drjobs Manager - Health Claims

Manager - Health Claims

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1 Vacancy
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Job Location drjobs

Mumbai - India

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Primary Details

Time Type: Full time

Worker Type: Employee

Manage the claims function in the specified insurance classes to ensure operational efficiency efficient claims settlement and equitable solution to claims dispute in accordance with company claims philosophy and guidelines as well as deploying skills and resources for staff development.

Primary Responsibilities

Strategy and Planning
Assist with the implementation and maintenance of claims management strategies and objectives
Assist with new ideas and concepts to support the development and delivery of the business plan for the region / branch
Freedom to influence within specific authorities
Strong influence on operational performance
Policy Process and Procedures
Develop and implement processes to ensure that the Claims function is aligned to the needs of the class of business
Continuous refinement of processes and procedures to improve Claims systems and procedures
Approve substantial claims within appropriate authority levels
Environmental Awareness/Customer Focus
Develop and maintain good client relationships with the insured agents service providers and the general public
Work with key stakeholders/business managers to develop sustainable Claims products and services to attract and retain customers and increase profitability
Technical Performance
Ensure recoverable amounts are assessed and effectively followed up and approving significant claims within written authority levels
Ensure legitimate claims are paid in accordance with policy conditions by providing technical expertise and leadership
Provide guidance and input to the investigation and settlement of all claims within the team
People Management
Motivate and develop the team by demonstrating good leadership behaviors and through the use of management best practice to enable development of staff to support the achievement of business goals
Maintain a can do operating culture that encourage ONEQBE Values while helping to develop QBEs reputation within the industry as claims services organization that is competent capable tough smart and responsive
Attract develop and retain high quality workforce with the knowledge skill and will to deliver excellent claim outcomes and customer service
Support training and skill development programmes
Undertaking the performance review process providing feedback and improving individual adjuster performance

Preferred Competencies/Skills

Interpersonal and communication skills
Analytical and presentation skills
Problem solving skills

Preferred Education Specifics

University Degree or professional qualification in insurance or related disciplines

Preferred Experience

At least 15 years working experience in handling claims with 10 years in a supervisory role.

Preferred Knowledge

Board knowledge of insurance industry and claims processes
Solid working knowledge of Claims classes and service requirements


QBE Cultural DNA

Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) because we know its not just what we do that matters its how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
We are customerfocused
We are technical experts
We are inclusive
We are fastpaced
We are courageous
We are accountable
We are a team
All employees are expected to adhere to QBEs Code of Ethics and Conduct and apply sound risk management practices

US Only Disclaimer

To successfully perform this job the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

Global Disclaimer

The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employees normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company to each other and to our customers suppliers communities and governments. It provides clear guidance to help us to make good judgement calls.

Skills:

How to Apply:

To submit your application click Apply and follow the step by step process.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

About Company

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