Lead Specialist - Insurance Operations

Oliver Wyman

6 - 10 years

9 - 13 Lacs

pune

Posted:2 days ago| Platform:

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Skills Required

analytical skills health insurance insurance operations excel process transition data quality management professional services user acceptance testing investment

Work Mode

Work from Office

Job Type

Full Time

Job Description

Creation of client insurance coverage renewal report (consists of Claims Analysis, Demographic Analysis, Benchmarking, Clinic Mapping) & Proforma
Claim Analysis Analyse top categories of different insurance claims type for clients and provide bird eye view
Demographic Analysis Graphical & data view of employees, dependents basis age category and insurance policies covered
Proforma Summary of insurer benefit for renewal placement for various insurance categories.
Assures the highest quality and integrity of data to support accurate, consistent, well understood and timely information for client s deliverables.
Prepares data quality and control reports and refers queries for resolution to facilitate day-to-day operation.
Issues control reports to user groups for action and liaises with regional business users to facilitate dialogue surrounding the data group systems.
Identifies and raises data quality anomalies to a direct manager for resolution to ensure any concerns are addressed in an appropriate and timely manner.
Manages, prioritizes and ensures that workload within own portfolio meets deadlines and targets to assist the team in achieving its business objectives.
Ability to prioritize and manage multiple deadlines simultaneously.
Establishes new prospect/client account records within internal systems as requested by the business to enable functionality.
Participates in User Acceptance Testing for data repository s fixes and conducts updates prior to deployment.

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