Assistant Manager Operations - Claims

Principal Global Services; Pune District; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Principal Financial Group in Pune, India, seeks an Assistant Manager Operations - Claims to lead the dental claims function, ensuring compliant, timely decisions. Role requires senior back-office insurance experience and strong MS Office/communication skills.

You will train teams, coordinate benefits, and drive process improvements while aligning with company strategy and deadlines.

Qualifications

• Bachelor degree in dental/ayurvedic/homeopathic medicine or equivalent.
• Minimum 10 years in back-office operations within insurance, domestic or international.
• Experience in health, life and disability claims is preferred.
• Proficient in MS Office with excellent written and verbal communication skills.

Responsibilities

• Manage the dental claims function in accordance with policies, state and federal laws.
• Analyze claim details and apply knowledge of claims procedures and regulations for accurate decisions.
• Determine eligibility, verify data, identify benefits, coordinate and correct as needed.
• Build and conduct training programs for individuals and teams; report progress to seniors.
• Manage training and mentoring; report team and individual training progress.
• Communicate strategy, goals, and deadlines to team; motivate and assess performance.
• Facilitate communication of concerns and policies between management and team members.
• Coordinate collaboration, new migrations, customer happiness and operational risk management.
• Foster a culture of innovation and process simplification.

Skills

MS Office

Communication

Education

Bachelor of Dental Surgery / BAMS / BHMS or equivalent

Job description

About the Role

Join our dynamic team as an Assistant Manager Operations - Claims in Pune, Maharashtra, India. This is an outstanding opportunity to bring your expertise to a company that values innovation, collaboration, and flawless execution. If you are ambitious and looking for a role where you can truly make a difference, this is the perfect fit!

Responsibilities

• Manage the dental claims function in strict accordance with policy, state, and federal laws and regulations.
• Analyze claim details and apply your knowledge of claims procedures, product development, contract provisions, and regulations to ensure accurate and timely claim decisions.
• Understand plan provisions, determine eligibility, verify data input, identify accurate benefit levels, coordinate benefits, and make necessary corrections.
• Build, develop, coordinate, and conduct training programs for individuals and teams, both large and small scale.
• Manage training and mentoring, ensuring detailed reporting of team and individual training progress to superiors.
• Communicate company strategy, goals, and deadlines to team members, motivate them, and assess their performance.
• Facilitate communication of concerns and policies between management and team members.
• Coordinate effective collaborator management, new migrations, customer happiness, and operational risk management.
• Foster a culture of innovation and process simplification.

Qualifications

• Bachelor of Dental Surgery (BDS), Bachelor of Ayurvedic Medicine and Surgery (BAMS), or Bachelor of Homeopathic Medicine and Surgery (BHMS), or equivalent experience.
• Minimum of 10 years’ experience in back office operations within insurance, preferably with domestic insurers or abroad.
• Experience in claims processing of health insurance, life, and disability claims is preferred.
• Proficient in MS Office with excellent written and verbal communication skills.

Shift Timings – 1.30 to 10.30PM (During Training 5.30 – 2.30PM which is for 3 months)

Additional Information

Why Join Us?

At Principal Financial Group, we believe in providing a world-class work environment that fosters growth and success. Our team members are our greatest asset, and we are committed to their professional development. You will have the opportunity to work with a team of dedicated professionals and contribute to innovative projects.

We value diversity, inclusion, and the outstanding perspectives each team member brings.

Join us and be a part of a company where your ideas and contributions are recognized and valued!