Role & responsibilities:- Maintaining, tracking, and analyzing claim savings, high-value claims, pending queries, dependencies, and other operational data. - Analyze key claims performance metrics, including approval ratio, denial trends, turnaround time (TAT), and claim volumes. - End to end operations for cashless claim file health insurance- Coordinate with the Provider Management, Provider Audit, Special Investigation Unit (SIU), Fraud Management, and other cross-functional teams to ensure smooth and productive claim processing. - Manage escalated claims involving hospitals, healthcare providers, producers, and internal Provider Management teams to ensure timely resolution. - Allocation of Reimbursement claims from Supervisor role based on ageing and claim amount. Preferred candidate profile:- MBA/PGDM degree is required- Good communication skills are must- Advanced excel knowledge is required- Candidates who also have knowledge of SQL and Power Bi will be preferred- Candidates must be okay with rotational shifts and adaptable week-offs (please note overnight shifts are not there, we have late night shifts) Role & responsibilities:- Maintaining, tracking, and analyzing claim savings,



high-value claims, pending queries, dependencies, and other operational data. - Analyze key claims performance metrics, including approval ratio, denial trends, turnaround time (TAT), and claim volumes. - End to end operations for cashless claim file health insurance- Coordinate with the Provider Management, Provider Audit, Special Investigation Unit (SIU), Fraud Management, and other cross-functional teams to ensure smooth and productive claim processing. - Manage escalated claims involving hospitals, healthcare providers, producers, and internal Provider Management teams to ensure timely resolution. - Allocation of Reimbursement claims from Supervisor role based on ageing and claim amount. Preferred candidate profile:- MBA/PGDM degree is required- Good communication skills are must- Advanced excel knowledge is required- Candidates who also have knowledge of SQL and Power Bi will be preferred- Candidates must be okay with rotational shifts and flexible week-offs (please note overnight shifts are not there, we have late night shifts)

📌 MBA Hiring | Manager - Health Claims (Claims MIS & Operations Analyst) (Uttar (India)
🏢 TATA AIG General Insurance Company
📍 India