JOB RESPONSIBILITIES
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.
CANDIDATE PROFILE:
Qualification must be BAMS or BHMS
BAMS & BHMS freshers can be considered
Atleast 1 year of health claims processing experience will be preferred
Candidate must be comfortable with work shifts on roster basis & rotational week-off.
📌 Walk In Drive Manager Health Claims Doctors 1st Oct Noida
🏢 TATA AIG General Insurance Company
📍 Noida
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