Assistant/Deputy Manager Claims Mumbai

job profile:

• accurate and timely submission of periodic and ad-hoc reports related to claims

trainings to the partner claim processors regarding policy t&c’s, time management, delegation

• debit note supervision for all the payments from tpa’s & 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

  Graduate

• Role

  Claims Manager

• Industry Type

  Insurance / Claims

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office