Officer / Senior Officer, Claims & Hospital Management

Job Description

Title: Officer / Senior Officer, Claims & Hospital Management

Company Name: Shanta Life Insurance PLC

Vacancy: 2

Age: 25 to 40 years

Job Location: Dhaka (Tejgaon)

Salary: Negotiable

Experience:

• 2 to 5 years
• The applicants should have experience in the following business area(s): Insurance, Hospital, Pharmaceutical/Medicine Companies

• Bachelor of Science (BSc)

• 2 to 5 years
• The applicants should have experience in the following business area(s): Insurance, Hospital, Pharmaceutical/Medicine Companies

• Age 25 to 40 years

Job Summary : Manages the claims process and collaborates with hospitals to ensure seamless service delivery, with a focus on customer satisfaction and cashless services. Supports strategic decision-making in claims resolutions.

Key Roles and Responsibilities :

Claims Management :

• Ensuring the seamless handling of claims and maintaining accurate data records.

• Processing claims efficiently to meet deadlines and uphold fairness.

• Verification of suspected claims both of physically & over telephone.

• Implementing proactive measures to mitigate fraudulent activities and protect organizational resources.

• Resolving customer concerns promptly to foster trust and positive experiences.

• Preparing detailed reports to track claims performance and support decision-making.

Hospital Management:

• Expanding the hospital network by identifying and adding suitable partners.

• Facilitating seamless cashless transactions for patients to enhance convenience.

• Building long-term, collaborative relationships with healthcare providers.

• Securing favorable terms through effective contract negotiations with hospital partners.

• Ensuring hospitals maintain high standards in patient care and operational performance.

• Collecting insights to understand patient experiences and drive service improvements.

• Tracking compliance with SLAs to ensure commitments are consistently met.