The role involves collaborating with cross-functional workstreams to launch a customer-centric Claims Management function powered by Data & Technology
Job Summary
The role involves collaborating with cross-functional workstreams to launch a customer-centric Claims Management function powered by Data & Technology.
Candidates must have an end-to-end understanding of health insurance operations to design automated, scalable, and productive claims processes.
This position requires leading the setup of an 'Inhouse' Claims Process by Year 3 while ensuring 100% tariff digitization for hospital empanelment.
Matching Summary
The role involves collaborating with cross-functional workstreams to launch a customer-centric Claims Management function powered by Data & Technology.
Skills & Requirements
Must-have
10 years total health insurance experience
3-5 years Health Claims insurance experience
End-to-end knowledge of health insurance products
Business requirement document creation
Process flow diagram review skills
User acceptance testing leadership
Regulatory compliance verification
Nice-to-have
Strong clinical decision-making skills
Passion for consumer behavior analysis
Experience building processes from scratch
Digital transformation enthusiasm
High resilience in ambiguous environments
Collaborative co-creation mindset
Key Requirements
10 years total experience in health insurance functions
3-5 years specific experience in Health Claims insurance
Proven track record of significant insurance system implementation