01Responsibilities
- 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 .
