Job Description

- Lead and manage a team of Non-Medical Claims Adjudicators handling Cashless and Reimbursement health insurance claims. - Ensure timely and accurate adjudication of claims in accordance with policy terms, company guidelines, and regulatory requirements. - Monitor daily claim inventories, workload distribution, and claim pendency to ensure effective operations. - Supervise and review the performance of team members, providing regular coaching, feedback, and support. - Conduct supervisor audits of processed claims to ensure adherence to quality standards and operational procedures. - Oversee the activities of the DEO and Inward teams, ensuring accuracy and timely completion of assigned tasks. - Review and analyze daily operational reports related to claim processing, productivity, quality, and turnaround times. - Handle escalated cases and coordinate with internal stakeholders for effective resolution of issues.



- Ensure error-free data capture and maintain high standards of quality across the claims processing lifecycle. - Drive process improvement initiatives to enhance operational efficiency and customer experience. - Promote the use of digital tools and technologies, including OCR-based processing, to improve automation and productivity. - Identify training needs and facilitate skill development programs for team members. - Support compliance, audit, and risk management requirements by ensuring adherence to established processes and controls. - Prepare management reports and provide insights on team performance, operational trends, and improvement opportunities. - Foster a collaborative, high-performance work environment focused on service excellence and continuous improvement.

📌 Senior Manager Health Claims (Noida)
🏢 Tata AIG General Insurance Company
📍 Noida