Assistant Manager -Risk and Audit

Vidal is hiring for Assistant Manager role in Risk and Audit.

Location: Gurgaon,Udhyog Vihar Phase 5

Role- Assistant Manager

Key Responsibilities

• Risk management: Identify, assess, and mitigate operational and compliance risks across TPA functions.

• Reply on Insurer`s queries in paid claims .

• To prove all the payment recommended by our company justified to minimize / save recovery which has to be paid at the end by our company to insurer.

• There is also need of communication with hospitals , where there are tertiary care hospitals pan India also .

• Audit planning: Develop and execute internal audit schedules covering claims, insurer coordination, and data processing.

• Compliance monitoring: Ensure adherence to IRDAI guidelines, contractual obligations, and internal SOPs.

• Process improvement: Recommend corrective actions and streamline workflows based on audit findings.

• Reporting: Prepare detailed MIS reports, risk dashboards, and audit summaries for leadership review.

• Stakeholder engagement: Collaborate with insurers, medical officers, Hospital and operations teams to resolve escalations.

• Team leadership: Supervise auditors/processors, provide training, and ensure performance standards are met.

Required Skills

• BAMS/BDS/BUMS/BHMS/MBBS with Strong knowledge of health insurance policies, TPA processes, and regulatory frameworks.
• Expertise in risk assessment, internal audit methodologies, and compliance management.
• Proficiency in MS Excel, MIS reporting, and documentation.
• Minimum 3-6 years of experience in audit, risk, or compliance roles within the TPA/health insurance industry.

Experienced candidate should be from TPA or Health Insurance Industry

Kindly connect if you are interested on whats app or call-+9971006988