Manager / Team Leader US Claims Processing For TOP MNC in Hyderabad

Futurz Consultancy Services; Hyderabad; On-site; INR 2,500,000 - 4,000,000; Full time

Job summary

Futurz Consultancy Services in Hyderabad seeks an experienced claims leadership professional to guide a team of adjudicators, ensuring accurate processing of life insurance claims from intake to payment. You will align processes with regulatory requirements and company policies, driving efficiency and customer satisfaction across the portfolio.

The role demands strong analytical skills for evaluating medical records and financial data, plus collaboration with internal partners to resolve complex

Qualifications

• Minimum 5 years of experience in claims adjudication or a related field within the life insurance industry.
• Strong knowledge of life insurance products, regulations, and industry standards.
• Proven leadership skills with the ability to manage teams effectively.
• Excellent analytical skills for reviewing complex medical records and financial data.
• Experience in Facet Claims, Claims Processing, Adjudication, and Claims adjudication is preferred.
• Strong communication and interpersonal skills are required.

Responsibilities

• Lead a team of claims adjudicators to ensure timely and accurate processing of life insurance claims.
• Oversee the entire claims process from intake to payment, ensuring compliance with company policies and regulatory requirements.
• Develop and implement efficient processes to enhance productivity, accuracy, and customer satisfaction.
• Collaborate with internal stakeholders to resolve complex claim issues and maintain customer relationships.
• Analyze complex medical records and financial data to make informed decisions.
• Implement best practices to improve claims processing and adjudication services.

Skills

Leadership

Analytical skills

Communication

Regulatory knowledge

Team management

Tools

Facet Claims

Claims Processing

Adjudication tools

Job description

Roles and Responsibilities :

• Lead a team of claims adjudicators to ensure timely and accurate processing of life insurance claims.
• Oversee the entire claims process from intake to payment, ensuring compliance with company policies and regulatory requirements.
• Develop and implement efficient processes to enhance productivity, accuracy, and customer satisfaction.
• Collaborate with internal stakeholders to resolve complex claim issues and maintain customer relationships.
• Analyze complex medical records and financial data to make informed decisions.
• Implement best practices to improve claims processing and adjudication services.

Job Requirements :

• Minimum 5 years of experience in claims adjudication or a related field within the life insurance industry.
• Strong knowledge of life insurance products, regulations, and industry standards.
• Proven leadership skills with the ability to manage teams effectively.
• Excellent analytical skills for reviewing complex medical records and financial data.
• Experience in Facet Claims, Claims Processing, Adjudication, and Claims adjudication is preferred.
• Strong communication and interpersonal skills are required.