Team Member - Claims

Birla Carbon; Thane; On-site; INR 1,000,000 - 1,500,000; Full time

Job summary

A leading company in the carbon industry is seeking a Claims Manager in Thane, Maharashtra. The role involves managing claims processes including indemnity and fixed benefit products, ensuring compliance and quality. Candidates should be proficient in claims systems and able to manage team expectations effectively. The position is critical for maintaining standards and auditing claims decisions while fostering a high-performance environment.

Responsibilities

• Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products.
• Understanding of Claims systems (process flow & System fields) for 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 Claims guidelines.

Job description

At the Aditya Birla Group, our Corporate Vision is aligned and intricately woven with our People Vision.

Team Member - Claims

Designation : Manager

Job Description:

Job Purpose

• 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)

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