Insurance Manager – Clinical Background Required

Role and Responsibilities:

· Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded.

· Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded.

· Insurance policies implemented after the agreement is signed.

· Follow up and negotiations with Insurance Companies where needed to ensure approval of problematic cases.

· Exhausted benefits identified in close liaison with re-submission team to ensure maximum recovery from Insurance companies.

· Insurance protocols complied with at all times.

· Disallowance reconciliation and mutual settlement coordinated with Insurance Companies.

· Insurance disallowance write-offs coordinated with Accounts Receivables department after proper reconciliation.

· Disallowance reasons evaluated, improvement areas identified, and changes implemented.

· Submission of Insurance department statistics on a monthly basis.

· Work distribution within insurance team/coaching of insurance team members.

· Management of regional operational insurance programs (property-business interruption, third-party liability) including service agreements with brokers.

· Regularly review outstanding claims and liaise with the Management/Finance Department to ensure the adequacy of claim reserves.

· Prepare all statistics required by Management including rejections, insurance company breakdown of revenue & claims.

· Achieve monthly team targets in terms of claims processed. Communicate with other department managers pertaining to issues related to claims processing and vice versa.

· Oversees operational systems, processes, and infrastructure while looking for opportunities of improvement or revision.

· Anticipates and tracks insurance and tactical risks and providing strategic solutions.

· Manages day to day business of the Insurance department while balancing the responsibilities of various business lines such as business analysis.

· Works with other teams to help set and meet daily and quarterly goals.

· Works closely with GM on other special planning and departmental projects.

· Oversees and reports weekly, monthly, quarterly, and annual metrics.

· Identifies trends and assess opportunities to improve processes and execution.

· Completes reasonability testing and information validation prior to circulating findings and recommendations to key stakeholders.

· Collaborates with other back-office team members to ensure seamless business execution, reinforce positive morale, and uphold company values.

· Collaborates with transitions and onboarding team as needed.

· Raises and tracks issues and conflicts, remove barriers, resolve issues of medium complexity involving stakeholders and escalate to appropriate level when required.

· Assesses a variety of situations and provide clarity to team and stakeholders.

· Establishes and maintains credible, professional relationships with clients, internal business lines, and external vendors.

· Solicits and responds to feedback while gaining commitment and support.

· Supports back-office and firm-wide training programs, reinforcing tech and operations infrastructure between departments to ensure consistency and quality standards are met.

· Stays up to date on industry regulations, trends, and technology.

· Works closely with management team to ensure all operational, administrative, and compliance functions within the firm are being properly executed in accordance to regulatory-based best practices.

· Any other task as assigned by management on a time-to-time basis as per the organization's needs.

Job Type: Full-time