Am Claims - Thane, India - Acumont Solutions Private Limited

Acumont Solutions Private Limited
Acumont Solutions Private Limited
Verified Company
Thane, India

2 weeks ago

Deepika Kaur

Posted by:

Deepika Kaur

beBee Recuiter
Description
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, ₹500,000.00 per year


Speak with the employer
More jobs from Acumont Solutions Private Limited
See all jobs of Acumont Solutions Private Limited