Role responsibilities Maintaining tracking and analyzing claim savings highvalue 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 crossfunctional 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 versatile weekoffs please note overnight shifts are not there we have late night shifts Role responsibilities Maintaining tracking and analyzing claim savings highvalue 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 crossfunctional 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 weekoffs please note overnight shifts are not there we have late night shifts

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