15 Sep
|
First Quadrants
|
Alibag
15 Sep
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.
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
📌 Hiring: Lead / Avp - Health Claims (Alibag)
🏢 First Quadrants
📍 Alibag