Phi - Business Solution Specialist - Claims

Prudential Corporation Asia Ltd

Mumbai, India
On-site
Claims management function/ workflow
Data & technology powered processes
Automation, scalability, and productivity focus
Co-create, implement, launch, and manage a customer-centric Claims Management function/ workflow powered by Data & Technology

Job Summary

  • Co-create, implement, launch, and manage a customer-centric Claims Management function/ workflow powered by Data & Technology.
  • Develop in-depth understanding of business processes, articulate use-cases, user-stories & requirement documents for identified features/ capabilities.
  • Ensure that acceptance criteria are defined & met; lead testing in collaboration with functional users including jointly preparation & review of test plan, test cases, user acceptance testing.

Matching Summary

Co-create, implement, launch, and manage a customer-centric Claims Management function/ workflow powered by Data & Technology.

Skills & Requirements

Must-have

  • Claims Management function/ workflow
  • Data & Technology powered processes
  • Automation, scalability, and productivity focus
  • Business process flow diagrams review
  • Process impact analysis
  • Digital tools for customer experience

Nice-to-have

  • Consumer behaviour and culture passion
  • Customer-centric journey design
  • Co-creation and collaboration culture
  • High resilience in ambiguity
  • Strong clinical knowledge

Key Requirements

  • 10+ years total experience in health insurance
  • 3-5 years experience in Health Claims insurance
  • End-to-end knowledge of health insurance products, operations, and technology
  • Proven track record of end-to-end implementation
  • Excellent verbal and written communication skills
  • Strong negotiation skills

Work Rights

Not specified

Tailored Resume

Cover Letter