PHI - Manager- Claims Management

Prudential is seeking a Manager - Claims Management to join their Experience team in Mumbai. The successful candidate will be responsible for guiding processing teams, ensuring claims settlements are made according to company practice and procedures, and managing a team of people from medical and non-medical backgrounds.

Requirements

• Doctor by training (MBBS preferred /BAMS/BHMS/BDS)
• 7-10 years' experience of health insurance claims management with at least 2-3 years' experience in Manager role
• Understanding of the TPA ecosystem and experience of managing TPA model (Preferred)
• Startup experience or setting up a team from scratch (Preferred but not mandatory)
• Decisive & creative individual
• Ability to make quick decisions and have good judgment and analytical skills
• Excellent verbal and written communication skills and strong negotiation skills
• Ability to manage team with people from Medical and Non-Medical background
• Passionate about consumer behaviour and culture
• Strong clinical knowledge and clinical decision-making skills
• Ability to build best in class processes from a scratch
• Passionate about leveraging digital tools to transform customer experience

Benefits

• Equal opportunities employer
• Equality of opportunity and benefits for all employees
• Reasonable adjustments to support people with individual physical or mental health requirements