FAQs
What is the job title for this position at Plum?
The job title is General Manager - Claims Operations.
Where is the job located?
The job is located in Bengaluru.
What are the main responsibilities of the General Manager - Claims Operations?
The main responsibilities include managing the end-to-end operations for claims, overseeing cashless and reimbursement claims, providing leadership to the claims team, managing error resolution, and promoting process improvements.
What is the required experience for this position?
A minimum of 15 years of experience in health insurance is required, with at least 8-10 years specifically in claims operations.
What educational qualifications are needed for this role?
A bachelor’s degree in Business, Insurance, or a related field is required.
Does the role involve working with external partners?
Yes, the role involves interactions with insurance companies and TPA claims processing or CRM teams.
What skills are essential for this position?
Essential skills include strong analytical skills, excellent communication and interpersonal skills, a strong understanding of insurance policies and dispute resolution, and proven leadership abilities.
Is prior experience in Indian health insurance necessary?
Experience in either Indian or international health insurance is acceptable.
What are the key goals for the General Manager - Claims Operations?
The key goals include ensuring optimal claims outcomes, improving operational efficiency, enhancing team performance, and increasing transparency in the claims process for clients.
How does this position contribute to Plum's mission?
This position contributes by enhancing claims operations, ensuring high-quality service delivery, and supporting the mission to provide accessible health insurance to a wider population.