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, BHMS or BDS

- At least 3 years of health claims processing experience will be mandatory

- Candidate must be comfortable with work shifts on roster basis & rotational week-off.

📌 Walk-in Drive | Senior Manager - Health Claims (Doctors) | 27th Oct (Noida)
🏢 TATA AIG General Insurance Company
📍 Noida