DM- CRM Claims (Thane)
The Assistant/Deputy Manager - Claims will be responsible for overseeing the coordination with service provider partners for travel and OPD claims settlement at Aditya Birla Health Insurance. The role involves performing regular medical and technical audits of claims, managing data submissions, and monitoring TATs according to SLAs. Key responsibilities include maintaining accurate MIS reports and driving system improvements with partners. This is a critical operational role ensuring quality and efficiency in the insurance claim process.
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Experience
Experience not specified
Function
Operations
Work mode
Onsite, India
Company
Tier 2
What you will work on
The Assistant/Deputy Manager - Claims will be responsible for overseeing the coordination with service provider partners for travel and OPD claims settlement at Aditya Birla Health Insurance. The role involves performing regular medical and technical audits of claims, managing data submissions, and monitoring TATs according to SLAs. Key responsibilities include maintaining accurate MIS reports and driving system improvements with partners. This is a critical operational role ensuring quality and efficiency in the insurance claim process.
TAL's take
Solid operational role in an established insurance firm, though scope is largely process management and MIS reporting.
The JD provides a very detailed breakdown of claim auditing, MIS responsibilities, and operational coordination, making the day-to-day work clear.
Must haves
- Experience in medical and technical audits of claims
- Proficiency in Excel for reporting and data analysis
- Strong coordination skills with external partner teams
- Ability to manage TAT and SLA adherence
- Knowledge of claim settlement processes and policy terms
Tools and skills
About the company
Established health insurance subsidiary of a large financial services group, considered a reputable industry player.