Assistant Manager

Key Responsibilities| NOIDA SEC 16

1. Insurer & Internal Query Management

• Serve as the primary point of contact for all insurer interactions and internal support queries.

• Resolve escalations and address claim-related issues promptly.

2. Claims Processing (Reimbursement & Cashless)

• Manage end-to-end reimbursement claim processing including documentation, verification, and settlement.

• Prepare and share cashless debit notes with insurers; follow up for approvals and payment status.

3. Insurer Relationship Management

• Build and maintain strong working relationships with Health & General Insurance companies.

• Coordinate with insurers on policy, claim issues, and process improvements.

4. TAT & SLA Monitoring

• Monitor performance metrics including claim turnaround time (TAT) and SLA adherence.

• Identify delays, gaps, and inefficiencies and implement corrective actions.

5. Reporting & Process Improvement

• Prepare periodic MIS reports on claim performance, TAT, trends, and exceptions.

• Support initiatives to optimize claim workflows, enhance efficiency, and improve customer satisfaction.

Required Experience & Qualifications

• 4–5 years of experience in Claims Handling or Insurance Operations.

• Experience in health insurance, general insurance, or TPA operations preferred.

• Bachelor’s degree in any discipline (preferred: Insurance, Healthcare, Business Administration).

Skills & Competencies

• Strong knowledge of reimbursement and cashless claims.

• Excellent insurer relationship and coordination skills.

• Familiarity with TAT/SLA monitoring and regulatory compliance.

• Proficiency in MS Office and claims management/CRM systems.

• Strong communication skills—written & verbal.

• Analytical mindset and strong problem-solving skills.

• Ability to handle escalations and work in a fast-paced environment.

• It is a Full Time Hardware / Network Engineer job for candidates with 4 - 5 years of experience.