Job Description - Empanel Hospitals as per the requirement given by the Nodal Agency through the tender/MoU with efficient tariff negotiation and within time line
Manage the TPA activity during the claim processing (AL approvals/claim disbursement)
Structure Network/TPA performance MIS and highlight the deviations to the higher ups
Regular structured audit of Networks to avoid any unhygienic practices
Raise triggers to respective team, if any abnormality noticed
Ensure the compliance of the Tender/MoU terms and conditions.
Review regularly the portfolio performance and work with business teams to drive the same
Regularly review the process control and claims performance reports to ensure adherence to overall product & pricing strategy
Adhere and implement the Risk governance guidelines of the company
Responsible for product related trainings and knowledge management to ensure easy and requisite access to concerned teams
Kindly share updated resume in 2003 format to firstname.lastname@example.org with following details
1.) Current Location
2.) Express interest for Mumbai location
3.) Current CTC & Expected CTC
4.) Notice period, if applicable
5.) Whether Interviewed in ICICI Lombard in last 6 months
Candidates who have been interviewed in last 6 months kindly do not apply.
Not Disclosed by Recruiter
Medical, Healthcare, Hospitals
Medical, Healthcare, R&D, Pharmaceuticals, Biotechnology
MBBS , BHMS , BAMS
Desired Candidate Profile
(UG - MBBS - Medicine, Other Graduate - Any Specialization) AND (PG - Post Graduation Not Required)
We are looking We are looking for MBBS/BDS/BHMS with 1-5 years experience, preferably in the area of Hospital management/ Health TPA experience/ Medical equipment-medicines sales/ NGOs working in Rural India.
ICICI Lombard General Insurance Company Limited
ICICI Lombard General Insurance Company Ltd is India's leading private sector general insurance company. We are a 74:26 joint venture between ICICI Bank Limited and Lombard Canada Inc. As a part of ICICI Group, we are well known for our innovative products, marketing strategies, technology focus and excellent customer services.
For more details about the company, please visit the website at www.icicilombard.com
View Contact Details
Recruiter Name: Rati Venugopal
Contact Company: ICICI Lombard General Insurance Company Limited
Naukri.com - 18 months ago