Assistant Manager

5 - 10 years

6 - 7 Lacs

Posted:5 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role: Assistant Manager

Company:

Location:

Employment Type:

Experience:

CTC:

Role Summary:

Lead policy configurations and health insurance claims operations, including internal IR handling, CRM/account management tickets, and policy document rechecks ensuring accuracy, compliance, and timely closures.

Key Responsibilities:

  • Policy configuration as per insurer/client guidelines
  • Handle Internal IR and CRM/Account Management tickets within TAT
  • Recheck and validate policy documents; ensure accurate setup
  • Support end-to-end claims processing and quality reviews
  • Coordinate with stakeholders; maintain MIS and audit readiness

Eligibility:

  • Mandatory: Minimum 5 years TPA experience
  • Mandatory medical background: BDS, BPT, BAMS, BUMS, BHMS, Pharmacy, Nursing, Biochemistry, Microbiology, or any Allied Science degree (or equivalent medical knowledge)

Skills & Competencies

  • End-to-end health insurance claims knowledge (cashless/reimbursement)
  • Policy wording interpretation, benefit verification
  • Exposure to retail/private insurance (advantage)
  • Quality/TAT management, stakeholder management, escalation handling
  • Tools: MS Excel (VLOOKUP/XLOOKUP, Pivot), CRM/ticketing systems, TPA portals

Key Skills:

Assistant Manager, TPA, Health Insurance Claims, Policy Configuration, Policy Wordings, Internal IR, CRM Tickets, Account Management, Retail Insurance, Medical Terminology, ICD-10, CPT, MS Excel, Quality & TAT, Operations

How to Apply:

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Shortlisted candidates will be contacted for next steps.

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Medi Assist

Hospitals and Health Care

Bengaluru Karnataka

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