We have exciting opportunities for the role of Senior Manager – Health Management Team Location : Mumbai

Interested candidate can share resume [email protected] with

Senior Manager – Health Management Team subject line and share below details.

Current Salary Expectation Notice Period Education (Full Time / part Time

Key Responsibilities: Claims Assessment

Evaluate and process health insurance claims in accordance with policy terms and conditions. Medical Review:

Identify and flag potential cases of medical abuse or discrepancies in treatment protocols. Admissibility Decision:

Determine claim eligibility based on thorough review of medical documentation and policy guidelines. Tariff Adjudication:

Review and authorize cashless approvals, ensuring alignment with applicable tariffs and negotiated rates. Stakeholder Coordination:





Liaise effectively with internal teams, network hospitals, and other external stakeholders to ensure smooth claim processing and resolution.

Qualifications & Skills: MBBS/BAMS/BHMS or equivalent medical qualification (preferred). Strong understanding of health insurance policies and medical terminology. Analytical mind-set with attention to detail. Excellent communication and decision-making skills. Ability to work collaboratively in a quick-paced environment. Flexible to work in rotational shifts Experience Required:

1-2 years in Health Insurance Claims/Underwriting/Investigation etc.

Regards, Saba Naik

📌 Senior Manager – Health Management Team (Mumbai)
🏢 ICICI Lombard
📍 Mumbai