Jobs
Tools

Resume Builder Build Professional Resume with Ease

Auto Apply Apply to hundreds of jobs on any platform effortlessly

Interview Questions Streamline interviews with ready-to-use questions

Salaries Discover market-driven salary insights across skillsets and geographies

Companies Explore leading companies actively hiring talent
Upskill New

Enhance your skills with our new Upskill features.

Powered by AllRounder.ai

Mock Interview Practice interviews in realistic simulations

Coding Practice Improve your coding skills with challenges

Certification Earn certifications to validate your skills

AI Learning Get trained with AI expert sessions

Career Guru AI insights for smarter career decisions
For Employers

Home

Jobs

Companies

Resume

Companies
Rx Consultants
Assistant Manager - Claims

Assistant Manager - Claims

Rx Consultants

5 - 10 years

8 - 15 Lacs

Mumbai

Posted:1 month ago| Platform:

Apply Now

Skills Required

Health Insurance Reimbursement Processing Clinical Evaluation Policy Interpretation Pre-authorization Review Medical Case Evaluation TPA Coordination Medical Claims Assessment Case Summary Writing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Experienced and licensed medical professional (MBBS/MD) with a strong background in medical claims assessment and clinical evaluation within the health insurance or TPA industry. Skilled in reviewing pre-authorization requests, hospitalization claims, and medical documentation to ensure medical necessity, policy compliance, and regulatory standards (IRDAI). Proficient in ICD-10 coding, claims adjudication, and fraud detection, with a focus on accuracy, ethical judgment, and collaborative decision-making. Adept at coordinating with hospitals, TPAs, and internal teams to streamline claim processing and maintain service quality.

More Jobs at Rx Consultants

Assistant Manager - Claims

Mumbai

5 - 10 yrs

INR 8 - 15 Lacs

PAP Lead (Patient Assistance Program) Lead

Mumbai

4 - 9 yrs

INR 6 - 9 Lacs

Field Counsellor / Kevat

Mumbai, Vijayawada, Calicut

2 - 7 yrs

INR 0 - 0 Lacs

QA and Compliance Executive

Mumbai

2.0 - 5.0 yrs

INR 3 - 6 Lacs

Manager -Underwriting and Credit Evaluations

Mumbai

5.0 - 9.0 yrs

INR 7 - 15 Lacs

Mock Interview

Boost Confidence & Sharpen Skills

Start Health Insurance Interview Now

Rx Consultants

6 Jobs

Login to

Please Verify Your Phone or Email

Confirm Action

Search

Profile

Bookmarks

Assistant Manager - Claims

Experience & Salary

Skills Required

Work Mode

Job Type

Job Description

More Jobs at Rx Consultants

Boost Confidence & Sharpen Skills

RecommendedJobs for You

Assistant Manager - Claims

Assistant Manager - Claims

Assistant Manager - Claims

Assistant Manager - Claims

B.Pharma||@Health Care coach||Any Medical Domain||Councelling.

Medical Officer

QAT Lead

Biomedical Engineer

Medical Coder

Immediate opening For Freshers - B.Sc Nursing and BPT

Login to

Please Verify Your Phone or Email

Confirm Action

Contact Us

Contact Us

Search

Profile

Bookmarks

Personal Settings

Assistant Manager - Claims

Experience & Salary

Skills Required

Work Mode

Job Type

Job Description

More Jobs at Rx Consultants