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Job Summary:

Assistant Manager – Claims


Key Responsibilities:

Insurer & Internal Query Management

Act as the primary contact for insurer communications and internal support queries.

Ensure timely resolution of escalations and claim-related issues.


Claims Processing – Reimbursement & Cashless

reimbursement claims

cashless debit notes


Insurer Relationship Management

Maintain strong working relationships with insurers (Health or General Insurance).

Coordinate regularly to address claim-related issues and streamline processes.


TAT Monitoring & SLA Compliance

turnaround time (TAT)

Identify delays or inefficiencies and implement corrective actions to improve process efficiency.


Reporting & Process Improvement

Prepare regular reports on claims performance, TAT, and issue trends.

Recommend and support initiatives for process enhancement and operational excellence.


Experience & Qualifications:

Experience:


Industry Background:

Insurance Companies

Health or General Insurance


Education:


Skillset:

reimbursement and cashless claim processes

Strong relationship management and coordination skills

TAT and SLA monitoring

MS Office

Strong communication, analytical, and problem-solving skills

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