Cluster Manager-ILM- Health Investigations

Bajaj Allianz General Insurance


Date: 13 hours ago
City: Lucknow, Uttar Pradesh
Contract type: Full time
Desktop Investigation

  • Trigger identification through data at intimation/Referral stage
  • Social media searches
  • Cold calling using digital platforms
  • Identify key business people, link analysis

Claim Investigation

  • Allocation of assigned claims to respective vendors with case relevant triggers
  • Follow up for IR and TAT management
  • Level 1 QC clearance & validate the submissions against shared triggers
  • Success in claim investigation based upon strong medical & legal evidences
  • Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law
  • Report submission and coordination with claims team.

Evidence Matrix Assurance

  • Ascertain evidence quality as per matrix
  • Validate each & every evidence with the case triggers
  • DMS of hardcopy maintenance

Escalation Management

  • Document Complaince through Field Investigation of HVC
  • Further Requirement Complaince
  • OFR and CFR with Stake holders

Data Management

  • MIS preparation and report reconciliation
  • Payment reconciliation with Vendors
  • Project tracking

Vendor Management

  • Vendor Empanelment & Training & Development
  • Ensure the ethics and compliance during managing the external investigators and self- investigation of cases
  • Vendor Payment Reconciliation

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

Javascript Developer - Remote Work

BairesDev, Lucknow, Uttar Pradesh
2 weeks ago
At BairesDev, we've been leading the way in technology projects for over 15 years. We deliver cutting-edge solutions to giants like Google and the most innovative startups in Silicon Valley.Our diverse 4,000+ team, composed of the world's Top 1% of tech talent, works remotely on roles that drive significant impact worldwide.When you apply for this position, you're taking the first...

Hotel Management (Service) Internship in Bangalore, Hyderabad, Jaipur, Ahmedabad, Amravati, Vadodara, Lucknow, Patna, Pune, Ranchi

Office Stag Solutions Private Limited, Lucknow, Uttar Pradesh
4 weeks ago
We are looking for energetic, enthusiastic, and career-oriented individuals for a hotel management internship opportunity. This is an excellent chance to gain hands-on experience in hotel operations while working with a leading hospitality organization. Food and accommodation will be provided.Selected Intern's Day-to-day Responsibilities Include Assist senior staff in daily hotel operations. Support hotel managers and department heads across various departments....

District Sales Officer ( DSO )

Gramik, Lucknow, Uttar Pradesh
4 weeks ago
Job Title: District Sales Officer (Agri-Inputs)Department: Peer PartnersLocation: KanpurJob SummaryThe District Sales Officer (DSO) role in Gramik is responsible for driving sales, developing dealer/distributor networks, and promoting agri-input products (e.g., seeds, fertilizers, pesticides) in the assigned district. The DSO will play a key role in market penetration, farmer engagement, and ensuring revenue targets are met.Key Responsibilities Sales and Revenue GenerationAchieve...