Claims Manager

Zopper; Dadri, Greater Noida; On-site; INR 900,000 - 1,800,000; Full time

Job summary

Zopper is seeking an experienced Claims Manager in India to oversee end-to-end claims management. The role emphasizes stakeholder management, strong presentation abilities, and maintaining relationships with insurers and TPAs for seamless processing and resolution.

You will drive faster TAT, analyze claim trends, and present MIS to stakeholders while ensuring compliance and thorough documentation across the claim lifecycle.

Qualifications

• Experience as a Claims Manager handling end-to-end claims management.
• Strong stakeholder management and presentation skills.
• Well-established relationships with insurers and TPAs.

Responsibilities

• Manage the entire claims lifecycle (cashless & reimbursement) from initiation to closure.
• Act as the primary point of contact for escalations and ensure timely resolution.
• Build and maintain strong relationships with insurers, TPAs, and hospital partners.
• Drive faster turnaround time (TAT) and improve claims efficiency.
• Analyse claim trends and present insights, MIS, and reports to internal and external stakeholders.
• Conduct client presentations, review meetings, and training sessions.
• Ensure adherence to policy terms, compliance, and documentation requirements.
• Coordinate with internal teams for smooth claim processing and issue resolution Identify process gaps and implement continuous improvement initiatives.

Job description

Role Overview:

We are looking for an experienced and proactive Claims Manager to oversee end-to-end claims management. The ideal candidate should possess strong stakeholder management skills, excellent presentation abilities, and well-established relationships with insurance companies and TPAs to ensure seamless claims processing and resolution.

Key Responsibilities:

• Manage the entire claims lifecycle (cashless & reimbursement) from initiation to closure
• Act as the primary point of contact for escalations and ensure timely resolution
• Build and maintain strong relationships with insurers, TPAs, and hospital partners
• Drive faster turnaround time (TAT) and improve claims efficiency
• Analyse claim trends and present insights, MIS, and reports to internal and external stakeholders
• Conduct client presentations, review meetings, and training sessions
• Ensure adherence to policy terms, compliance, and documentation requirements
• Coordinate with internal teams for smooth claim processing and issue resolution Identify process gaps and implement continuous improvement initiatives