Business Compliance Executive
Rs 5 - 9.5 lakhs p.a.Adecco India Private Limited
Key Responsibilities
Build and maintain strategic relationships with insurance companies, TPAs, and brokers.
Lead, hire, mentor, and scale teams handling insurance operations, partnerships, and claims management.
Monitor team performance using KPIs, provide training, and implement continuous improvement initiatives.
Oversee the full claims lifecycle including pre-authorization, cashless claims, reimbursement, denials, and appeals.
Improve turnaround time (TAT), approval rates, and claim success ratios through process optimization.
Establish and maintain SOPs, workflows, and compliance frameworks aligned with IRDAI and industry standards.
Collaborate with product and technology teams to automate claims tracking, reporting, and analytics.
Work cross-functionally to enhance patient, hospital, and insurer experiences.
Track and report key metrics including approval rate, TAT, denial percentage, recovery rate, and team productivity.
Vacancy posted more than 2 months ago
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