Job Description
**YOUR RESPONSIBILITIES**
**Claims Management**
Manage end-to-end medical claims processing, ensuring accurate adjudication, timely turnaround, and resolution in line with policy terms and SLA requirements.
**Team Training & Mentorship**
Provide coaching, training, and ongoing guidance to claims handlers, particularly on complex cases, to drive accuracy, productivity, and overall team performance.
**Customer & Stakeholder Engagement**
Act as a subject matter expert for clients and internal stakeholders, addressing escalations, providing claim updates, and ensuring a high level of service delivery.
**Cross-functional Collaboration**
Partner closely with internal teams and other books of business to resolve claims efficiently and improve overall operational effectiveness. **Compliance &**
**Governance**
Ensure all claims are processed in accordance with regulatory requirements, company policies, and internal quality stand...
**Claims Management**
Manage end-to-end medical claims processing, ensuring accurate adjudication, timely turnaround, and resolution in line with policy terms and SLA requirements.
**Team Training & Mentorship**
Provide coaching, training, and ongoing guidance to claims handlers, particularly on complex cases, to drive accuracy, productivity, and overall team performance.
**Customer & Stakeholder Engagement**
Act as a subject matter expert for clients and internal stakeholders, addressing escalations, providing claim updates, and ensuring a high level of service delivery.
**Cross-functional Collaboration**
Partner closely with internal teams and other books of business to resolve claims efficiently and improve overall operational effectiveness. **Compliance &**
**Governance**
Ensure all claims are processed in accordance with regulatory requirements, company policies, and internal quality stand...