Manager Health Claims

Key Skills

Claims Adjudication Claims Specialist Health Claims

Job Description

Medical Adjudication of Health Claims

Processing of settlement claim based on the singed rate list and policy T&CIdentifying the Frauds

Problem solving and seeking resolution to prevent escalations

Ensuring efficient and timely progress of all cases in the division

Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions

Supporting CRM, Provider, sales and grievance teams

Qualification either MBBS, BAMS, BHMS is required for this role

This is work from office role

Freshers may also apply

Experience : 0 - 6 Years

No. of Openings : 8

Education : BAMS, BHM, MBBS

Role : Health Claim Manager

Industry Type : Hospitals / Medical / Healthcare Equipments

Gender : [ Male / Female ]

Job Country : India

About Tata Aig General Insurance

Tata AIG General Insurance Company Limited is a joint venture company between Tata Group and American International Group (AIG). Tata AIG General Insurance Company Limited celebrates 23 years of service as on 2023, since it commenced operations in India on January 22, 2001. The Company has grown strongly to emerge as the preferred private general insurance company in India with several pioneering firsts to its credit. Driven by a mission to create better tomorrows for Customers by delivering trustworthy and innovative risk solutions, Tata AIGs broad portfolio of protection covers are backed by years of professional expertise in product offerings, exceptional service capabilities and seamless claims process management. The Company offers a wide range of general insurance covers for businesses and individuals including a comprehensive range of general insurance products for Liability, Marine Cargo, Personal Accident, Travel, Rural-Agriculture Insurance, Extended Warranty etc. As on March 31, 2023, Tata AIG General Insurance Company Limited recorded its Gross Written Premium (GWP) at 13,448 Crores. With 213 offices spread across the country, Tata AIG General Insurance Company Limited has a robust multi-channel distribution network of 76,000 plus licensed agents including POSP, 550+ licensed brokers and bancassurance partners; a workforce of 8,200+ employees, including 750+ full time claim experts, spread over 150 locations, tie-ups with 6500+ workshops and 8100+ network hospitals and worldwide network of claim servicing partners and a dedicated customer service & operations team, consistently delivering superior service experiences, powered by the latest innovations in technology.
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