Insurance Payer Head Golden Opportunities

15.0 - 20.0 years

60 Lacs

bengaluru

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Role & responsibilities We are seeking an experienced and dynamic professional to lead our Claims Operations team for US Healthcare. Will be responsible for managing end-to-end claims processing operations, driving service excellence, ensuring compliance with client SLAs and regulatory standards, and leading high-performing teams in a fast-paced BPO environment. Manage day-to-day operations of the claims processing department, including adjudication, adjustments, rework, and quality control. Serve as the primary point of contact for client operations teams. Conduct regular client calls, business reviews, and performance reporting. Must Have Skillset Looking for candidates with good experienc...

Posted 6 days ago

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DGM - Business Excellence - Healthcare (Payer Domain) Golden Opportunities Pvt Ltd

15.0 - 18.0 years

45 - 50 Lacs

Bengaluru

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Job Overview The role of Deputy General Manager (DGM) in the Payer (Insurance) domain encompasses leadership strategic oversight and operational excellence. Key Responsibilities Quality Assurance - Ensure Program Quality objectives and SLAs are met. Ensure Program Quality measurements are reflective of Quality levels perceived by the client Value Creation - Deliver tangible value to the clients through. Process Reengineering Transformation projects leveraging Digital capability (Automation Analytics ). Cross geo/cross tower projects. Drive client specific initiatives Efficiency Improvement - Reduce cost of operations reduce cost of quality improve productivity Optimize Spans & Ratios Utiliza...

Posted 3 months ago

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