Job Title

Claims Manager

Location

Pan India requirement

SBU / Function

Operations

  Reporting Relationships

Contacts

Internal

Purpose of Interaction

Business side

For reviews and claims issues

COPS

Reporting, claims issues

Underwriters

For reviews and claim issues

TPAs

For managing outsourced process

Responsibilities and KPI

Responsibilities

Key Performance Indicators

1. ·         Overall TPA Management
2. ·         Liaison between operations accounts and TPA
3. ·         Handling escalations.
4. ·         Ensuring delivery within TAT
5. ·         Organising teams & work flow
6. ·         Manpower planning
7. ·         Reporting to Central Ops thru various MIS.

1. ·         Claims settled within TAT.
2. ·         Regular TPA review and improvement of processes.

Educational Requirement and Experience

CA/MBA with 2-7 yrs of experience

Salary

Fixed CTC of up to 300000-900000     lakhs PA plus variable pay