Claim Relationship Management

Role Overview: You will be joining AssetPlus as the Manager of Claim Relationship Management, where you will play a crucial role in transforming and setting new benchmarks in the claim process. Your primary focus will be on advocating for partners and customers to ensure seamless, empathetic, and efficient claim journeys. Your work will directly contribute to building trust and driving growth for the company. Key Responsibilities: - Own the end-to-end claims experience, serving as the primary advocate and single point of contact for partners and customers throughout the entire claims lifecycle. - Arbitrate and resolve complex, high-stakes claims escalations, mediating between customers, partners, and insurers to deliver fair and timely outcomes. - Proactively interface with the hospital team to facilitate cashless approvals, manage documentation requirements, and advocate on the patient's behalf, ensuring a seamless and stress-free experience during critical moments. - Champion a culture of continuous learning by developing and delivering targeted training programs on industry trends, policy intricacies, medical terminology, and advanced claims management techniques to elevate the team's expertise. - Cultivate and lead a high-performance team culture obsessed with continuous improvement, consistently improving Turn-Around-Time (TAT) and quality benchmarks through effective coaching and process optimization. - Continuously analyze end-to-end claims value streams to pinpoint bottlenecks and inefficiencies, designing and implementing process enhancements that dramatically improve the speed and quality of the customer claim journey. - Leverage data-driven insights by creating comprehensive MIS dashboards on critical metrics. - Function as the problem solver to Sales and Policy Operations teams, providing medically grounded and operationally viable solutions to enhance customer outcomes. Qualification Required: - 2-3 years of experience in Claims Operations within a reputable insurance company, with a deep understanding of the process. - A medical degree (BAMS/BHMS/BDS) to decipher medical reports, communicate effectively with Hospitals and Partners. - Innate grasp of the end-to-end insurance lifecycle, with a passion for seamless and empathetic claim journeys for customers. - Exceptional communication skills to simplify medical & policy terms, negotiate confidently with a hospital team, and empathize with customers. - Strong problem-solving skills with analytical thinking, process knowledge, and creativity to navigate challenges and find viable solutions. - Proficiency in tools like Microsoft Excel to analyze trends, influence decisions, and drive strategy. - Experience in team management, inspiring and elevating others towards success.,