Job Description
Job Purpose
The purpose of this role includes ensuring accurate and timely submission of periodic and ad-hoc reports related to Claims to the Regulatory Authority, handling Audits (IRDA, internal audits and other audits), preparing the claims register, bring in process improvements, automation, publishing analytical reports / Claims MIS and daily dashboard.
The purpose involves Data Support and inter-department coordination with all stakeholders including sales, finance, internal claims and actuary teams.
Job Context & Major Challenges
About the Health Insurance Industry –
While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is t...