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