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Manager - Health Claims

Fresher   Noida, All India   05 Jan, 2026
Job LocationNoida, All India
EducationNot Mentioned
SalaryNot Disclosed
IndustryMedical / Healthcare
Functional AreaNot Mentioned
EmploymentTypeFull-time

Job Description

    As a Manager - Health Claims at Tata AIG General Insurance Company Limited, your role will involve:- Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.- Understanding the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection.- Processing claims as per regulatory guidelines.- Adhering to the TATs in processing.- Conducting quality review of processed files.- Handling grievance redressal, escalations, and identifying fraudulent claims.Qualifications Required:- Candidates with BAMS and BHMS qualifications will only be considered.- Clinical experience would also be considered along with TPA & Insurance knowledge.- FRESHERS ARE ALSO ELIGIBLE TO APPLY.Please note that this is a work from office role on a roster basis. Candidates who have been interviewed in the last 6 months are not eligible to apply.If you are excited about contributing to a team dedicated to innovation and excellence, please submit your resume for consideration. Tata AIG is an equal opportunity employer, welcoming candidates from all backgrounds to apply for this role. As a Manager - Health Claims at Tata AIG General Insurance Company Limited, your role will involve:- Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.- Understanding the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection.- Processing claims as per regulatory guidelines.- Adhering to the TATs in processing.- Conducting quality review of processed files.- Handling grievance redressal, escalations, and identifying fraudulent claims.Qualifications Required:- Candidates with BAMS and BHMS qualifications will only be considered.- Clinical experience would also be considered along with TPA & Insurance knowledge.- FRESHERS ARE ALSO ELIGIBLE TO APPLY.Please note that this is a work from office role on a roster basis. Candidates who have been interviewed in the last 6 months are not eligible to apply.If you are excited about contributing to a team dedicated to innovation and excellence, please submit your resume for consideration. Tata AIG is an equal opportunity employer, welcoming candidates from all backgrounds to apply for this role.

Keyskills :
AdjudicationRegulatory GuidelinesTPAInsuranceMedical KnowledgePolicy WordingsQuality ReviewGrievance Redressal

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