Team Member - Claims

Job description

**Job Purpose** - Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products - Understanding of Claims systems (process flow & System fields) – Health, PA & Travel - Experience in measurement of performance (TAT, accuracy in claims adjudication) - Expectations management of the Claims team - TAT & expectations management for specialized business handling. - Ensure uniformity in quality & maintain TATs of Claims decisions - Create & maintain standards/protocols for Claims team - Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval authority limits (In house and TPA claims)