<ul><li>Medical Adjudication of Health Claims.</li><li>Processing of settlement claim based on the singed rate list and policy T&amp;C Identifying the Frauds.</li><li>Problem solving and seeking resolution to prevent escalations.</li><li>Ensuring efficient and timely progress of all cases in the division.</li><li>Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions.</li><li>Supporting CRM, Provider, sales and grievance teams.</li><li>Qualification either MBBS, BAMS, BHMS is required for this role.</li><li>This is work from office role.</li><li>Freshers may also apply.</li></ul>

Health Claims Manager