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2 Claims Coordination Jobs

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3.0 - 10.0 years

0 Lacs

punjab

On-site

As an Assistant Vice President in Insurance Operations (Brokerage) based in Mohali, you will be responsible for overseeing all post-sales operations, including claims coordination, grievance handling, fraud screening, and legal follow-ups across multiple insurers. Your role will involve acting as a crucial liaison between clients, insurers, hospitals, and internal teams to ensure smooth servicing, timely resolutions, and compliance with policy terms. The ideal candidate for this role will possess in-depth insurance knowledge, strong stakeholder management skills, and a passion for operational efficiency. Your key responsibilities will include managing the end-to-end claim process across insurers, acting as a liaison between clients and insurers, tracking claims status, proactively resolving delays or issues, maintaining a centralized claims tracker, and ensuring clear and timely client communication. Additionally, you will monitor claims for potential fraud red flags, coordinate with investigation agencies, handle client grievances received through various channels, manage legal notices and health insurance litigation, assist clients in Ombudsman or IRDAI escalations, support hospital network activities, provide internal stakeholder support, and help optimize operational SOPs. To qualify for this role, you should hold a Bachelor's degree in Insurance, Business Administration, or a related field (MBA preferred) and have at least 10 years of experience in insurance operations, with a minimum of 3 years in a broking environment. You should have a deep understanding of general and health insurance processes, IRDAI regulations, and claim lifecycle management. Strong communication, negotiation, and problem-solving skills are essential, along with a client-centric approach and a commitment to service excellence.,

Posted 1 week ago

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5.0 - 9.0 years

6 - 9 Lacs

Chennai, Tamil Nadu, India

On-site

Please find the below. 1. Hospital visits for empanelment and activation on the GMoney Platform. 2. Coordination for agreement closure and rates negotiations with the Hospital. 3. Maintaining good relationships with hospitals in his/her region 4. Expansion of territory and scaling up the area with new business development. 5. Coordination with hospitals for business and follow-up whenever required. 6. Constant touch with hospitals through visits and calls as per guidelines framed, tracking, maintaining the record, and reporting to RO/HO 7. Coordination with Hospitals for collection of claims documents and other documents connected to claims whenever required 8. Close watch on outstanding claims of his/her region and coordination with the claims/ Operation team wherever required 9. Monitoring submission of claims timelines and follow up with hospitals and backend for timely submission of claims and query responses. 10. Effectively communicate new product and service features and benefits to the prospective ecosystem partner. Keywords Regional Management,business development,selling,sales planning,sales strategy,Insurance sales

Posted 1 month ago

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