Phi - Business Solution Specialist - Claims

Prudential

Mumbai, India
Health insurance operations processes
Data & technology powered claims
Process automation and scalability
Prudential Health India (PHI) is on a mission to make Indians healthier by bridging the health protection gap through a greenfield health insurance deployment

Job Summary

  • Prudential Health India (PHI) is on a mission to make Indians healthier by bridging the health protection gap through a greenfield health insurance deployment.
  • The Business Solution Specialist will collaborate with cross-functional teams to design, implement, and manage a customer-centric Claims Management function powered by Data & Technology, focusing on automation and scalability.
  • The role requires collaboration with various departments including Technology, Product, Actuarial, Claims, Compliance, Risk Management, and Finance, and involves leading testing and ensuring acceptance criteria are met.

Matching Summary

Prudential Health India (PHI) is on a mission to make Indians healthier by bridging the health protection gap through a greenfield health insurance deployment.

Skills & Requirements

Must-have

  • Health insurance operations processes
  • Data & Technology powered claims
  • Process automation and scalability
  • Cross-functional collaboration
  • Business process flow diagrams
  • Acceptance criteria definition and testing

Nice-to-have

  • Consumer behavior and culture passion
  • Creative problem solving skills
  • High resilience and ambiguity management
  • Leveraging digital tools for customer experience
  • Attentive ear for new ideas

Key Requirements

  • 10 years total experience in health insurance
  • 3-5 years experience in Health Claims insurance
  • End-to-end health insurance knowledge
  • Proven track record of system implementation

Work Rights

Not specified

Tailored Resume

Cover Letter