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Health Coach

Aditya Birla Group — Mumbai, MUMBAI

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Experience 3-4 Years yrs
Age 21-35 yrs
Gender Both
Salary Not Disclosed LPA
Department Sales Loans
Product Loans

Job Description

Business

Health Insurance

Unit

Aditya Birla Health Insurance Company Ltd

Location

Thane Gcorp, Mumbai

Poornata Position Number of the job 

 

Reports to: Poornata Position Number

120495

Poornata Position Title of the job 

 

Reports to: Poornata Position Title

TM DRM OPS DCMGR

Function

Operations – DRM

Reports to: Function 

Operations – DRM

Department

Operations – DRM

Reports to: Department 

Operations – DRM

Designation of the Employee s

AM/DM/Mgr

Designation of the Manager  

Team Lead - DRM

Date of writing/updation of JD

 

 

 

 

                                   


 

1)  Job Purpose: Write the purpose for which the job exists (in 2-3 lines)  

The incumbent will take on the management of diseases with the goal of delivering best health outcome as defined by medical protocol

 

2) Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job.  

Business Workforce Number  

 

Unit Workforce Number  

 

Function Workforce Number  

 

Department Workforce Number  

5

Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter 

Claim Adherence at 70%

Reduction in claims frequency by 5%

Improvement in Health Parameters: 70%

Health Parameter under critical level: 95%

 

3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section 

About the Health Insurance Industry –

 

While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalised service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them.

 

Opportunities – With the advent of medical advancements, lifestyle changes, change in Indian socio-economic scenario and Indian healthcare space the clients are facing challenges to cater to the needs of diverse workforce. Increasingly Indian clients have started considering group benefits as a lever to manage employee expectations, talent acquisition and retention. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions which would help them meet their end objectives and bring in profitable revenue source for the company.

 

Challenges –

 

Distribution: How we create specific distribution models to penetrate different market segments remains a challenge. Motivation to channel partners to place business with the co. Activate and manage agent based distribution channel across the country

 

Long term and short term strategic plans to increase the market share and profitability in line with the company’s business objectives. 

 

Identifying new segments, structure offerings, and value enhancers apart from creating differentiators’ remains a big challenge for the company’s growth. Meeting varied client’s expectation in terms of solutions, pricing and operational support remains a challenge.

 

Build and further enhance relationships with key customers and partners alike.

 

Build the vertical in line with the leadership teams expectation of having the group benefits team contributing substantially to the bottom-line in years to come

 

 

 

 

4) Principal Accountabilities

Accountability

Supporting Actions

Effective management of customers with diseases & delivering as per internal medical protocols

  • Manage high disease risk customers/patients over the phone/emails/EMR and, if required, in person
  • Should understand the medical diseases and finer details of their management protocol along with the finer details of the program construct
  • Follow/Develop a detailed plan of tracking as per the protocol keeping in mind the complications that could arise
  • Coordinate with external customers/patients basis the risk trigger ensuring maximum level of sensitivity and confidentiality while managing cases 
  • Managing all cases on a case to case basis ensuring that majority customers/patients are adhering to the program construct
  • Manage changes and escalations effectively on a case to case basis
  • Measure program performance with relevant reports and at define frequency
  • Report and escalate to management as and when needed
  • Successfully manage the relationship with all stakeholders, internal as well as external
  • Perform risk management to minimize risks at a customer level as well as at a portfolio level
  • Establish and maintain relationships with third parties/vendors

 

Process Improvement

Frequently Asked Questions

What are the eligibility criteria for the Health Coach job at Aditya Birla Group?

Eligibility typically includes the qualifications and experience outlined in the job description above, with around 3-4 Years years of relevant experience expected for this role.

What are the primary responsibilities of a Health Coach at Aditya Birla Group?

The key responsibilities for this role are detailed in the Key Responsibilities section above, covering the core duties expected of a Health Coach at Aditya Birla Group.

Is prior experience required for this position?

This role requires around 3-4 Years years of relevant experience, as specified in the job listing. Please refer to the Qualifications & Experience section above for full details.

What skills are important for this role?

Skills relevant to this position are outlined in the Qualifications & Experience section above. In general, strong communication, domain knowledge, and the ability to meet role-specific targets are valued across similar BFSI positions.

How do I apply for the Health Coach role at Aditya Birla Group?

You can apply directly using the Apply Now button on this page, which will take you to Aditya Birla Group's application process for this role.