# Assistant Manager – Claims MIS & Analytics

**Company**: Prudential Health India
**Location**: Mumbai
**Work arrangement**: onsite
**Experience**: mid
**Job type**: full-time
**Category**: Finance
**Industry**: Healthcare

**Apply**: https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Mumbai/PHI---Assistant-Manager--Claims-MIS---Analytics_25090337?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_b6340eb5-1da

## Description

Prudential Health India is seeking an Assistant Manager – Claims MIS & Analytics to join their Experience team in Mumbai.

As a Assistant Manager Claims, your typical week might include developing and maintaining daily, weekly, and monthly MIS reports for claims, underwriting, policy servicing, and customer service operations.

Key Responsibilities:

## 1. Operational Analytics & Reporting

- Develop and maintain daily, weekly, and monthly MIS reports for claims, underwriting, policy servicing, and customer service operations.

- Create dashboards to track KPIs such as turnaround time (TAT), claim settlement ratios, productivity metrics, and exception handling.

- Analyze trends and variances to identify operational bottlenecks and recommend corrective actions.

## 2. Process Efficiency & Productivity Monitoring

- Conduct time-motion studies and workflow analysis to identify inefficiencies in operational processes.

- Collaborate with process owners to define and monitor productivity benchmarks across teams.

- Support automation initiatives by identifying manual tasks suitable for digitization or RPA.

## 3. Third-Party Performance Monitoring

- Track and evaluate performance of TPAs, network hospitals, and other service providers using SLAs and contractual KPIs.

- Generate periodic performance scorecards and escalate deviations to relevant stakeholders.

- Support vendor audits and provide data-driven insights for contract renewals and negotiations

## 4. Regulatory & Compliance Reporting

- Ensure timely and accurate submission of regulatory reports to IRDAI, IIB and other statutory bodies.

- Reconciliation of Monthly claim register with finance team

- Maintain audit trails and documentation for internal and external audits.

- Monitor compliance with data privacy, fraud detection, and grievance redressal norms.

## 5. Data Governance & Quality

- Ensure data integrity and consistency across systems and reports.

- Work with IT and data teams to resolve data discrepancies and improve data architecture.

- Define and implement data validation rules and reconciliation processes.

## 6. Stakeholder Collaboration

- Liaise with underwriting, claims, customer service, finance, and IT teams to gather requirements and deliver actionable insights.

- Present findings and recommendations to senior management through structured presentations and visualizations.

You could be the right candidate if you…

- Bachelor’s/Master’s degree in Statistics, Mathematics, Computer Science, Actuarial Science, or related field.

- 4–8 years of experience in MIS/Analytics roles, preferably in health or general insurance operations.

Technical Skills:

- Advanced Excel, SQL, Power BI/Tableau

- Knowledge of Python/R for data analysis (preferred)

- Familiarity with insurance core systems (e.g., policy admin, claims management)

Soft Skills:

- Strong analytical and problem-solving skills

- Excellent communication and stakeholder management

- Attention to detail and ability to work under tight deadlines

- Understands the TPA ecosystem and has experience of managing TPA model (Preferred)

## Skills

### Required
- Statistics
- Mathematics
- Computer Science
- Actuarial Science
- MIS
- Analytics
- Excel
- SQL
- Power BI
- Tableau
- Python
- R

### Nice to have
- IRDAI Regulatory Compliance
- Six Sigma
- Lean Certification
- Data Analytics
- BI certifications

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Source: [Apply at prudential.wd3.myworkdayjobs.com](https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Mumbai/PHI---Assistant-Manager--Claims-MIS---Analytics_25090337?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)