Job Details
- Business Ficial Service HO
- Unit Aditya Birla Health Insurance Company Ltd
- Location Thane
- Reports to Poornata Position Number
- Position Title Assistant/Deputy Manager Claims
- Reports to (Position Title) Manager/ Sr. Manager
- Function Services Operations
- Department Claims
- Designation of the Employee Assistant/Deputy Manager
- Designation of the Manager Manager/ Sr. Manager
- Date of writing/updation of JD 08.01.2024
Job Purpose

The purpose of this role includes ensuring coordination with the Service provider partner team for timely settlement of Travel and OPD claims. Candidate should be able to do regular medical and technical audits of the claims approved for settlement by the partner and should be able to maintain the MIS/Reports related to claims.
Dimensions
- Business Workforce Number On Roll 6000+
- Business Workforce Number Offroll/ Part time 4000+
- Unit Workforce Number On Roll 6000
- Unit Workforce Number Offroll/ Part time 4000+
- Function Workforce Number On Roll 800
- Function Workforce Number Offroll/ Part time 279




- Department Workforce Number On Roll 69
- Department Workforce Number Offroll/ Part time 66
- Other Quantitative and Significant Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter
Job Context & Major Challenges

To ensure Quality in the claim process and audit, managing TAT as per agreed SLA
Key Result Areas

Key Result Areas (Max 1325 Characters)

Supporting Actions (Max 1325 Characters)
- Accurate and timely submission of periodic and adhoc reports related to Claims
- Develop, Implement shortcuts, formulae on excel, using alternative tools/methods for timely submission
- Do cursory/sanity checks before submission
- Closure of audit observations
- Trainings to the partner claim processors regarding policy T&C; s, Time management, Delegation
- Strong coordination skills with other departments, sharp and on the spot thinking, proactive approach, soft skills, ex

📌 TM-Claims Professional (Thane)
🏢 Aditya Birla Insulators
📍 Thane