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Tata AIG General Insurance Company
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Doctor For Claims Health Processing

Doctor For Claims Health Processing

Tata AIG General Insurance Company

2 - 7 years

2 - 5 Lacs

Ameerpet

Posted:2 months ago| Platform:

Apply

Skills Required

Claims Processing Mediclaim Insurance Claims Claims Management TPA Medical Insurance Doctor Activities Claims Health Claim Investigation Claim Settlement Health Insurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM 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. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hospital and medical procedures Understanding of Treatment Protocol Understanding of Diagnostic Protocol Ready to work from Office, No Work from Home, open on rotational shifts/ rotational week offs Office Address: Tata AIG GIC Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad, Telangana (State)

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Doctor For Claims Health Processing