Assistant Manager / Deputy Manager

Job Description

JOB PROFILE Position - Assistant Manager / Deputy Manager Location - Noida Reporting Mgr. Name - Manager/Sr. Manager Department - Fraud & Risk Control Unit Reporting Mgr. Designation - Sr. Manager Offered Grade - Grade 7 & Grade 8 About Niva Bupa Health Insurance Company Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading international healthcare company with a legacy of providing specialized healthcare services for over 70 years. Niva Bupa’s growth story has been phenomenal. We are one of the fastest growing Stand Alone Health Insurers in the country with a current employee strength of 7000+ with growth rate of 154% since FY 20 and growing. We are a fully integrated health insurance provider with in-house claims processing; under-writing and servicing. Our goal is to achieve more than 10000 Cr GWP By 2027 & thus requires goal oriented individuals to be a part of this exciting growth journey to achieve it. Niva Bupa is certified Great Place to Work for the 3rd year running and aims become one of the best workplaces in the BFSI industry. Niva Bupa is an Equal Opportunity Employer committed to achieving diversity within its workforce, and encourages all qualified applicants to apply, irrespective of gender, age, sexual orientation, disability, culture, religious and ethnic background. At Niva Bupa 12% of our team handling roles are led by women. We welcome specially-abled professionals to join our team. ESG: Supporting action to protect, restore and regenerate local environments for the benefit of our customers our people, our communities and wider society For more Details visit our website- www.nivabupa.com Primary Role Description: - Pre QC – Allocation Responsible to monitor the quality of investigations carried out by the investigation agencies & verification officers - Follow-up with the Agencies/CRFs To quality check the investigation reports & evidences received from field and submit with recommendation for claim processing Co-ordinate with field investigators and help/guide them on claim investigations TAT management Key Roles & Responsibilities To comply with departmental SOP with respect to: fraud investigation, reporting and recovery Measurement and documentation of fraud detection scorecard Fraud audits Data Management Key Requirements – Education & Certificates A medical graduate (BHMS/Grad.) Minimum 1+ years of experience in the health insurance claims/ fraud investigations or related areas Key Requirements - Experience & Skills Good working knowledge of MS Office (MS Word, MS Excel, MS PowerPoint). Good analytical skills Good organizational, planning and delivery skills Strong people management /interaction skills Fluent in Hindi and English both written and spoken Team handling skills/experience Multi-tasking and ability to work under pressure in a fast paced environment Adhering to Max Bupa principles and values Show more Show less