About the Role
We are seeking an experienced and dynamic Manager - Claims to lead claims processing operations while ensuring high standards of quality, productivity, and customer satisfaction. The ideal candidate should possess strong analytical skills, team management experience, and a sound understanding of health insurance claims processing.
Key Responsibilities
- Manage end-to-end claims processing operations and ensure timely claim settlement.
- Monitor productivity, quality metrics, and operational performance of the team.
- Analyze claims data and prepare reports to drive process improvements.
- Review claim denials and ensure appropriate validation and resolution.
- Implement quality measures to minimize errors and prevent recoveries.
- Lead, mentor, and manage a team of claims professionals.
- Support recruitment, onboarding, training, and performance management initiatives.
- Develop and review process documents, SOPs, and operational guidelines.
- Address customer escalations and resolve complex claim-related issues.
- Collaborate with insurers, brokers, and internal stakeholders for effective issue resolution.
- Conduct knowledge-sharing sessions and training programs for team members.
Desired Candidate Profile
- 3-5 years of experience in health insurance claims processing.
- Prior experience in managing teams of 3-5 members or more.
- Strong analytical and problem-solving skills.
- Excellent communication and stakeholder management abilities.
- Ability to work in a fast-paced operational environment.
- Knowledge of health insurance policies, claim adjudication, and TPA operations will be preferred.
Job Type: Full-time
Pay: ₹500,000.00 - ₹1,100,000.00 per year
Benefits:
- Health insurance
- Paid time off
- Provident Fund
Application Question(s):
- What is your current CTC per annum in Lakhs?
Education:
Experience:
Work Location: In person
