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21/12 Vidyadhar Reddy
AVP People Practice at Medi Assist

Views:3272 Applications:142 Rec. Actions:Recruiter Actions:82

Assistant Vice President - Claims Operations - Insurance (7-12 yrs)

Mumbai Job Code: 778087

Roles & responsibilities:

- Act as primary point of contact for Site Claim Operations.

- Ensuring correct and timely responses on claims/policy related queries, grievances, escalations.

- Willing to travel client / Branch Offices of Medi Assist locations for Reviews and Training Programs.

- Assigning, Monitoring and Evaluating work to/of respective Managers/Teams.

- Signing off on Schedules for handling day-to-day operations.

- Monitoring and Mentoring general professionalism of the teams.

- Ensuring the delivery of results as per the TATs defined by the SLAs.

- Ensuring timely backfill of new team members and arranging regular training of the teams.

- Weekly submission of Site Health Status Review.

Requirements:

- 7+ years of experience managing the operations / Supervising teams.

- 3+ years experience in handling Insurance claims or Healthcare processes.

- Preferably a Science Graduate/PG; candidates from a medical background like BAMS, B.Pharma, M.Pharma would be preferred.

- Has a fair understanding of health claims processing.

- Is familiar with implementing organizational processes using MS Office/ Docs/PPT.

- Has strong English Verbal and Written Communication skills

- Is accustomed to working in large and small teams, on projects with tight deadlines.

- Enjoys working in a collaborative environment, and is committed to driving projects to completion.

- Needs to have necessary people skills to interact with clients, vendors (External Stakeholders).

- Experience in the Insurance/ TPA industry would be a great bonus.

Women-friendly workplace:

Maternity and Paternity Benefits

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