24 Sep
|
Financial services
|
Maharashtra
24 Sep
Financial services
Maharashtra
Job Purpose
• Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products
• Understanding of Claims systems (process flow & System fields) – Health, PA & Travel
• Experience in measurement of performance (TAT, accuracy in claims adjudication)
• Expectations management of the Claims team
• TAT & expectations management for specialized business handling.
• Ensure uniformity in quality & maintain TATs of Claims decisions
• Create & maintain standards/protocols for Claims team
• Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval authority limits (In house and TPA claims)
📌 AM- Claims ( Thane) (Maharashtra)
🏢 Financial services
📍 Maharashtra