Asst manager / Manager Health Claims

Role Purpose To manage end to end health insurance claims (cashless & reimbursement), ensuring timely settlement, fraud control, compliance, and superior customer experience. Key Responsibilities 1. Claims Processing Handle cashless and reimbursement claims as per policy terms and IRDAI guidelines · Verify coverage, eligibility, exclusions, and sub limits · Assess claim admissibility and compute payable amount · Ensure TAT adherence for claim processing 2. Cashless Claims Management · Coordinat…