Hiring for Manager-International Claims Department for Gurgaon Location

Job Description

About Company:

Care Health Insurance is a specialized health insurer offering a range of products in the retail segment for Health Insurance, Top-up Coverage, Personal Accident, Maternity, International Travel Insurance and Critical Illness. The company also provides Group Health Insurance and Group Personal Accident Insurance for Corporates, Micro Insurance Products for the Rural Market and a Comprehensive Set of Wellness Services. The company has consistently invested in technology to improve upon customer servicing, product innovation, and value-for-money services.

Care Health Insurance has been awarded various accolades, including ‘Best Health Insurance Company of the Year at the India Insurance Summit & Awards 2023, ‘Best Health Insurance Product’ and ‘Best Health Insurance Agents’ at the Insurance Alertss Awards, 2021, and ‘Best Medical/Health Insurance Product Award’ at FICCI Healthcare Excellence Awards 2019.

Job Description:

• Retail medical Underwriting of proposal
• Co-ordinations with distributor related to underwriting cases.
• Group medical underwriting based on the claim utilization or overall data
  with the loss ratio evaluation and anticipating future inpatients. New
  additions in the policy to be evaluated based on the Pre-existing and medical
  reports.
• Solving the claims related queries (coordinating with brokers/ distributors)
  within the time frame
• Audit the claims data -To check fraud /overutilization/ medical justification of
  admission / incomplete medical Declarations.
• Advance knowledge of Excel
• MBA
• analytically strong
• insurance sector knowledge required
• preference for reinsurance background