Job Description
We are currently hiring for a Health Claims role with a New Age General Insurance Firm that is setting up their team in Mumbai.
The details are:
Industry: General Insurance (New Age General Insurance Firm)
Role: Health Claims.
Designation: Lead / AVP equivalent (open to discuss)
Location: Mumbai HO.
Job description:
- Design and implement end-to-end health claims journeys across cashless, reimbursement, OPD, and other claim types.
- Develop claims guidelines, SOPs, documentation standards, DOA, and maker-checker controls.
- Support claims assessment, pre-authorizations, adjudication, complex claims, and grievance handling.
- Drive claims governance, FWA controls, TAT, productivity, quality, and leakage management.
- Support claims system configuration, UAT, automation, and continuous process improvement.
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