• Oversee the Claims Reconciliation Team, ensuring daily productivity and quality targets are set, monitored, and reported to the Manager and Heads.
• Prepare monthly management reports detailing reconciliation status (open and closed), including disputed and payable amounts, and highlight key findings and recommendations.
• Formulate and implement process improvements for reconciliation and other functions where discrepancies, such as adjudication errors, system errors, unclear rejection reasons, timeline issues, and technical errors, are identified.
• Facilitate coaching and feedback sessions with both internal and external stakeholders regarding reconciliation requirements.
• Conduct regular training and development sessions to enhance team skills and knowledge.
• Set performance goals, monitor team progress, and ensure high standards of reconciliation accuracy and efficiency.
• Develop and implement strategies to streamline reconciliation processes and improve efficiency.
• Ensure all reconciliation activities comply with internal policies, external regulations, and industry standards.
• Stay current with relevant regulations and ensure the team adheres to them.
• Other Ad hoc duties as required
What you bring

• Bachelor’s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
• Minimum of 5 years of experience in claims reconciliation, finance, accounting or a related field.
• Proven track record of managing and resolving complex claims issues.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Proficiency in financial software and reconciliation tools.
• Strong communication and interpersonal skills.
• Ability to lead, motivate, and develop a team.
• Knowledge of relevant regulations and industry standards.
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.