Review and analyze insurance claim files received from multiple insurance companies.

* Verify patient documents, medical records, hospital records, bills, prescriptions, diagnostic reports, and other supporting documents.

* Identify discrepancies, missing information, or suspicious elements in claim documents.

* Assign investigation cases to field investigators based on case requirements.

* Coordinate with investigators and monitor case progress.

* Review investigation reports and supporting evidence submitted by investigators.

* Prepare case analysis and ensure all required documents are complete and accurate.

* Upload verified documents, investigation reports, and final findings on the respective insurance portals within timelines.

* Maintain accurate records and ensure confidentiality of customer and claim information.

* Follow company SOPs and insurance guidelines while processing claims.

* Positive communication and coordination skills.

* Proficiency in MS Office

📌 Back-end Executive (New Delhi)
🏢 Claimeye Health & Services Private
📍 New Delhi