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Risk Management Professional

1 week ago

Noida, Uttar Pradesh, India HDFC ERGO General Insurance Full time
Job Description

At HDFC ERGO General Insurance, we are seeking a skilled Claims Manager to join our team. This role will be responsible for evaluating and approving cashless/claims, scrutinizing medical records, issuing letters for additional information, and consulting with HOD on major decisions.

Key Responsibilities:
  • Evaluate and approve cashless/claims in a timely and efficient manner.
  • Scrutinize medical records and ensure accurate coding.
  • Issue letters for additional medical information as required.
  • Consult with the Head of Department (HOD) on major decisions.
  • Provide assistance to the Medical Underwriting (MU) team and resolve grievances related to medical queries.
Requirements:
  • A degree in MBBS/BAMS/BUMS/BMHS/BDS.
  • A minimum of 2 years' experience in a similar field.
  • Experience in health insurance, insurance broker, or Third Party Administrator (TPA).
  • Good communication skills.
  • The ability to multitask and prioritize tasks effectively.