31 Aug
|
First Quadrants
|
Alibag
31 Aug
First Quadrants
Alibag
Job DescriptionWe are currently hiring for a Health Claims role with a Current Age General Insurance Firm that is setting up their team in Mumbai.
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nThe detailsare:
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nIndustry: General Insurance (New Age General Insurance Firm)
NRole: Health Claims.
NDesignation: Lead / AVP equivalent (open to discuss)
NLocation: Mumbai HO.
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nJobdescription:
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- Design and implement end-to-end health claims journeys across cashless, reimbursement, OPD, and other claim types. N
- Develop claims guidelines, SOPs, documentation standards, DOA, and maker-checker controls. N
- Support claims assessment, pre-authorizations, adjudication, complex claims, and grievance handling. N
- Drive claims governance, FWA controls, TAT, productivity, quality, and leakage management. N
- Support claims system configuration, UAT, automation, and continuous process improvement. N
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📌 Lead / Avp - Health Claims (Alibag)
🏢 First Quadrants
📍 Alibag