Corporate Healthcare Jobs at Aditya Birla
Are you a medical professional looking to transition into a corporate healthcare role? Aditya Birla Health Insurance offers an exciting opportunity for those eager to apply their medical expertise in a dynamic business environment. The Corporate Healthcare Jobs in Maharashtra focus on case management within the claims operations team. Candidates will have the chance to collaborate with healthcare providers and internal teams to ensure optimal outcomes for clients.
About Aditya Birla:
Aditya Birla Group is a leading multinational conglomerate operating in various sectors, including financial services and healthcare. The organisation is renowned for its commitment to quality and innovation, particularly through Aditya Birla Health Insurance, which focuses on providing comprehensive healthcare solutions. With a strong presence in India, the company aims to enhance healthcare accessibility and quality for its clients.
Job Details:
- Job Title: Team Member – Case Management
- Reference Number: ABG101551
- Location: Thane, Maharashtra
- End Date: 09 September 2026
- Number of Positions: 1
- Grade: 11
- Level: Assistant Manager
- Business Unit: Claims, Aditya Birla Health Insurance
- Industry: Financial Services
- Function: Services Operations
Job Description:
The role of Team Member in Case Management at Aditya Birla involves coordinating quality healthcare services tailored to clients’ specific needs. This position is integral to the claims operations team, focusing on reviewing and analysing claims, ensuring compliance with policies, and preventing financial losses. The ideal candidate will work collaboratively with internal teams and external healthcare providers to promote optimal outcomes for customers.
Key Responsibilities:
- Claim Review: Review claims for admissibility, identify irregularities, and conduct root-cause analyses.
- Cost Management: Ensure medical necessity and admissibility while minimising claim disputes.
- Communication and Collaboration: Liaise with hospitals and internal stakeholders to resolve disputes in real time.
- Documentation and Reporting: Maintain records of case progress and prepare reports on findings.
- Patient Advocacy: Educate stakeholders on ethical practices and stay updated on healthcare regulations.
Eligibility Criteria for the Corporate Healthcare Jobs:
- Bachelor’s degree in Medicine (MBBS/BAMS/BHMS), MBA in Healthcare Management, or related field.
- Minimum 1-4 years of experience in hospitals, TPA departments, health insurance, or claim processing.
Required Skills for the Corporate Healthcare Jobs:
- Strong clinical knowledge and analytical abilities.
- Excellent communication skills for negotiations and collaboration.
- Proficiency in MS Excel and analytics tools.
- Customer-first approach and attention to detail.
Work Environment: Office-based, 5 working days a week.
