12 Oct
|
Medi Assist
|
Bengaluru
12 Oct
Medi Assist
Bengaluru
Role & responsibilities
- Establish and maintain positive relationship with clients on ongoing basis.
- Ensure resolution of queries related to Hospital empanelment, Claim Processing, Enrolment and all other life cycle activities of claims.
- Hospital empanelment Compare the network with other insurers and create a priority listing for phase wise empanelment. Review the insurer wish list for upcoming market (business projections) and / or sales grievances from a particular territory.
- Share the priority list with the provider team to ensure empanelment
- Ensure adherence to timelines in terms of empanelment
- Roll out wellness programs for corporates and ensure smooth implementation of the same
- Connect with the wellness team to monitor the effectiveness of the program in terms of utilization, participation and growth. Review the data with corporates on a quarterly basis and review further action for better utilization of the program by corporate employees
- Coordinate with the corporate communication team for mailers pertaining to various initiatives and updates (eg: Covid related information) and ensure customers are well updated
- Discuss challenges with respect to empanelment with the customer and suggest recommendations which ensures that customer requirement are met and the upcoming market service
- All SLAs to be reviewed with the insurer HO and corporates to ensure no loss of business/revenue - this includes renewals and new business
- Internal reviews with Medi Assist Functional Heads of different functions, to ensure smooth service delivery, process improvements and SLA adherence
- Daily reviews on outstanding claims with the customer and within the team
- Connect with insurers to ensure the exception approvals (claims processing) are in place
- Review the dashboards prepared by the team members and ensure the same is shared with the customer
- Managing a team of 4-6 members
Preferred candidate profile:
- Graduation- in any stream.
- MBA (Operations) will be an added advantage.
- 10 -18 years of overall experience in Operations and Client facing role.
- Industry Type: Healthcare, Insurance, BPO.
- People Management (direct reportees, cross functional reportees).
- Excellent communication & presentation skills.
- Customer oriented Direct clients and their customers.
📌 Manager or Sr Manager-Key Account Management (Bengaluru)
🏢 Medi Assist
📍 Bengaluru