Role & responsibilities

- Responsible to Investigate Cashless/Spot and Reimbursement Claims in field.

- Cashless & Spot cases need to be investigated within 24 hours from the allocation date.

- Reimbursement cases need to be investigated within 15 days from the allocation date.

- Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases.

- Need to check Previous claims documents also before doing the investigation

- Adhere to agreed TAT and accuracy

- Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback.

- Cases reports to be Prepared with Quality.

- Maintain Daily Sheet of all the Investigation Cases

- Coordination with within different function

- Ability to work in highly competitive & demanding workplace

Preferred candidate profile

- 1-2 Years Experience in Field Investigation

- Fresher can also be consider with Medical Knowledge but willing to work in field.

- Knowledge of Insurance Industry

- Knowledge in Computer & MS Office

- Excellent Interpersonal and team working skills

📌 Assistant Manager- Field Investigation (Kochi)
🏢 Niva Bupa
📍 Kochi