Job Responsibilities:
Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.
Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection.
Processing of claims as per regulatory guidelines.
Adhering to the TATs in processing.
Quality review of processed files.
Grievance redressal, handling escalations and identifying the fraudulent claims
Preferred Qualification:
Educational Qualification must be BAMS (Bachelor of Ayurvedic Medicine & Surgery Science), BHMS (Bachelor of Homeopathic Medicine & Surgery), BDS (Bachelor of Dental Surgery)
Freshers with above qualification can also apply.
Candidate must be comfortable with rotational week-off on roster basis
📌 Manager Health Claims Noida
🏢 TATA AIG General Insurance Company
📍 Noida
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