Assistant/Deputy Manager Claims Mumbai

Satvam Consulting Private Limited

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

• Type of Job

  Full Time

• Work Location Type

  Work from Office