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27 ACKO Jobs
Provider Management & Claims KYC Compliance Coordinator
3-5 years
Bangalore / Bengaluru
1 vacancy
Provider Management & Claims KYC Compliance Coordinator
ACKO
posted 14d ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
Supply Chain/Provider Management:
Document Scrutiny Verification: Collaborate with the claims supply chain team to ensure timely and accurate document review and verification, adhering to defined requirements and Service Level Agreements (SLA).
Vendor Management: Oversee the empanelment and onboarding process for both Health and Non-Health service providers and vendors, ensuring their smooth integration into the vendor portal system after empanelment.
Data Management: Manage the collection and verification of documents for each Line-of-Business (LoB), ensuring proper maintenance of data repositories for efficient access and reporting.
Stakeholder Coordination: Facilitate communication and follow-ups with both internal and external stakeholders (e.g., workshops, surveyors, investigators, network providers, and vendors), addressing their inquiries and resolving any outstanding issues promptly.
Document Expiry Management: Ensure the validation and tracking of document expiry dates, working closely with the supply chain team and external stakeholders to collect updated or renewed documents.
Service Provider Vendor Utilization: Continuously monitor and track the usage of service providers and vendors, sharing reports with leads and supply chain managers to ensure balanced utilization and avoid concentration risks.
Vendor Performance Management: Continuously monitor vendor performance to analyze trends and identify any deviations in the services provided.
Vendor Portal Enhancements: Partner with the data team to drive continuous improvements and updates to the vendor portal, enhancing its usability and reporting functionalities.
Reporting Presentations: Prepare regular presentations and reports for stakeholders, offering insights into progress and compliance across claims and vendor management activities.
Cross-Department Collaboration: Work closely with various internal teams, including claims, auditors, technology, finance, and risk management, to support achieving organizational objectives.
Blacklisting of Providers: Identifying the providers (hospitals/garages/investigators etc) indulging in the fraudulent activities, depanel and exclude as per the process and update the data in necessary systems.
Evaluation of Provider Data in TPA Applications: Review provider data for accuracy, completeness, tariffs, and discounts, ensuring compliance with standards and alignment with organizational policies for effective claims management.
KYC Compliance:
Regulatory Compliance KYC: Review, process, and verify KYC documents in compliance with IRDAI guidelines, ensuring adherence to regulatory policies and timelines. Maintain and track claims-related KYC data.
Risk Management: Provide advice to the compliance department on high-risk applications, particularly those requiring enhanced due diligence.
Timely Data Uploads: Ensure the prompt upload of KYC data to the CKYCR portal, maintaining a comprehensive record of uploaded documents for transparency and future reference.
KYC Compliance:
Regulatory Compliance KYC: Review, process, and verify KYC documents in compliance with IRDAI guidelines, ensuring adherence to regulatory policies and timelines. Maintain and track claims-related KYC data.
Risk Management: Provide advice to the compliance department on high-risk applications, particularly those requiring enhanced due diligence.
Timely Data Uploads: Ensure the prompt upload of KYC data to the CKYCR portal, maintaining a comprehensive record of uploaded documents for transparency and future reference.
Employment Type: Full Time, Permanent
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What ACKO employees are saying about work life
based on 483 employees
Flexible timing
Monday to Friday
No travel
Day Shift
ACKO Benefits
Submitted by Company
Cafeteria 
Work From Home Team Outings Education Assistance Soft Skill Training
Submitted by Employees
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