M/SM- New Business Operations

Bandhan Life; Mumbai; Presencial; INR 1.500.000 - 2.100.000; Jornada completa

Descripción de la vacante

Bandhan Life Insurance Limited in Mumbai seeks an experienced Operations Manager to drive medical and scrutiny processes, manage TPA relationships, and lead automation initiatives for a seamless pre-issuance experience. You will monitor KPIs, coordinate with internal and external stakeholders, handle escalations, and push process improvements across the organization.

The role requires 6–8 years in Medical & Scrutiny Management within Life or Health Insurance, with strong communication and

Formación

• Graduate/Postgraduate with at least 6-8 years of relevant experience in Medical & Scrutiny Management from Life or Health Industry.
• Excellent communication and stakeholder management skills.

Responsabilidades

• Ensure daily operational KPIs for medical completion, scrutiny, and TPA/policy dependency management.
• Coordinate with internal teams, clients, and external stakeholders for TPA and scrutiny-related queries.
• Monitor TPA performance against SLAs and TAT, and share periodic reports with stakeholders.
• Identify bottlenecks and lead cross-functional initiatives to automate scrutiny and TPA workflows with technology teams.

Conocimientos

Communication skills

Stakeholder management

Operational KPI monitoring

Process optimization

Educación

Graduate or Postgraduate in Life/Health

Descripción del empleo

This role is responsible for ensuringoperational excellence in medical and scrutiny processes, managing TPArelationships, and driving automation initiatives. The role focuses oncompliance, efficiency, and stakeholder engagement to deliver a seamlesspre-issuance experience.

Key Focus Areas:

Operational KPI Management

• Ensuredaily operational KPIs are met, including medical completion TAT, scrutiny, andpendency management.
• Monitorperformance dashboards and implement corrective actions.

Stakeholder Coordination

• Coordinate withinternal teams, clients, and external stakeholders for TPA and scrutiny-relatedqueries and clarifications.
• Maintaineffective communication channels for timely resolution.

TPA Exception Handling & Escalations

• Monitor TPAexceptions and handle high-value escalations.
• Ensure timelyresolution and maintain service quality standards.

Process Optimization & Automation

• Identifyprocess bottlenecks and lead cross-functional initiatives to automate and streamline scrutiny and TPA workflows.
• Collaboratewith technology teams for implementation.

TPA Performance Monitoring

• Track andreview TPA performance against defined SLAs and TAT.
• Share periodicperformance reports with stakeholders.

TPA Empanelment & Governance

• Handleempanelment, mystery shopping, and periodic renewal of TPA partners.
• Ensurecompliance with contractual and regulatory requirements.

Assisted PIVV & Welcome Calling

• Trackefficiency of Assisted PIVV and Welcome calling processes.
• Ensureadherence to quality and compliance standards.

Commercial& Billing Management

• Monitorcommercial terms, validate billing, and reconcile invoices.
• Ensure accuracyand adherence to financial governance.

Escalation Management

• Manageescalations related to medical and scrutiny processes.
• Implementpreventive measures to reduce recurrence.

Assisted PIVV& Welcome Calling

• Trackefficiency of Assisted PIVV and Welcome calling processes.
• Ensureadherence to quality and compliance standards

Qualifications & Competencies:

Graduate/Postgraduate with atleast 6-8 years relevant experience in Medical & ScrutinyManagement from Life or Health Industry

Excellentcommunication & stakeholder management skills