Senior Manager, Individual Benefit Cashless Claim
Core
Lead end-to-end Cashless Medical Claims and Guarantee Letter (GL) operations for Individual Business and Employee Benefits portfolios.
Role type
Senior Manager, Claims Operations
Builds
Cashless admission services and claim decisions for customers and healthcare providers
Domain
Insurance / Healthcare Operations
Required skills
Medical claims assessment, Guarantee Letter operations, stakeholder management, team leadership, operational efficiency, process improvement, escalation management, compliance, workforce planning
Preferred skills
Healthcare administration, automation initiatives, performance management
Technologies
None stated
Responsibilities
Manage daily Cashless Medical Claims and GL operations; Ensure cases are assessed accurately and completed within established TATs; Monitor productivity, inventory, backlog, ageing cases and case clearance; Lead, coach and develop Team Leaders and staff; Manage key stakeholders including Contact Centre, Branches, Technology, Underwriting, Claims, Medical Management; Collaborate with panel hospitals and healthcare providers; Drive process improvements and operational excellence projects; Prepare and present operational performance reports.
Seniority
Senior, hands-on IC with leadership mandate