![Acumont Solutions Private Limited](https://media.trabajo.org/img/noimg.jpg)
Am Claim, Operation, Underwriting
2 months ago
Hello,
We are hiring for for Assistant Manager For claims, underwriting, Operations for Thane Location.
Experience - 0 to 4 years
Qualification : BAMS, BHMS, MBBS, BDS
Key Challenges for the role
- Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products
- Understanding of Claims systems (process flow & System fields) - Health, PA & Travel
- Experience in measurement of performance (TAT, accuracy in claims adjudication)
- Expectations management of the Claims team
- TAT & expectations management for specialized business handling.
- Ensure uniformity in quality & maintain TATs of Claims decisions
- Create & maintain standards/protocols for Claims team
- Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval
authority limits (In house and TPA claims)
- Periodic portfolio analysis: profitability (loss ratio / combined ratio), analyze frequency and severity, medical inflation
- Maintain a consistent service delivery to ensure client retention and satisfaction
- Identify risks to the company and escalate accordingly
- Execution of processes and projects -operations, to be in line with defined standards
- Inputs for refinement and development of claims guidelines, policies, and procedures.
**Salary**: ₹300,000.00 - ₹700,000.00 per year
Schedule:
- Day shift
Supplemental pay types:
- Performance bonus
Ability to commute/relocate:
- Thane, Maharashtra: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 1 year (preferred)
Work Location: In person
**Speak with the employer**
+91 9106882808
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