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