• Creating New processes/SOPs related to Health claim processing.• Reviewing the old processes/SOPs time to time and making amendments where ever required.• Relationship with All the TPAs in India and audit of all major TPAs office PAN India• Providing inputs related to different diseases their incidence, trend, cost etc for effective claim ratio control.• Overall Management of Health Policy Servicing through Outsource & In-house TEAM• Analyzing claims trend.• Ensuring SOP to be followed while processing claims.• Providing research based inputs relating to new product development.• Managing a Wellness team that organizes Wellness/Health talks.• Managing a team which provides health solutions to the policy holders over phone.• Analyzing reports before it is being submitted to management, regulator.• Auditing service Providers and internal processes.• Creating a network of hospitals for implementing health policies.• Negotiating with service providers on cost control measures.Departmental coordinator for ISO and ERM

Reviewing Cases admitted in the wardsHistory taking and case discussion in OPD and wardsAssissting Senior doctors in research related projects