Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD

Business

Financial Service – HO

Unit

Aditya Birla Health Insurance Company Ltd

Location

Thane

Poornata Position Number of the job

Reports to: Poornata Position Number

Poornata Position Title of the job (30 characters max)

Assistant/Deputy Manager - Claims

Reports to: Poornata Position Title

Manager/ Sr. Manager

Function

Services Operations

Reports to: Function

Services Operations

Department

Claims

Reports to: Department

Team Lead – Claims

Designation of the Employee

Assistant/Deputy Manager/ Manager

Designation of the Manager

Manager/ Sr. Manager/ DCM/ CM

Date of writing/updation of JD

08.01.2024

Job Purpose: Write the purpose for which the job exists (in 2-3 lines) (Max 1325 Characters)

The Medical Claims Processor – PreAuth is responsible for the accurate and timely assessment, processing, and authorization of cashless hospitalization requests in accordance with policy terms, medical guidelines,



and company procedures. The role ensures adherence to service level agreements (SLAs), quality standards, and regulatory requirements while delivering an excellent customer experience.

Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job.

Business Workforce Number

(Max 254 Characters)

On Roll – 6000+

Offroll/ Part time – 4000+

Unit Workforce Number

(Max 254 Characters)

On Roll – 6000

Offroll/ Part time – 4000+

Function Workforce Number

(Max 254 Characters)

On Roll – 800

Offroll/ Part time - 279

Department Workforce Number

(Max 254 Characters)

On Roll – 69

Offroll/ Part time - 66

Other Quantitative and Significant Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter

Job Context & Major Challenges: Write the specific aspects of the job that

📌 TM-Claims (Thane) (India)
🏢 Aditya Birla Capital
📍 India