Job profile:
Accurate and timely submission of periodic and ad-hoc reports related to Claims
Trainings to the partner claim processors regarding policy T&Cs, Time management, Delegation
Debit note supervision for all the payments from TPAs & OPD Partners Viz.
Coordinating with Partner leadership teams /tech teams for MVP implementations viz
In health check-ups utilization should be driven towards home collection instead of hospitals.
FWA investigations are to be conducted in the agreed percentage of claims. (Partner end)
The reimbursement claims adjudication rule engine (automated) should be aligned with the company process
Real time client Dashboard for client reviews.
Query management
Medicos to process OPD claims
Maintain daily MIS
Technical skills: Reimbursement claims, MIS , Insurance, health insurance, medical insurance
Soft skills: Good communication skills, leadership skills, interpersonal skills, analytical skills, , interpersonal skills
Educational Qualification: Any Graduate
Experience: 2 or more years of relevant experience in insurance or third party administrator
Experience : 2 - 5 Years
No. of Openings : 10
Education : Advanced/Higher Diploma, Any Bachelor Degree
Role : Claims Manager
Industry Type : Insurance / Claims
Gender : [ Male / Female ]
Job Country : India