Job Information

- Unit: Aditya Birla Health Insurance Company Ltd
- Location: MBC, Thane
- Department: DMR Health Management
- Designation of the Employee: Assistant Manager
- Designation of the Manager: Deputy chief manager

Job Purpose

The role is responsible for planning, and coordinating operational activities for the organization. Providing support to the team and helping business in achieving success from the same.

Dimensions

- Business Workforce Number

(Max 254 Characters)

- Unit Workforce Number

(Max 254 Characters)

- Function Workforce Number

(Max 254 Characters)

- Department Workforce Number

(Max 254 Characters)

: 20
- Other Quantitative and Key Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter
- Good knowledge on MS Office and Excel.

Job Context / Major Challenges

Key Challenges for the role

- Knowledge of DRM processes:
- Stay abreast with new processes / suggest improvements
- Understanding of DRM systems (process flow System fields)
- TAT expectations management for specialized business handling.
- Coordinate with other departments, team members and management to ensure smooth information flow to ensure that operations are carried out, recurring issues are resolved.
- Create maintain standards/protocols for DRM team
- Maintain a consistent service delivery to ensure client retention and satisfaction
- Identify risks to the company and escalate accordingly
- Execution of processesoperations, to be in line with defined standards




- Inputs for refinement and development of guidelines and procedures.
- Publishing raised claims with Claims Team and sharing a positive feedback
- Ensure timely and accurate updation of various documents/reports in compliance with the SOP

Key Result Areas

- Management of customers with diseases delivering as per internal medical protocols
- Manage high disease risk customers/patients over the phone/emails/EMR and, if required, in person
- Should understand the medical diseases and finer details of their management protocol along with the finer details of the program construct
- Follow/Develop a detailed plan of tracking as per the protocol keeping in mind the complications that could arise
- Coordinate with external customers/patients basis the risk trigger ensuring maximum level of sensitivity and confidentiality while managing cases
- Managing all cases on a case to case basis ensuring that majority customers/patients are adhering to the program construct
- Manage changes and escalations effectively on a case to case basis
- Measure program performance with relevant reports and at define frequency
- Report and escalate to management as and when needed
- Successfully manage the relationship with all stakeholders, internal as well as external
- Perform risk management to minimize risks at a customer level as well as at a portfolio level

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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