Responsibilities

About the Role

Join our energetic team as an Assistant Manager Operations - Claims in Pune, Maharashtra, India. This is an outstanding opportunity to bring your expertise to a company that values innovation, collaboration, and flawless execution. If you are ambitious and looking for a role where you can truly make a difference, this is the perfect fit

Responsibilities

• Manage the dental claims function in strict accordance with policy, state, and federal laws and regulations.
• Analyze claim details and apply your knowledge of claims procedures, product development, contract provisions, and regulations to ensure accurate and timely claim decisions.
• Understand plan provisions, determine eligibility, verify data input, identify accurate benefit levels, coordinate benefits, and make necessary corrections.
• Build, develop, coordinate, and conduct training programs for individuals and teams, both large and small scale.
• Manage training and mentoring, ensuring detailed reporting of team and individual training progress to superiors.
• Communicate company strategy,



goals, and deadlines to team members, motivate them, and assess their performance.
• Facilitate communication of concerns and policies between management and team members.
• Coordinate effective collaborator management, new migrations, customer happiness, and operational risk management.
• Foster a culture of innovation and process simplification.

Qualifications

Qualifications

• Bachelor of Dental Surgery (BDS), Bachelor of Ayurvedic Medicine and Surgery (BAMS), or Bachelor of Homeopathic Medicine and Surgery (BHMS), or equivalent experience.
• Minimum of 10 years’ experience in back office operations within insurance, preferably with domestic insurers or abroad.
• Experience in claims processing of health insurance, life, and disability claims is preferred.
• Proficient in MS Office with excellent written and verbal communication skills.

Shift Timings – 1.30 to 10.30PM (During Traini

📌 Assistant Manager Operations (Pune)
🏢 Principal Financial Group
📍 Pune