Claims Processor

**Claims Supervisor**:
**Responsibilities**
- Manages the daily operations of claims team
- Ensure all claims received should be processed & adherence to the predefined TAT’s for claims
- Prepare monthly schedule of team
- Manage allocation of claims to the team
- Provider daily report to HOD
- Taking ownership of any escalated claims and provide update.
- Attend to queries on the status of claims payment.
- focusing on employee training and development including day to day oversight, motivation, conflict management, training, and performance by providing coaching and skill development.
- Work with partners to ensure claim performance meets or exceeds both quality and time to process goals.
- Collaborates with internal and external matrix partners to ensure objectives and standards are met, policies and procedures are followed, gaps identified and closed, communications are clear
- Facilitates compliance with all corporate policies for the claims processing staff.
- Ability to prioritize critical objectives focusing on high impact components
- Provider various types of reports on medical claims (qualitative & Quantitative) - Other task as assigned by HOD

**Qualifications**:

- Medical qualification background with healthcare experience - At least 2 years of experience as a claims lead or in a related role
- Experience leading capacity planning and staffing needs in addition to, training needs and inventory.
- Excellent communication, interpersonal and negotiation skills required
- Acquire a basic understanding of related areas such as accounts/billing
- Demonstrates managerial courage and change leadership in a dynamic environment
- Demonstrates skill in influencing others and relating to individuals at all levels of the organization required.

Expected Start Date: 05/02/2024

**Job Types**: Full-time, Permanent

**Salary**: ₹293,867.29 - ₹1,129,663.17 per year

Schedule:

- Monday to Friday

**Education**:

- Doctorate (required)

**Experience**:

- total work: 1 year (required)

Ability to Relocate:

- Noida, Uttar Pradesh: Relocate before starting work (required)

Work Location: In person