02 Sep
|
Aditya Birla Health Insurance Company
|
Mumbai
02 Sep
Aditya Birla Health Insurance Company
Mumbai
Managing end-to-end health insurance claims operations, including cashless and reimbursement claims, while ensuring accurate claim assessment and adherence to policy terms, conditions, and regulatory guidelines.
Manage live cashless claims across India and ensure timely processing within defined TAT
Assess claims based on medical documents, policy coverage, exclusions, waiting periods, and non-disclosure.
Handle pre-authorization, enhancement, final approval, discharge, and claim settlement processes.
Manage IRDAI escalations, customer grievances, and high-level claim escalations.
Coordinate with hospitals, TPAs, brokers, banca partners, and internal teams for claim resolution.
📌 Deputy Manager (Mumbai)
🏢 Aditya Birla Health Insurance Company
📍 Mumbai