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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 .