Deputy Manager

4 weeks ago


Noida, India Tata AIG Full time

Please Note - We are looking B. Pharma for this profile.

JOB RESPONSIBILITIES

  • Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.
  • Identifying and addressing the fraudulent claims amongst the live cases.
  • Grievance redressal and handling escalations
  • 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.

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