Job Description

Role description APosition Overview Position Title Executive /Senior ExecutiveOperations Issuance (Medical Management Team) Department Operations Issuance Level/ Band 201/251 Role Summary : Ensure daily co-ordination with TPA/Vendors/Service providers & channel / Support team on BAU handling And due diligence in medical evaluation to ensure mortality assumptions are on track BOrganizational Relationships Reports to Manager/ AVP Supervises NA CJob Dimensions Geographic Area Covered StakeholdersInternal New Business, UW, Branches, Channel spoc, Support team, IT, Finance & BSG External Vendors (TPAs) Shift Third Shift ( 8 pm to 5 am ) Work from Home DKey Result Areas . Ensure adherence to SLAs for Sign off & Digitisation alignment and tracking (TAT & Accuracy). . Ensure cases getting aligned to UW post report upload, Sign off & Digitisation as per agreed SLA . Manage different processes in medical management along with effective tracking and delivery . Manage the vendor invoices and ensure payment is credited to vendor as per agreement . Ensure necessary MIS and reports are shared with stakeholders . Guide & train the support team for various medical activity . TPA/Vendors/Service providers & channel / Support team on BAU handling . Daily monitoring and Alignment of reports to Sign off and Digitisation and tracking till closure . Tracking the cases within SLA and aligning to concern team . Following up with IT team incase of system issues and tracking it till closure . Daily data preparation as per agreed format ECompetencies Competency For Proficiency Scale Proficiency Scale Description Customer & Consumer Engagement And Experience in a Hybrid World 1,2 Understands the changing need of the internal/ external customer and consumer in a hybrid world and communicates with them through various touchpoints in an informed, knowledgeable, and polite manner, to clarify their stated needs and strives to make sure that their expectations are met Directs customers to the appropriate persons, channels or sources to have their problems resolved and follows up to ensure the query is addressed. Follows through on commitments made to customers and strives to provide a great customer experience in the changing environmental context. Makes a conscious attempt to understand and act on the consumer and customer needs in a prompt and positive manner given the changing environment context, by anticipating the customers unstated needs, articulating them well and by providing the client service which exceeds expectations. Builds and maintains productive relationships based on trust in a hybrid work environment, with internal and external stakeholders/ customers. Reaches out to customer and identifies opportunities to increase connect through different preferred channels. Collates and analyses data based on customer pain points and coordinates with other departments to ensure effective resolution of system and process issues given the changing environmental and customer context. Business Acumen & Domain Knowledge 2,3 Takes efforts to understand market trends and is aware of the products and guidelines applicable to the industry. Demonstrates understanding of policies, procedures and risks involved and takes straight forward decisions involving little or no consequence of error. Constantly tries to do things better and on time Takes efforts to gather market information from multiple sources. Has a broad understanding of the financial / commercial factors and dynamics important to the business. Gathers and evaluates information to take decisions which will enhance the effectiveness of the department. Pursues opportunities with optimal risks that can lead to substantial benefits. Displays dedication towards quality improvement and on-time delivery for self and team Drive for Results 2,3 Demonstrates consistency in performance and stays focused on the end result. Is aware of the business goals to be achieved and takes accountability to deliver results as per set plans and deadlines. Finds solutions to address problems at hand in the face of constraints. Motivates team members to set stretched goals, prioritizes tasks and leverages all available resources to deliver high quality timely results. Shows a significant level of effort, persistence and time commitment to achieve the goals. Ensures self and team understand the urgency of work and take accountability. Analytical Ability 1,2 Is able to analyse simple data, where it is easy to diagnose the root cause of the problem. Constantly gathers information from a variety of sources to identify areas of opportunities that may impact achievement of business outcomes. Looks for patterns and trends to develop effective forecasts that help management make informed choices. Is aware of and accurately collects various pieces of basic and very specific information using tools required as per process to make a meaningful report Is able to analyse complex data and draw logical inferences. Presents in-depth analysis by seeking benchmarking data, industry insights and networking with other colleagues. Able to identify relevant alternatives and evaluate the potential consequences of each before taking action. Monitors data and takes into consideration all the available information to critically analyse the existing information and draws a logical inference Change Management 1 Is able to recognize where change needs to take place in the conventional ways of working in one\'s own area of work. Keeps self-aware of domain specific practices and trends prevalent in the market and implements or supports various change management activities within the organization. Is open to change initiatives for improvements in quality or efficiency of work. Seeks clarifications when faced with ambiguity or uncertainty. Developing, Managing & Working with Hybrid Team 1,2 Coordinates and cooperates with other team members through the digital and face to face medium and expresses views on one\'s own area. Understands various roles and functions of team/ branch members working remotely and aligns well to own role. Keeps appropriate people informed about progress on tasks/projects and seeks help if required. Respects diverse opinions and attempts to understand viewpoints of others. Works to provide a supportive environment to the team to achieve function objectives Builds and maintains healthy relations with hybrid team members to ensure seamless execution of work. Completely understands various functions and roles within the team and their interdependence. Manages own time and that of others working remotely, focusing on the things that are important. Collaborates with others and ensures that team members have the necessary information to operate effectively - online and offline. Builds others\' confidence and motivates team members to perform their jobs. Works to provide a supportive environment by securing necessary resources and removing blocks to effective working Technology, Digital and Analytics 1,2 Has basic awareness and understanding of the technology domain and stays updated on the necessary technological needs, advancements and relevant trends in one\'s area of work. Displays openness to learn and practice technological change in own area of operation to improve process efficiency. Uses appropriate sources to gather data, distinguishes between critical and non - critical information and integrates data from a variety of sources to reach a logical conclusion. Demonstrates a good understanding of the technological advancements and works with peers or colleagues to test the viability of a new technology tool before applying it in one\'s area of work by ensuring the outcome is error-free. Ability to alter conventional processes and highlight challenges that can be enabled with technology. Stays calm in ambiguous or demanding technological changes in one\'s area of work. Identifies critical connections and patterns in information/data and is able to analyze verbal and numerical data for functional excellence. Recognises causes and consequences of data related actions that are not readily apparent. GSkills Required Technical Excellent communication skills to manage channel partners Decision making and situation handling independently To have industry knowledge on medical handling processes and New Business process Excellent knowledge in Excel, MIS and Power point Behavioral . Should be able to handle work pressure Should be solution oriented To explore new processes basis experience which will help to create robust process flows Essential Desired Interpersonal skills Yes Communication skills Yes Creative thinking skills Yes Supervising/Leadership skills Yes Teamwork Skills Yes Influencing skills Yes Relationship Building skills Yes Decision making skills Yes HIncumbent Characteristics Essential Desired Qualification Graduate / Post-Graduate Experience 2 to 5 years\' experience Life insurance background and work experience in the insurance Industry Managing TPA, Invoice and medical profile Good Excel, PPT and Technical knowledge . Should belong from Insurance domain knowledge especially Medical Management . Should have basic knowledge on Underwriting processes and Finance . Should have hands on experience in managing medical process i.e. Type of Medicals, TPA co-ordination, Medical field challenges, Invoice Management . To perform/ manage different processes in medical management along with effective tracking and delivery .

foundit