Claims Manager-A&H

You will be responsible for conducting closed file review and audit processes, including handling closed and open files for third party administrators and in-house claims. You will be tasked with recovering funds from third party administrators for claims that were processed with errors. Your role will also involve identifying areas for improvement and compiling monthly reports for publication. To excel in this role, you must possess a deep understanding of medical cases, including knowledge of ailment treatments and policy coverages for OPD, hospitalization, personal accident, and travel claims. Strong interpersonal skills are essential, along with a proactive and effective learning attitude. Previous experience in audit is required, as well as proficiency in analytical, communication, and negotiation skills. Familiarity with Basic Microsoft Excel and regulatory changes is necessary, and a minimum of 7 years of experience in general insurance Accident & Health claims is mandatory. The ideal candidate will hold a degree in medicine (BHMS/BAMS/MBBS) to qualify for this position. At Liberty General Insurance, we foster an inspired and collaborative environment where individuals can take ownership of their work, propose innovative ideas, and be assured that their contributions will be recognized and their growth supported. With an extensive employee base of 1200 across 116 offices in 95 cities and 29 states, we maintain a partner network of approximately 5000 hospitals and over 4000 auto service centers. Our core values of Acting Responsibly, Being Open, Keeping it Simple, Making things better, and Putting People First guide our daily operations. To explore our unique selling points, you can visit our website. Working with Liberty offers you the chance to experience the One Liberty Experience, which includes global exposure through cross-country projects, promoting Diversity, Equity & Inclusion (DEI) for equitable career opportunities, and flexible working arrangements. If you are eager to enhance your skills and thrive in a global setting, Liberty General Insurance in Thane, MH, India, is the perfect place for you to grow and succeed.,