Manager/Assistant Manager Travel Insurance Operations & Claims Management

As a Manager / Assistant Manager - Travel Insurance Process at Prudential Health India (PHI), your role involves collaborating in designing, developing, and implementing end-to-end insurance customer journeys to manage a customer-centric Travel Insurance experience. This includes creating robust frameworks, business processes, and systems that factor in product coverages, features, claims-related information, and fraud engines. You will also be responsible for developing detailed standard operating procedures for seamless functioning of onboarding, issuance, servicing, claims management, and adjudication. Collaboration with various functions such as Technology, Product & Actuarial, Marketing, Onboarding, Underwriting, Issuance, Claims, Compliance, Risk Management, and Finance is essential to represent the experience Function in cross-functional implementations. Additionally, you will review, examine, and calculate the eligible amount based on policy eligibility, examine claim forms and records, ensure valid claim settlements, and process & approve non-medical claims with sharp FWA and Loss minimization approaches. Coordinating with Travel Insurance assistance TPA for cashless hospitalization and reimbursement cases, creating guidance for processing international travel medical hospitalization & OPD claims, managing vendors/partners, and leading, managing, and developing your team are also key responsibilities. Qualifications Required: - 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years in a lead/equivalent role - Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements, and implementation and management of comprehensive Travel insurance operations & claims management process - Awareness of International Travel Insurance Medical Claims, terms & systems - Understanding of the International Travel Insurance TPA ecosystem and experience in managing the TPA model - Startup experience or setting up a team from scratch (Preferred but not mandatory) - Strong decision-making, problem-solving, judgment, and analytical skills - Excellent verbal and written communication skills, strong negotiation skills - Resilience to manage ambiguity or failure - Clinical knowledge and clinical decision-making skills - Experience in building best-in-class processes from scratch - Passion for leveraging digital tools to transform customer experience If you are passionate about consumer behavior and culture, enjoy collaborating with colleagues to solve customer needs, thrive in a collaborative environment, and take full responsibility for your team's contributions while thinking holistically across the organization, this role could be the right fit for you. Location: Mumbai Title: Manager / Assistant Manager - Travel Insurance Operations & Claims Management,