Role Summary:

The Field Claim Investigator is responsible for conducting in office investigations of insurance claims to verify claim authenticity, gather evidence, interview relevant parties, and prepare detailed investigation reports to support fair and timely claim decisions.

Key Responsibilities:

- Conduct field investigations for insurance claims.
- Visit hospitals, clinics, insured members, and other relevant locations to verify claim details.
- Collect and validate medical records, documents, and supporting evidence.
- Interview claimants, healthcare providers, employers, and witnesses as required.
- Prepare accurate and timely investigation reports with findings and recommendations.
- Ensure compliance with company policies, regulatory requirements, and investigation standards.
- Coordinate with the claims team to resolve investigation-related queries.

Preferred Candidate Profile:





- Educational Qualification: BHMS, BAMS, BPT, B.Pharm, or B.Sc. (Forensic Science).
- Relevant experience in insurance claims investigation, medical investigation, or healthcare.
- Strong communication, logical thinking, reasoning, probing, analytical, and report-writing skills.
- Willingness to travel extensively (approximately 70 km per day).
- Must own a two-wheeler/four-wheeler with a valid driving license.
- Basic knowledge of MS Office and smartphone applications.

Key Requirements:

- Medical background is mandatory.
- Own vehicle is mandatory.
- Ability to work independently and meet investigation timelines.
- High level of integrity, confidentiality, and attention to detail.

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📌 Claim Investigator - Field Work (Hyderabad)
🏢 bwise solutions
📍 Hyderabad