Assistant Manager Health Claims Investigation
4 days ago
About JobAt ACKO, we are seeking an experienced and skilled professional to fill the role of Assistant Manager Health Claim Investigation. This position will be responsible for managing health claims investigations, ensuring timely and accurate resolution of claims, and maintaining high-level customer satisfaction. The successful candidate will be a strong leader who can effectively manage a team, allocate tasks, and ensure seamless communication with external vendors and internal stakeholders.The ideal candidate will be a detail-oriented and analytical individual with a passion for delivering exceptional results. If you are a motivated and results-driven professional looking for a challenging role, we encourage you to apply for this exciting opportunity.Skills & QualificationStrong knowledge of health insurance and claims investigation processesExcellent communication and interpersonal skills to effectively manage vendors and stakeholdersAbility to analyze data and identify trends to improve investigation processesStrong problem-solving skills to resolve complex claims investigationsAbility to work efficiently under pressure and meet deadlinesProficient in Microsoft Office Suite, particularly Excel, Word, and PowerPointStrong leadership and management skills to effectively manage a teamAbility to travel to carry out field investigationsResponsibilitiesFollow the Standard Operating Procedure (SOP) laid out for Health Claims InvestigationsTakes full responsibility of managing health claims investigations, including allocation of cases to external vendors, follow-up for reports, and quality control of investigation reportsWill be willing to travel to carry out field investigationsEnsures to get the investigation reports within the prescribed Turn-Around-Time (TAT)Maintains the quality of investigation reports from vendors by conducting regular quality checksProvides proactive assistance to the Health Claims team to achieve customer delight and high-level customer satisfaction for the insured and internal stakeholdersWorks efficiently to meet set goals and avoids any escalations to maintain relevance and quality while providing service to stakeholdersHandles vendor management, including obtaining SLAs and documents for empanelmentHandles projects and additional tasks assigned
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Head - Accident & Health Claims
2 weeks ago
bangalore, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic...
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Head - Accident & Health Claims
2 weeks ago
Bangalore, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. 🔹 Key Responsibilities Strategic...
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Head - Accident & Health Claims
2 weeks ago
Bangalore Urban, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.🔹 Key ResponsibilitiesStrategic...
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Head - Accident & Health Claims
2 weeks ago
Bangalore Urban, India Taglynk Full timeTagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic...
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Executive 2 - Health Insurance Claims
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Bangalore, India Navi Full timeAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships team to...
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Investigations Manager
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Circle Head-ilm-health
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