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&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

  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