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Manager Health Claims Full Time NEW

Job Location: Noida

Designation: Manager Health Claims

Job Responsibilities:

  • 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

Preferred Qualification:

  • Educational Qualification must be BAMS (Bachelor of Ayurvedic Medicine & Surgery Science), BHMS (Bachelor of Homeopathic Medicine & Surgery), BDS (Bachelor of Dental Surgery)
  • Freshers with above qualification can also apply.
  • Candidate must be comfortable with rotational week-off on roster basis

Job Overview

  • ID: 6512
  • Date Posted:
  • Job Title: Manager Health Claims
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