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Tier-1 employer and metro location increase applicant density, but seniority and niche claims/medical requirement reduce competition.
Claims operations with insurance domain expertise and medical degree requirement limits cross-industry transferability.
Mandatory 10+ years, insurance claims experience, and medical degree requirement make filters highly strict.
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Manage dental claims function ensuring compliance with relevant policies and regulations.
Analyze and process claims, determine eligibility, verify data, and coordinate benefits accurately and timely.
Lead team training and mentoring, communicate strategy and performance expectations, and manage operational risks and collaborations.
Bachelor’s degree in Dental Surgery (BDS), Ayurvedic Medicine (BAMS), Homeopathic Medicine (BHMS), or equivalent experience.
Minimum 10 years experience in back office operations within insurance, preferably domestic or international.
Experience with health insurance, life, and disability claims processing preferred.
Proficient in MS Office with excellent written and verbal communication skills.
Experienced in managing claims operations with strong understanding of insurance claims procedures and regulatory requirements.
Proven capability in team leadership, training, and mentoring within a claims or insurance operations environment.
Comfortable working in a shift-based role including late evening hours as per given shift timings.