Operational Claims Manager

1 week ago

Lucknow, Uttar Pradesh, India beBeeOperations Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title

Team Leadership:

  • Recruit top talent within the team and guide them to achieve their targets efficiently.
  • Direct the team to establish individual performance expectations and regularly review individual performance.
  • Create development opportunities for team members to enhance functional knowledge.

Claims and Network Management:

  • Implement Claims SOP within the team and service network, ensuring adherence to the same.
  • Manage claims forecasting and workload distribution within the team and service providers based on claims volume, seasonality, and skill sets.
  • Monitor day-to-day claims activities, ensuring claim settlement as per agreed TAT.
  • Guide team members in handling critical claims.

Loss Control and Minimization:

  • Monitor ACS and take corrective actions to reduce it by controlling total loss percentage, improving repair rate, negotiating with ASPs to control repair cost, and reducing repeat repairs.
  • Conduct frequent claims audits/ASP audits to minimize leakages and plug process gaps if identified.
  • Implement Salvage Management SOP and drive salvage collection processes monthly.

Customer Relations:

  • Ensure customer grievances are addressed at topmost priority and resolved within the set TAT laid down by the department.
  • Resolve critical complaints by handholding team members and interacting with stakeholders like customers, ASPs, and CFU teams.

Training and Skill Development:

  • Conduct periodic training sessions for claims teams, CFU teams, and ASPs.
  • Study best practices adopted by competitors/TPAs and discuss them with superiors.

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