Job Description

A Position Overview Position Title Assistant Manager / Manager - Claims Department Claims Level / Band Asst. Manager / Manager Role Summary: Responsible for all system enhancements, New Projects. Responsible for PIC (Product Implementation Committee) related activities. To prepare User requirements, Test scopes, Validate Outputs received from UAT team. Train members on New Products, New deployments etc. If required conduct UAT Testings, prepare BRD document Track Pending Day1-Day2 Activities related to new products/Claim processing Responsible for product configuration Responsible for tracking production issues and resolving them. Responsible for identifying Gaps and raising requirement with IT for automation of process. Handling Projects in defined timelines, publishing projects charter, status to higher management. B Organizational Relationships Reports to Direct Sr Manager - Claims Supervises C Job Dimensions Geographic Area Covered PAN -India Stakeholders Internal Underwriting team, Zonal Team, IT, POS, CS, Legal & Compliance External External legal consultant, legal counsel, vendors. D Key Result Areas System Administration . Responsible in closing all the Open PIR\'s / Production related issues by Coordinating with allocated vendors. . Raising system related requirement with IT for CR preparation. . Liaise with IT in closing the UAT related to CR\'s / PIR\'s and products. . Responsible for PIC (Product Implementation Committee) related activities. To prepare User requirements, Test scopes, Validate Outputs received from UAT team. Train members on New Products, New deployments etc. E Skills Required Technical . Claims Processing. . Sound knowledge of product contracts. . Knowledge of medical terminologies. . Legal Updates. . Preparation of BRD, Project Management, Product configuration & development . Regulatory guidelines. . Presentation skills. . Communication skill Behavioral (Refer Appendix for details) Level 1 (rarely / not required) Level 2 (required frequently) Level 3 (essential for position) Interpersonal skills Communication skills Creative thinking skills Supervising/Leadership skills Teamwork Skills Influencing skills Relationship Building skills Decision making skills Incumbent Characteristics Essential Qualification Graduate Experience 5 years

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