Am Claims

1 day ago

Thane, India Acumont Solutions Private Limited Full time

We Are hiringAM Claim Location: Thane, Mumbai Experience : 3 to 10 years Qualification : BAMS, BHMS, MBBS, BDS Working Days : 5 Day 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 - ₹500,000.00 per year **Speak with the employer** +91 8200462963

  • Am Claim, Operation, Underwriting

    1 day ago

    Thane, India Acumont Solutions Private Limited Full time

    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) -...

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    Panchpakhadi, Thane, Maharashtra, India Siddhimangal Pharma LLP Full time

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    Hiranandani Estate, Thane, Maharashtra, India STREAMLINE SOLUTIONS Full time

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