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Senior Manager – Health Management Team at ICICI Lombard — Mumbai

Experience1–2 yrs
SalaryNot disclosed
Work modeonsite
Posted24 Sept 2026

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About ICICI Lombard

ICICI Lombard is hiring in Mumbai in insurance. This role looks for around 1+ years of experience.

Skills

health insurance policies
medical terminology
medical review
tariff adjudication
cashless approvals

The role

A health insurance claims manager at an insurance company evaluates medical claims, applies health insurance policies and medical terminology, and adjudicates cashless approvals using medical review and tariff adjudication. The role coordinates claim resolution with network hospitals and internal stakeholders.

Full job description

We have exciting opportunities for the role of Senior Manager – Health Management TeamLocation: Mumbai

Interested candidate can share resume sayyeda.nurani@icicilombard.com with Senior Manager – Health Management Team subject line and share below details.

Current SalaryExpectationNotice PeriodEducation (Full Time / part Time

Key Responsibilities:Claims Assessment: Evaluate and process health insurance claims in accordance with policy terms and conditions.Medical Review: Identify and flag potential cases of medical abuse or discrepancies in treatment protocols.Admissibility Decision: Determine claim eligibility based on thorough review of medical documentation and policy guidelines.Tariff Adjudication: Review and authorize cashless approvals, ensuring alignment with applicable tariffs and negotiated rates.Stakeholder Coordination: Liaise effectively with internal teams, network hospitals, and other external stakeholders to ensure smooth claim processing and resolution.

Qualifications & Skills:MBBS/BAMS/BHMS or equivalent medical qualification (preferred).Strong understanding of health insurance policies and medical terminology.Analytical mind-set with attention to detail.Excellent communication and decision-making skills.Ability to work collaboratively in a fast-paced environment.Flexible to work in rotational shiftsExperience Required: 1-2 years in Health Insurance Claims/Underwriting/Investigation etc.

Regards,Saba Naik