communication: Send daily reports of reimbursement and cashless claims to L1 managers and HRBPs and further follow up with HRBPs.

TPA & Hospital Communication: Liaise daily with the TPA to communicate approved and non-approved claims. This is a very rigorous and time consuming work activity.

Claims Tracking: Keep a comprehensive track of all claims, ensuring that response times at each stage are accurately logged.

Monitoring TATs and Queries: Regularly monitor claim Turnaround Times (TATs) and handle any queries or delays that arise during the claim process.

This additional support will ensure smoother coordination, faster response times, and improved claim management.