Role Overview:

We are looking for an experienced and proactive Claims Manager to oversee end-to-end claims management. The ideal candidate should possess robust 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 primary point of contact for escalations and ensure timely resolution

Build and maintain strong relationships with insurers, TPAs, and hospital partners

Drive faster turnaround time (TAT) and improve claims efficiency

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

📌 Claims Manager (Uttar Pradesh)
🏢 Zopper
📍 Uttar Pradesh