Assistant Manager- Claims (Assessor Role) - Thane HO Jobs in Thane at Tata AIA Life

Last Updated: Jul 22, 2021 05:10 IST


Company Name
Tata AIA Life
Job title
Assistant Manager- Claims (Assessor Role) - Thane HO
5-10 Years

Job Profile

Role description

Level / Band : Asst. Manager
Role Summary:
  • Responsible for end to end case management of all claims - Death and Health claims.
  • Responsible for all customer communication.
  • Responsible for data management for all reports.
  • Responsible for claims related complaints and walk in customers.
  • Responsible for any system enhancements.

  • Reports to Direct : Manager / AVP - Claims
    Geographic Area Covered : PAN -India
    Stakeholders Internal : Underwriting team, Zonal Team, IT, POS, CS, Legal & Compliance
    External : External legal consultant, legal counsel, investigators, Claimants, Customers, TPAs, Hospitals
    Key Result Areas
    Assessment of Claims
    Responsible for accurate claim assessment and speedy claim decisions within the stipulated IRDA guidelines.
    Ensuring quality decision within the agreed SLAs.
    Liaise with zone team and investigators
    Verifying all documents received
    Updating information in the Claims System
    Provide medical assessment support / opinions to other team members
    Cashless claims liaising with TPA
    Quality checks to be done
    Skills Required Technical
    Claims Processing.
    Sound knowledge of product contracts.
    Knowledge of medical terminologies.
    Legal Updates.
    Industry practice.
    Regulatory guidelines.
    Presentation skills.
    Communication skill

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    Key skills
    Role description Level / Band : Asst. Manager Role Summary: 1. Responsible for end to end case management of all claims - Death and Health claims. 2. Responsible for all customer communication. 3. Responsible for data management for all rep
    Last Date

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