Job Description

Responsibilities

  • Ensuring accurate, timely, and compliant end‑to‑end operational rigor.
  • Demonstrate strong leadership in managing high‑volume, complex claims operations while maintaining strict adherence to regulatory, risk, and quality standards.
  • Proven experience in operational management with accountability for critical KPIs such as turnaround time (TAT), accuracy, productivity, utilization, and service quality.
  • Strong capability in workforce planning, capacity management, and resource onboarding to handle fluctuating claims volumes and seasonal demand.
  • Expertise in driving process optimization and standardization across claims intake, adjudication, and resolution to improve cycle time and reduce errors.
  • Ability to lead automation and digital enablement initiatives, including use of workflow tools and productivity dashboards to enhance efficiency, transparency, and scalability of claims operations.
  • Strong unde...

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