1 Policy Wordings Jobs

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0.0 - 4.0 years

0 Lacs

noida, uttar pradesh

On-site

Role Overview: You will be responsible for applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. It is essential to understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Additionally, you will be processing claims as per regulatory guidelines, adhering to the TATs in processing, conducting quality reviews of processed files, handling grievance redressal and escalations, and identifying fraudulent claims. This is a work-from-office role on a roster basis. Key Responsibilities: - Apply medical knowledge in evaluating medical claim files - Understand policy wordings including Terms & conditions -...

Posted 5 days ago

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