Case Management TM/AM / DM / Manager-Health Insurance Company of INDIA Career Shaper

2.0 - 7.0 years

5 - 10 Lacs

thane, mumbai (all areas)

Work from Office

About the Role We are looking for experienced and detail-oriented professionals to join our Claims Case Management Team . The role involves reviewing and analyzing health insurance claims, ensuring accuracy, compliance, and cost-effectiveness while maintaining a strong customer-centric approach . You will collaborate closely with hospitals, TPAs, and internal teams to identify irregularities, prevent financial losses, and uphold the integrity of the claims process . Key Responsibilities 1. Claim Review & Analysis Assess claims for admissibility, medical necessity, and identify irregularities or overbilling. Conduct root-cause analysis using claims data, treatment records, and clinical guidel...

Posted 3 weeks ago

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Mjpjay Executive Dharmaveer Anand Dighe Heart Care & Uro Care Centre - Unit of Platinum Hospital Pvt Ltd

1.0 - 3.0 years

1 - 2 Lacs

thane, kalwa

Work from Office

Manage MJPJAY desk operations, handle approvals, documentation, and claims, counsel patients on benefits, liaise with TPA/insurance, generate reports, and ensure smooth hospital workflow under scheme guidelines.

Posted 1 month ago

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