π Manager – Provider Team (Health Claims)
π Job Description
Tata AIG General Insurance Company Limited is hiring a Manager – Provider Team (Health Claims) for its Lucknow location. The selected candidate will manage relationships with network hospitals, ensure seamless provider servicing, coordinate with internal claims teams, and drive operational excellence across the assigned region. The role requires extensive travel and strong stakeholder management capabilities.
π Key Responsibilities
- Manage and strengthen relationships with network hospitals and healthcare providers.
- Ensure timely provider support and effective issue resolution.
- Monitor provider performance and drive operational excellence.
- Coordinate with health claims and operations teams for efficient claim processing.
- Ensure compliance with company policies, healthcare regulations, and service standards.
- Conduct regular provider visits and maintain strong regional relationships.
- Resolve escalations related to cashless claims and provider services.
- Analyze provider performance metrics and recommend process improvements.
- Support expansion and onboarding of new hospital network partners.
- Prepare MIS reports and management updates on provider performance.
- Collaborate with cross-functional teams to improve customer experience.
- Travel extensively within the assigned region as part of provider management activities.
π Eligibility Criteria
- Graduate in any discipline (MBA or Healthcare Management preferred).
- Experience in Health Claims, Insurance Operations, Provider Management, or Hospital Relations.
- Strong understanding of health insurance claims processes.
- Excellent stakeholder and relationship management skills.
- Experience working with network hospitals or healthcare providers is preferred.
- Strong communication, negotiation, and problem-solving abilities.
- Ability to travel extensively across the assigned region.
- Proficiency in MS Excel, reporting, and operational coordination.
⭐ Key Skills
- Health Claims Management
- Provider Relationship Management
- Hospital Network Management
- Insurance Operations
- Stakeholder Management
- Claims Processing
- Operational Excellence
- MIS Reporting
- Customer Service
- Negotiation Skills
- Healthcare Operations
- Communication Skills
π° Benefits
- Opportunity to work with one of India's leading general insurance companies.
- Exposure to healthcare provider network and health claims management.
- Professional growth in insurance operations and healthcare services.
- Dynamic work environment with regional responsibilities.
- Long-term career opportunities within Tata AIG.
⭐ Why Join Tata AIG?
- Work with one of India's most trusted insurance brands.
- Build expertise in health insurance and provider relationship management.
- Collaborate with leading hospitals and healthcare professionals.
- Gain exposure to strategic health claims operations.
- Enjoy strong career development and learning opportunities.
π€ How to Prepare for the Interview
- Review the health insurance claims lifecycle and cashless claim processes.
- Prepare examples of managing hospital or provider relationships.
- Be ready to discuss issue resolution, stakeholder management, and service improvements.
- Understand healthcare compliance and insurance operational processes.
- Prepare examples of improving operational efficiency or provider satisfaction.
- Demonstrate strong communication, negotiation, and leadership skills.
- Review MIS reporting and KPI tracking related to provider performance.
- Be prepared to discuss your willingness to travel extensively for business requirements.
π© How to Apply
Interested and eligible candidates can apply by sending their updated resume via email using the button below.