Assistant Manager -Risk and Audit (Gurugram)

Assistant Manager -Risk and Audit (Gurugram)

06 Oct
|
Vidal Health Insurance
|
Gurugram

06 Oct

Vidal Health Insurance

Gurugram

Vidal is hiring for Assistant Manager role in Risk and Audit.

Location: Gurgaon,Udhyog Vihar Phase 5

Role- Assistant Manager

Key Responsibilities

- Risk management: Identify, assess, and mitigate operational and compliance risks across TPA functions.
- Reply on Insurer`s queries in paid claims .
- To prove all the payment recommended by our company justified to minimize / save recovery which has to be paid at the end by our company to insurer.
- There is also need of communication with hospitals , where there are tertiary care hospitals pan India also .
- Audit planning: Develop and execute internal audit schedules covering claims, insurer coordination, and data processing.
- Compliance monitoring: Ensure adherence to IRDAI guidelines, contractual obligations, and internal SOPs.
- Process improvement: Recommend corrective actions and streamline workflows based on audit findings.

- Reporting: Prepare detailed MIS reports, risk dashboards, and audit summaries for leadership review.





- Stakeholder engagement: Collaborate with insurers, medical officers, Hospital and operations teams to resolve escalations.

- Team leadership: Supervise auditors/processors, provide training, and ensure performance standards are met.

Required Skills

- BAMS/BDS/BUMS/BHMS/MBBS with Solid knowledge of health insurance policies, TPA processes, and regulatory frameworks.
- Expertise in risk assessment, internal audit methodologies, and compliance management.
- Proficiency in MS Excel, MIS reporting, and documentation.
- Minimum 3-6 years of experience in audit, risk, or compliance roles within the TPA/health insurance industry.

Experienced candidate should be from TPA or Health Insurance Industry

Kindly connect if you are interested on whats app or call-+(phone hidden)

📌 Assistant Manager -Risk and Audit (Gurugram)
🏢 Vidal Health Insurance
📍 Gurugram

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