Medical Claims Specialist

14 hours ago


Industrial Area, India TATA AIG General Insurance Company Limited Full time

Medicos Only - BAMS and BHMS - FRESHERS CAN ALSO APPLY

Tata AIG General Insurance Company Limited is a joint venture between Tata Group and American International Group (AIG). Since its set-up in 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 AIG’s broad portfolio of protection covers are backed by years of professional expertise in product offerings, exceptional service capabilities and seamless claims process management.

We are currently seeking passionate individuals who are eager to make a meaningful impact in the world of insurance. If you’re looking for a rewarding career that combines cutting-edge technology, customer-centric solutions, and a commitment to excellence, you have come to the right place. Explore our exciting opportunity below and be part of an organization that is shaping the future of insurance.


Job Title: Manager - Health Claims


Location: Noida


Job Description:


In this role at Tata AIG, you will:


- 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.


This is work from office role on roster basis

- Candidates who have been interviewed in last 6 months are not eligible

- Candidates with mentioned Qualification will only be considered

- Clinical experience would also be considered along with TPA & Insurance

- FRESHERS ARE ALSO ELIGIBLE TO APPLY


How to Apply:


If you are excited to be part of a team dedicated to innovation and excellence, please submit your resume by applying to this job. We look forward to reviewing your application and welcoming you to Tata AIG, where your skills and ambitions can thrive.


Tata AIG is an equal opportunity employer, and we encourage candidates from all backgrounds to apply for this role.


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