Team Lead

1 week ago

Hyderabad, Telangana, India Family Health Plan (FHPL) Full time ₹ 20,00,000 - ₹ 25,00,000 per year

Role & responsibilities

  • Team management: Supervise and guide a team of claims processors, delegating tasks, setting performance goals, and conducting regular performance reviews.
  • Claim processing oversight: Monitor and manage the day-to-day workflow, ensuring claims are processed accurately, efficiently, and in a timely manner.
  • Quality assurance: Review claims submissions to ensure they are compliant with policy terms, conditions, and relevant healthcare regulations.
  • Problem-solving: Investigate and resolve complex and escalated claims issues, including discrepancies, in an accurate and timely manner.
  • Training and development: Provide training and support to team members to enhance their skills and knowledge of claims processing and best practices.
  • Process improvement: Collaborate with leadership to identify and implement process improvements to increase efficiency, accuracy, and service delivery.
  • Compliance and reporting: Ensure adherence to internal controls, operational plans, and legal/regulatory requirements. Maintain accurate records and may be responsible for creating reports on team performance.
  • Communication: Serve as a point of contact for inquiries, liaising with policyholders, healthcare providers, and other internal and external stakeholders.

Preferred candidate profile

BHMS/BUMS/BAMS graduates with registration.

5-8 years relevant experience in Insurance TPA.

Willing to work from office.

Interested candidates can reach to Moulika @ ,

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