Role Overview:
We are looking for an experienced and proactive Claims Manager to oversee end-to-end claims management. The ideal candidate should possess strong stakeholder management skills, excellent presentation abilities, and well-established relationships with insurance companies and TPAs to ensure seamless claims processing and resolution.

Key Responsibilities:
Manage the entire claims lifecycle (cashless & reimbursement) from initiation to closure
Act as the primarypoint of contactfor escalations and ensure timely resolution
Build and maintain strong relationships with insurers, TPAs, and hospital partners
Drive faster turnaround time (TAT) and improve claimsefficiency
Analyse claim trends and present insights, MIS, and reports to internal and external stakeholders
Conduct client presentations, review meetings and training sessions




Ensure adherence to policy terms, compliance, and documentation requirements
Coordinate with internal teams for smooth claim processing and issue resolution
Identify process gaps and implement continuous improvement initiatives

Key Requirements:
5–10 years of experience in health insurance claims management
Strong network and working relationships with Insurers and TPAs
Excellent presentation and communication skills
Hands-on experience in claims adjudication and escalation handling
Robust analytical and problem-solving abilities
Ability to manage multiple stakeholders and high-pressure situations

📌 Claims Manager (Noida)
🏢 Zopper
📍 Noida