Phi - Assistant Manager- Claims Management

Prudential Assurance UK

Mumbai, India
Medical opinion for health insurance claims
Tpa processing team management
Icd/cpt/pcs codes proficiency

Skills & Requirements

Must-have

  • Medical opinion for Health Insurance Claims
  • TPA processing team management
  • ICD/CPT/PCS codes proficiency
  • Fraud detection and loss minimization
  • Regulatory compliance implementation

Nice-to-have

  • Startup experience or greenfield setup
  • Passion for consumer behavior culture
  • Knowledge of Blue Ocean strategy
  • Digital transformation mindset
  • Strong negotiation skills

Key Requirements

  • Doctor by training (BAMS/BHMS/BDS)
  • 3-5 years health insurance claim processing experience
  • 1-2 years team leader experience
  • Experience managing TPA model preferred

Work Rights

Not specified

Tailored Resume

Cover Letter