Company Description Phoenix Assurance Pvt Ltd is a specialized solution and service provider in the insurance industry, committed to high quality, reliability, and integrity. Established in July 2014, the company focuses on investigation of insurance claims such as Health, Personal Accident, and Workers’

Compensation across multiple states in India.

Phoenix

Assurance also manages investigations and audits for government health policies like PMJAY and provides manpower for government crop insurance schemes such as PMFBY. With a presence in over nine states, more than 1 lakh indemnity claim investigations and 17 lakh PMJAY investigations completed, the company serves over 20 clients, including insurance companies and TPAs. A team of 600+ employees and multiple industry awards reflect its strong reputation and growth in risk management and insurance services.

Role Description This is a full time, on-site BHMS/BAMS role based in Ahmedabad. The professional in this role will review and analyze medical documents and treatment histories related to insurance claims, ensuring accuracy, compliance, and adherence to policy guidelines. Daily tasks include conducting field visits or hospital inspections when required, verifying clinical details with healthcare providers, and preparing clear, evidence-based reports for claim assessment.





The role involves collaborating with internal teams and external stakeholders to clarify medical information, supporting fraud detection, and contributing to fair and timely claim settlement. The BHMS/BAMS professional will also assist in maintaining documentation standards and sharing medical insights that improve risk management processes.

Qualifications

- Recognized BHMS or BAMS degree from an accredited institution, with valid registration as per applicable regulatory bodies.
- Strong ability to interpret medical records, diagnoses, and treatment plans, preferably with exposure to health insurance or medical audits.
- Attention to detail and analytical skills for assessing claim documents, identifying discrepancies, and supporting evidence-based decisions.
- Effective communication skills for interacting with hospitals, clinics, policyholders, insurance company teams, and other stakeholders.
- Willingness to work on-site in Ahmedabad, with readiness for local field visits or hospital inspections as required.
- Basic computer proficiency, including document preparation, data entry, and use of standard office and reporting tools.
- Ability to work in a structured, process-driven environment and to meet timelines in a high-volume claims setting.
- Prior experience in claim investigation, medical underwriting, or healthcare administration is an advantage but not mandatory.

📌 BHMS/BAMS (Kerala)
🏢 Phoenix Assurance
📍 Kerala