Tpa Networking

5 months ago


Mumbai, India The Unicorn People Full time

1. Empanelment:
Adherence to empanelment Process and TAT - (100% closure)

Adherence to DC documents, all DCs - (100% Closure)

Increase in scanning centers/webcam/home visit DCs about stakeholder needs - (As per the client target / Numbers closed)
- 2. Network Financial implications:
100% EFT (100% closed)

Reconciliation support for the Top 80% utilized DCs - (90% closed)

No due certificates for 100% utilized DCs up to March 2015
- 3. DC quality:
Adherence to mystery shopping and audit targets (90% to be achieved)

DC grading as per guidelines and >90% green category, 0 red category

Analyze and monitor DC quality and performance parameters

Track steerage metrics and identify and resolve deviations enabling equitable distribution of cases

Adherence to the DCGP process and tracker (Feedback)

Adherence to monthly orientation targets - (Reduction in DC error 100 %)

Monthly Ops connect meetings, minutes circulation, and closure of actionable (Daily basis meeting to be attended)
- 4. Value adds / Projects:
Digitization project implementation (As per the client project requirement)

DC portal Implementation (100%)

Discounts and special offers (Maximum discount % required, more than 10%)
- 5. Client/Insurer support for special handling:
(Client, Cross-functional, and Manager feedback)

6. Quote request:
Support for pricing negotiations, empanelment, and process implementation (strong negotiation skills are required, second level support also will be given for negotiations if required - we need all the centers to be on Board as per the STD rates..)

**Salary**: ₹100,000.00 - ₹300,000.00 per year

**Language**:

- Kannada (preferred)



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