Job Status : Active

π‰πŽπ π’π”πŒπŒπ€π‘π˜

As an Assistant Manager Medical Claims, you will oversee claims processing, ensure accuracy and compliance, and enhance operational efficiency. Key responsibilities include analyzing claims data, resolving escalations, mentoring team members, and driving process improvements. Immediate joiners are preferred.

ππ”π€π‹πˆπ…πˆπ‚π€π“πˆπŽππ’, π’πŠπˆπ‹π‹π’ & π„π—ππ„π‘πˆπ„ππ‚π„:

  • Bachelor’s degree in healthcare administration, insurance, or a related field.
  • Minimum of 3-5 years of experience in medical claims management or a related role.
  • Strong knowledge of medical terminologies, healthcare policies, and claims procedures.
  • Proficiency in using claims management software and tools.
  • Excellent problem-solving, communication, and decision-making skills.

π‰πŽπ π‘π„π’ππŽππ’πˆππˆπ‹πˆπ“πˆπ„π’:

  • Supervise and manage end-to-end medical claims processing.
  • Analyze claims data to identify trends and resolve discrepancies.
  • Ensure compliance with company policies, insurance regulations, and healthcare standards.
  • Collaborate with healthcare providers, insurance companies, and internal stakeholders to address claim-related issues.
  • Monitor claim settlements to ensure accuracy and efficiency.
  • Train and mentor junior team members to enhance operational excellence.
  • Prepare detailed reports and present key metrics to senior management.
Apply Now