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Job openings for claims manager in mumbai thane

Senior Manager Claims Mumbai

Mumbai, Thane


Job profile:
• To ensure to publish MIS, Regulatory Data submission, Analysis on periodic basis with effective controls built in and allied activities by overcoming system and infrastructure constraints.
• To identify trends, alert and suggest strategies towards risk/fraud mitigation strategies and policies within the framework of Compliance/ Group’s Policies.
• To identify and prevent regulatory breach of Claims TAT’s, and timely data submission by overcoming challenges related to systems and infrastructure, using manual methods where required.
• Accurate and timely submission of periodic and ad-hoc reports related to Claims to the Regulatory Authority/GI Council
• Audits: IRDA, Internal, Stat, others
• Data submission/query response/ad-hoc reports to IRDA/GI Council
• Closure of audit observations
• Monthly / Quarterly / Annual Data submission
• Policyholder’s protection committee, Quarterly board meetings, monthly Ops Review, Weekly Claims Review
• Develop, Implement shortcuts, macros, formulae on excel, using alternative tools/methods for timely submission
• Develop, train the team, delegate and review their accountability
• Do cursory/sanity check before submission
• Team training, Time management, Delegation
Strong coordination skills with other departments, sharp and on the spot thinking, proactive approach, soft skills, excel skills, working with other tools/macros
• Work closely with Finance, Actuary, Operations, Internal Claims team.
• To decide on complex claims, reconsideration claims and claims beyond the authority of the Claims Department
• To decide on complex claims, ex-gratia claims, reconsideration claims and claims beyond the authority of the Claims Committee
• Business forecast, MIS, query resolutions etc.
• Claims status, query resolutions, MIS
• System issues, queries, testing and system developments/ enhancements

Technical skills: Reimbursement claims, MIS , Insurance, health insurance, medical insurance

Soft skills: Team leader

Experience 7 - 10 Years
Salary Not Disclosed
Industry Financial Services / Banking, Investments / Insurance / Stock Market / Loan
Qualification Other Bachelor Degree
Key Skills Insurance Coordinator Insurance Manager Claims Manager Claims Specialist walk in

About Company

Company Name

Client of placement company

About Company leading insurance company in India
Contact Person Geeta
Email ID

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