TL/ Mgr- US Healthcare (8+ yrs)

Location: Mumbai
Discipline: Healthcare/Life Science Research, Insurance, Research
Job type: Permanent
Contact name: Supriya Sharan

Contact email: supriya.sharan@crescendogroup.in
Job ref: 38276
Published: about 1 year ago

TL-US Healthcare (8+ years)

Looking for a professional having minimum 8+ years of experience as Team Leader –US Healthcare-Claims with strong understanding and experience of using advanced excel. Minimum experience of people management should be of 3 Years and should have completed 2 annual appraisal cycles for team.

If this sounds exciting, apply with us!!!

Location: Mumbai

Your future employer:

A leading, global group with a strong foothold in specialty financial services serving millions of customers across the full spectrum.

Responsibilities:

  • Materially contribute to core healthand benefits projects involving the design and management of group medical, dental,
    wellbeing, life, disability and absence management benefits for clients.

  • Partnering with client service team leader to deliver superiorproject management.

  • Proactively advising clients and providing superior client service in response to day to day service issues and
    questions (eligibility, carrier coverage and claims issues, compliance, etc.).

  • Preparing for and facilitating client meetings (prepare agendas and materials, coordinate resources, etc.)

  • Playing a key role in vendor procurement, negotiation, implementation, and


optimization activities.

  • Providingbenefitenrolmentsupport, including preparing materials and presentations, verifying policy and
    plan information, and updating internal systems as necessary.

  • Contributing to completion of reports and administrative actions for clients including Form 5500 filings,
    policy checking and delivery, monthly reporting of client and carrier information, summary plan descriptions and certificates.

  • Contributing to benefit plan analysis, design, cost savings and funding strategies
    Engaging subject matter experts to address client needs.

  • Reviewing financial analyses including developing pricing and employee contributions strategies,modelling plan design alternatives and calculating reserves.

  • Conducting review of clientdeliverables to ensure alignment to client objectives, leverage of optimal services
    and solutions, and adherence to professional excellence standards.

  • Conducting benchmarking studies and other research; provide value added analyses and summaries.

  • Analyzing and comparing vendor products, services and contracts.

  • Building relationships internally and collaborating effectively on cross-functional teams.

  • Reviewing work and contributing to the development of junior staff.

  • Support benefit plan analysis, design, cost avoidance and funding strategies.

  • Perform financial analyses including estimating plan costs and employee contributions strategies, modelling plan
    design alternatives, and data analytics toidentify cost drivers and cost avoidance opportunities.

  • Contribute to the development of new actuarial/analytic intellectual capital
    Develop actuarial/analytic expertise to provide results effectively responding to client needs
    Learn to communicate complex actuarial/analytic results to effectively drive client action

Requirements:

  • 4+ years’ experience dealing with health and welfare plans, ideally gained in a benefitconsulting/brokerage firm
    or health underwriting / actuarial function of an insurance company.

  • Proven ability to manage multiple projects simultaneously and produce quality deliverables on time and within
    budget.

  • Strong client service orientation andability to respond to all communications effectively and in a timely manner.

  • Proven ability to identify and resolve issues.

 

Skills:


• Strong written and verbal communication skills
• Self-starter attitude and ability to work independently and as part of a team
• Strong analytical, creative and integrative skills
• Excellent Microsoft Office skills, particularly in Excel and PowerPoint
• State Life and Health license required within 90 days of joining
• Pursuit of CEBS designation, or health and welfare actuarial / underwriting training encouraged
• Ability to learn big data analytic technics preferred
• Significant progress towards completion of health actuarial designation (optional))

 

What is in it for you?

  • Fast track career growth

  • Market leading remuneration

  • Liaise extensively with stakeholders

 

Reach Us:

If you think this is the right opportunity for you, feel free to apply or forward your application with your updated resume at supriya.sharan@crescendogroup.in for further discussions.

Disclaimer:

Crescendo Global is an ISO 9001:2015 certified Leadership Hiring consulting arm of Crescendo Group with expertise in mid to senior level niche recruitment.

We are passionate about empowering job seekers and employers with an engaging memorable job search and leadership hiring experience. Crescendo Global does not discriminate on the basis of race, religion, color, origin, gender, sexual orientation, age, marital status, veteran status or disability status.

Keywords: Crescendo, Claims Reporting, Claims, Team Management, Team Leader, US Healthcare, Advanced Excel.