30 Aug
|
First Quadrants
|
Mumbai
30 Aug
First Quadrants
Mumbai
Job Description
We are currently hiring for a Health Claims role with a New Age General Insurance Firm that is setting up their team in Mumbai.
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The details are:
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Industry: General Insurance (Current Age General Insurance Firm)
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Role: Health Claims.
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Designation: Lead / AVP equivalent (open to discuss)
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Location: Mumbai HO.
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Job description:
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1. Design and implement end-to-end health claims journeys across cashless, reimbursement, OPD, and other claim types.
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2. Develop claims guidelines, SOPs, documentation standards, DOA, and maker-checker controls.
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3. Support claims assessment, pre-authorizations, adjudication, complex claims, and grievance handling.
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4. Drive claims governance, FWA controls, TAT, productivity, quality, and leakage management.
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5. Support claims system configuration, UAT, automation, and continuous process improvement.
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📌 Lead / AVP - Health Claims (Mumbai)
🏢 First Quadrants
📍 Mumbai