Insurance Supervisor

Aspris by alkalma

Team Leadership & Supervision:

• Supervise and manage a team of insurance team at any site in UAE.
• Provide guidance and training to ensure team members are well-versed in insurance processes, policies, and regulations.
• Conduct performance evaluations and manage staff development, including providing feedback, setting goals, and identifying growth opportunities.
• Handle day-to-day team operations, assigning tasks, monitoring performance, and ensuring productivity and quality standards are met.

Insurance Claims

• Oversee the processing and adjudication of insurance claims, ensuring that all claims are handled in a timely, efficient, and compliant manner.
• Review files and policies, ensuring that coverage meets patients needs and company standards.
• Manage the approval process, submission and resubmission of claims
• Ensure accurate documentation and record-keeping for all insurance transactions.

Customer Service & Client Interaction:

• Act as a point of escalation for customer issues or complaints related to insurance claims or policies.
• Ensure excellent customer service is provided by the team, ensuring client satisfaction and retention.
• Assist in responding to client inquiries, explaining policy terms, and resolving coverage-related issues.

Compliance & Risk Management

• Ensure that insurance practices adhere to regulatory standards, internal policies, and industry best practices.
• Monitor and ensure compliance with legal requirements, such as the accuracy of policy documentation, and file submissions.
• Work with the risk management team to identify and mitigate potential risks and liabilities.

Reporting & Documentation:

• Maintain accurate records of all insurance-related activities, ensuring proper documentation for audits and reviews.
• Generate regular reports for upper management regarding claims performance, team productivity, and customer satisfaction.
• Ensure all policies are accurately updated and renewed within required timelines.

Process Improvement:

• Identify opportunities for process improvements within the insurance department to increase efficiency and reduce errors.
• Implement new tools, technologies, or systems to streamline operations and improve the customer experience.