13 Aug
|
TATA AIG General Insurance Company
|
Ameerpet
13 Aug
TATA AIG General Insurance Company
Ameerpet
- 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.
Required understanding and evaluation criteria:
- Preferably from Insurance and TPA experience
- Clinical Acumen/knowledge in terms of hospital and medical procedures
- Understanding of Treatment Protocol
- Understanding of Diagnostic Protocol
- Ready to work from Office, No Work from Home, open on rotational shifts, rotational week offs
📌 Walk-in || Claims Manager (Ameerpet)
🏢 TATA AIG General Insurance Company
📍 Ameerpet