Manager - Health Claims

As a Manager - Health Claims at Tata AIG General Insurance Company Limited, your role will involve: - Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. - Understanding the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. - Processing claims as per regulatory guidelines. - Adhering to the TATs in processing. - Conducting quality review of processed files. - Handling grievance redressal, escalations, and identifying fraudulent claims. Qualifications Required: - Candidates with BAMS and BHMS qualifications will only be considered. - Clinical experience would also be considered along with TPA & Insurance knowledge. - FRESHERS ARE ALSO ELIGIBLE TO APPLY. Please note that this is a work from office role on a roster basis. Candidates who have been interviewed in the last 6 months are not eligible to apply. If you are excited about contributing to a team dedicated to innovation and excellence, please submit your resume for consideration. Tata AIG is an equal opportunity employer, welcoming candidates from all backgrounds to apply for this role. As a Manager - Health Claims at Tata AIG General Insurance Company Limited, your role will involve: - Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. - Understanding the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. - Processing claims as per regulatory guidelines. - Adhering to the TATs in processing. - Conducting quality review of processed files. - Handling grievance redressal, escalations, and identifying fraudulent claims. Qualifications Required: - Candidates with BAMS and BHMS qualifications will only be considered. - Clinical experience would also be considered along with TPA & Insurance knowledge. - FRESHERS ARE ALSO ELIGIBLE TO APPLY. Please note that this is a work from office role on a roster basis. Candidates who have been interviewed in the last 6 months are not eligible to apply. If you are excited about contributing to a team dedicated to innovation and excellence, please submit your resume for consideration. Tata AIG is an equal opportunity employer, welcoming candidates from all backgrounds to apply for this role.