Manager Or Sr Manager-Key Account Management

Role & responsibilities

• Establish and maintain good relationship with clients on ongoing basis.
• Ensure resolution of queries related to Hospital empanelment, Claim Processing, Enrolment and all other life cycle activities of claims.
• Hospital empanelment Compare the network with other insurers and create a priority listing for phase wise empanelment. Review the insurer wish list for upcoming market (business projections) and / or sales grievances from a particular territory.
• Share the priority list with the provider team to ensure empanelment
• Ensure adherence to timelines in terms of empanelment
• Roll out wellness programs for corporates and ensure smooth implementation of the same
• Connect with the wellness team to monitor the effectiveness of the program in terms of utilization, participation and growth. Review the data with corporates on a quarterly basis and review further action for better utilization of the program by corporate employees
• Coordinate with the corporate communication team for mailers pertaining to various initiatives and updates (eg: Covid related information) and ensure customers are well updated
• Discuss challenges with respect to empanelment with the customer and suggest recommendations which ensures that customer requirement are met and the upcoming market service
• All SLAs to be reviewed with the insurer HO and corporates to ensure no loss of business/revenue - this includes renewals and new business
• Internal reviews with Medi Assist Functional Heads of different functions, to ensure smooth service delivery, process improvements and SLA adherence
• Daily reviews on outstanding claims with the customer and within the team
• Connect with insurers to ensure the exception approvals (claims processing) are in place
• Review the dashboards prepared by the team members and ensure the same is shared with the customer
• Managing a team of 4-6 members

Preferred candidate profile:

• Graduation- in any stream.
• MBA (Operations) will be an added advantage.
• 10 -18 years of overall experience in Operations and Client facing role.
• Industry Type: Healthcare, Insurance, BPO.
• People Management (direct reportees, cross functional reportees).
• Excellent communication & presentation skills.
• Customer oriented Direct clients and their customers.