Loop's 360° Claims Ecosystem: Faster, Transparent, Built for Enterprises

Key Takeaways

• Traditional claims processes are broken, leaving employees frustrated with paperwork mazes, HR teams overwhelmed with escalations, and CFOs facing unpredictable costs
• Loop's 360° claims ecosystem delivers results: 98.7% customer satisfaction, 95% of claims settled within 10 days, and complete transparency through real-time tracking
• Prevention-first advantage: Loop doesn't just process claims faster—we reduce them through proactive health checkups, unlimited primary care, and wellness programs that create compounding savings over time

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Here's what happens when most employees in India need to file a health insurance claim:

They've just left the hospital. Still processing the stress of hospitalization. Then comes the paperwork maze.

Long forms with vague instructions. Missing one document out of fifteen means weeks of delay. No idea when the money will arrive. Calls to HR. HR calls the broker. The broker calls the TPA. Everyone's frustrated.

And that one-in-three chance of missing a document? That's not employee carelessness. That's a system design failure.

This is why group health insurance, despite being the largest chunk of benefits spend, has just 7% adoption among employees. The product is invisible until you need it, and when you need it, it amplifies your stress instead of relieving it.

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The Real Cost of Broken Claims

For employees: Hospitalization is already overwhelming. Insurance should provide security. Instead, claims vanish into what feels like a black hole—no updates, no timeline, no person to contact.

For HR: Claims escalations eat hours that should go toward strategy. HR becomes the middleman between anxious employees and opaque insurance processes, with no real tools to help either side.

For CFOs: Every mismanaged claim erodes trust and drives up costs. When employees don't understand their benefits or can't access them smoothly, premiums feel wasted, and renewals become battles.

The traditional model treats claims as paperwork to process. Loop built something different: a 360° ecosystem where claims are faster, simpler, and—over time—strategically reduced.

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How Loop's Claims Ecosystem Works

Loop redefines claims as a 360° ecosystem of care—technology, human support, and preventive health working together. It's designed for three audiences: employees who need confidence, HR who need control, and CFOs who need cost predictability.

For Employees: Confidence, Not Confusion

Insurance should restore calm, not create paperwork stress. Loop's employee experience is built around digital convenience and always-available human support.

• The Loop app puts everything in one place: E-cards, policy details, sum insured balance, hospital networks—all accessible instantly. No digging through emails or calling helplines for basic information.
• Smart document filing: Instead of intimidating 15-item checklists, employees see only the documents relevant to their specific claim. Visual samples eliminate confusion about what to submit. No guesswork.
• Live claim tracking: Employees track claims in real-time through the app, WhatsApp, or email. No more wondering if the claim disappeared into a void.
• 24/7 human support: Loop's support team is available any time—2 PM or 2 AM—because medical emergencies don't follow business hours.

The results speak clearly: 98.7% customer satisfaction for claims filed through the app. 95% of claims are settled within 10 days from final document submission.

This isn't just faster processing. It's restoring trust in the entire insurance experience.

For HR and Finance Leaders: Control, Not Firefighting

For HR and CFOs, claims are often the most visible source of employee complaints. Loop provides tools and insights that shift the focus from reactive firefighting to strategic foresight.

• Integrated HR dashboard: Connects with HRMS platforms to manage endorsements, claims, and dependent data in real time. No more spreadsheet juggling.
• Complete visibility: Track live status of every claim—approvals, queries, denials—without waiting for monthly TPA updates. HR can answer employee questions instantly instead of promising to "check and get back."
• Dedicated claims experts: Every client gets a single point of contact for claims escalations. Not a rotating support desk. One person who knows your company, your employees, and your claim history.
• Data-driven renewals: Monthly and quarterly reviews analyze claims patterns and utilization trends. This intelligence helps HR and CFOs negotiate better renewal terms and make strategic decisions about benefit design.

The outcome: Fewer escalations. More employee trust. Better financial outcomes.

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Beyond Processing Claims: Preventing Them

Here's what makes Loop different: we don't just fix the claims process. We reduce the need for claims altogether.

Traditional insurance operates on a simple model: collect premiums, process claims, repeat. 

Loop operates on prevention.

• Proactive health checkups: At-home sample collection and biomarker-based care plans catch issues early—before they become hospitalizations.
• Unlimited primary care: 24/7 access to Loop's medical advisors and in-house doctors reduces avoidable hospital visits. Minor issues get resolved through virtual consultations instead of emergency room trips.
• Wellness ecosystem: Partnerships with 20+ fitness, nutrition, and mental health brands extend support beyond insurance coverage.

This creates what we call the wellbeing flywheel: Preventive care → fewer claims → lower premiums → reinvested savings in richer benefits → healthier, more productive employees.

Over time, companies save money not by cutting benefits but by building healthier workforces. Health insurance shifts from cost center to growth driver.

Scale and Proof of Impact

Loop's claims ecosystem isn't theoretical. It's operating at a national scale:

• 47,000+ claims reimbursed across industries
• ₹300+ crore worth of claims handled with efficiency and transparency
• One Million lives insured across 1,250+ companies

Enterprises choose Loop because the model works—not just for employees, but for business outcomes.

Companies like NASDAQ, OLA, Zepto, Pine Labs, and Lodha trust Loop to protect employees, empower HR, and give CFOs the levers to control healthcare costs sustainably.

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Why Enterprises Choose Loop's Claims Ecosystem

For employees: Peace of mind. Faster settlements. Less paperwork. Human support when they need it most.

For HR: Reduced escalations. Transparent dashboards. Dedicated expert support. More time for strategy instead of firefighting.

For CFOs: Lower claims ratios. Optimized renewals. Predictable long-term cost control through prevention.

Loop is India's only prevention-first, full-stack claims ecosystem—trusted by 1,250+ companies to protect employees, empower HR, and give CFOs sustainable control over healthcare costs.