AVP - Claim - Health Insurance

We have few very urgent positions in one of the LEADING BFSI BRAND --

POSITION - AVP - Claims

LOCATION : Mumbai

OFFERED CTC - 27lac to 32Lac depending upon location ; depending upon current CTC, total & relevant years of experience, business volume, education background, interview status.

Job Responsibilities:

Maximizing opportunities & efficiencies to ensure claims are processed to meet our client/ stakeholder demands within expected delivery timeframes.

Responsible for ensuring health claims are processed in a cost effective way, claim service standards are met & customer receives a good claim experience.

Implement work processes / best practices across location for better outcomes

Play a change Manager while implementing new processes

Ensure processes are consistent across locations & are aligned with the company Philosophy

Trend analysis & Fraud control insights to the team

Regularly review & audit the performance of the team identify training needs & conduct sessions

TPA management with regards to Regulations/ IT/ Legal & Operations

Effective & Efficient resolution of customer queries, ensuring superior customer service by providing continual backend support

Exigency management

Escalation handling

Reduction in Customer Grievances & Improvement in abandoned ratio

Claims module development for newly launched products

INDUSTRY PREFERENCE - GIC / Health Insurance . Similar role .

- Stability: Should not be a job hopper: an average vintage of more than 2 years

TCPL