09 Sep
|
First Quadrants
|
India
09 Sep
First Quadrants
India
Job DescriptionWe are currently hiring for a Health Claims role with a Recent Age General Insurance Firm that is setting up their team in Mumbai.
nThe details are:
nIndustry: General Insurance (New Age General Insurance Firm)
nRole: Health Claims.
nDesignation: Lead / AVP equivalent (open to discuss)
nLocation: Mumbai HO.
nJob description:
n
- n
- 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
📌 Lead / AVP - Health Claims (India)
🏢 First Quadrants
📍 India