Job Description

Responsibilities

About the Role

Join our dynamic team as an Assistant Manager Operations - Claims in Pune, Maharashtra, India. This is an outstanding opportunity to bring your expertise to a company that values innovation, collaboration, and flawless execution. If you are ambitious and looking for a role where you can truly make a difference, this is the perfect fit

Responsibilities
- Manage the dental claims function in strict accordance with policy, state, and federal laws and regulations.
- Analyze claim details and apply your knowledge of claims procedures, product development, contract provisions, and regulations to ensure accurate and timely claim decisions.
- Understand plan provisions, determine eligibility, verify data input, identify accurate benefit levels, coordinate perks, and make necessary corrections.
- Build, develop, coordinate, and conduct training programs for individuals and teams, both large and small scale.
- Manage training and mentoring, ensuring detailed reporting of team and individual training progress to superiors.




- Communicate company strategy, goals, and deadlines to team members, motivate them, and assess their performance.
- Facilitate communication of concerns and policies between management and team members.
- Coordinate effective collaborator management, new migrations, customer happiness, and operational risk management.
- Foster a culture of innovation and process simplification.

Qualifications

Qualifications
- Bachelor of Dental Surgery (BDS), Bachelor of Ayurvedic Medicine and Surgery (BAMS), or Bachelor of Homeopathic Medicine and Surgery (BHMS), or equivalent experience.
- Minimum of 10 years experience in back office operations within insurance, preferably with domestic insurers or abroad.
- Experience in claims processing of health insurance, life, and disability claims is preferred.
- Proficient in MS Office with excellent written and verbal communication skills.

Shift Timings – 1.30 to 10.30PM

📌 Assistant Manager Operations (Pune)
🏢 Principal Financial Group
📍 Pune