10 Sep
|
First Quadrants
|
Alibag
10 Sep
First Quadrants
Alibag
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 (Recent Age General Insurance Firm)
NRole: Health Claims.
NDesignation: Lead / AVP equivalent (open to discuss)
NLocation: Mumbai HO.
NJob description:
N
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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
📌 Hiring: Lead Alibag
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