Manager - Health Claims (Fresher)

Medicos Only - BAMS and BHMS - FRESHERS CAN ALSO APPLYTata 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...

Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters,...

DescriptionResponsible to reprice the non-par claims as per the Fee schedule and payment methodology.Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language.Use Microsoft Office products to generate...

Job Description:Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people...

In this Role you will be Responsible For:Review and process insurance claims.Validate Member, Provider and other Claims information.Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.Coordination of Claim Benefits based on the Policy & Procedure.Maintain productivity goals, quality standards and aging...

Role Summary Closing Ratio/Meeting all KPI of team member& SelfNegotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3%Re-open ratio/Segmentation of vehiclesSeparating the Claims according to Vehicles Conducting Team Meeting with internal...

Role Summary Closing Ratio/Meeting all KPI of team member& SelfNegotiate with dealersLarge Value Claims handlingAvoid cost wastage WorkshopsRegular training of claims policiesFaster settlementsSettlement Ratio-97%Investment Ratio-3% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims &...

Job Description:OEM development like new IT integration while on-boarding.Regular IT related meetings with OEMs and brokers.Fixing of Production issues new and old.Coordination with brokers for customer complaints.Sharing of Weekly & Monthly MIS with brokers/ OEMsFixing of OEM dealers issues related to claims registration/approvals and payments.Fixing of...

Job SummaryJoin our team as a PE-Ins Claims specialist Data resource where you will play a crucial role in managing insurance claims processes. With a focus on customer service and IT domain expertise you will ensure efficient claims handling and contribute to enhancing customer satisfaction. This hybrid role offers rotational shifts providing flexibility...

Basic Function   Role primarily involves dealing with different activities within the motor claims area including handling inbound and outbound calls, managing hires, taking action on incoming post/documents/spreadsheets, and making payments to progress claims. All claims are to be completed based on the laid out procedures and guidelines in the...