Associate, Cashless Claims (Mumbai)
Plum · Mumbai
- Experience1–2 yrs
- SalaryNot disclosed
- Work modeonsite
- Leveljunior
- Posted16 Sept 2026
About Plum
Plum is hiring in Mumbai in insurance. This role looks for around 1+ years of experience.
Skills
- health insurance claims
- Customer service
- Health insurance processes
- Insurance terminology
- English
- Hindi
- Local language
- Negotiation
- Medical documentation
- Stakeholder management
- Insurance compliance
- Two-wheeler
- Valid driving license
The role
A cashless claims associate at an employee insurance and health benefits platform provides hospitalization support, coordinates health insurance claims, and manages patient assistance, with stakeholder management and insurance compliance. Medical documentation and customer service further support accurate claim settlement.
Full 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 Responsibilities1.Patient AssistanceProvide in-person support to insured members and families during hospitalizationVerify network hospital status assist with pre-authorization, claim queries, and discharge formalitiesExplain policy coverage, exclusions, and cashless claims process2.Claims CoordinationCollect required documentation (ID proofs, medical records, discharge summaries)Validate billing details and ensure accuracy of pre-authorization approvalsMonitor claim progress and coordinate enhancement requests3.Stakeholder ManagementLiaise between patients, hospital insurance desks, and insurance companiesResolve claim-related disputes and queries promptlyEscalate cases per established protocols and timelines4.Documentation & ComplianceEnsure complete and accurate medical documentation collectionVerify final bills before submission to insurersMaintain records of payments and reimbursement-eligible expenses5.Feedback CollectionGather patient feedback to improve service quality and the claims process, reporting insights to management.
Role Requirements1-2 years in insurance claims with customer-facing responsibilitiesProficiency in English, Hindi, and local languageStrong communication and negotiation abilitiesKnowledge of health insurance processes and terminologyMandatory: Two-wheeler with valid driving license