Company Overview
About Voya India:
Voya India (earlier VFISLK) started out as a joint venture between U.S. financial services company Voya Financial and SLK, a software services company and is head quartered at Bangalore. As of Aug 2023, we are a wholly owned subsidiary of Voya Financial. We are a dynamic technology & business process transformation company that provides world-class technology & business process management services, with an emphasis on quality, speed & optimization driven through automation. We support and deliver innovative solutions to Voya’s Retirement, Employee Advantages, and Investment Management businesses.
More information about us is available at: https://www.voyaindia.com
Role Summary
Serves as a subject matter expert in the evaluation of medical information to clarify
diagnoses, evaluate the severity of medical conditions, and estimate the duration of
treatment and expected future costs.
Researches clinical conditions and provides analytical review of the medical and/or
pharmacy data to formulate the history of events. Gathers and prepares preliminary clinical
and medical analysis based on information from historical claims utilization data.
Provide support to rate development through timely and accurate clinical and medical
analysis to ascertain future risks and support the underwriting and risk management
decision
Works collaboratively with the cost containment team ensure a proper hand off of potential
high cost patients. Prepares clinical and medical analysis based on employer group
utilization and claims data and coordinates with the appropriate Cost Containment specialty
teams to address these identified risks
Key Roles & Responsibilities
Bachelor’s degree - current unrestricted RN license, or equivalent clinical degree
•
Minimum 5 years of clinical experience
•
Minimum 2 years insurance experience
•
Analytical and problem solving skills
•
Excellent interpersonal and negotiation skills to act as a company representative
•
Experience in Microsoft Office product
6. EDUCATION & CERTIFICATIONS
Education
Graduate
Certifications (if any)
7. LOCATION & WORK ARRANGEMENT
Work Location
Bangalore/Pune/Delhi
If Other, specify city/location
Work Model
Hybrid
📌 Team Leader (India)
🏢 Important Company of the Sector
📍 India
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