We are seeking a motivated and experienced Mediclaim field investigator to join our team. In this role, you will be responsible for investigating insurance claims related to medical treatments and procedures to determine their legitimacy and accuracy. You will conduct interviews with the claimant and witnesses, review medical and financial records, analyze data, and collaborate with other professionals to build a case against fraudulent claims. The ideal candidate should have a background in insurance, law enforcement, or a related field, as well as excellent analytical and communication skills.

Responsibilities:

- Investigate insurance claims related to medical treatments and procedures
- Conduct interviews with the claimant and witnesses
- Review medical and financial records




- Analyze data and collaborate with other professionals to build a case against fraudulent claims
- Prepare detailed reports on investigation findings.

Requirements:

- Bachelor's degree in insurance, law enforcement, or a related field (Preference for nurses)
- At least 0-2 years of experience in a similar role
- Excellent analytical and communication skills
- Ability to work independently and as part of a team
- Attention to detail and the ability to think critically
- Knowledge of medical terminology and procedures
- Proficiency in using technology and software programs

Job Types: Part time, Freelance

Pay: ₹10,000.00 - ₹15,000.00 per month

Experience:

- total work: 1 year (Preferred)

Work Location: In person

📌 Health Claims Investigator (Field Staff) (India)
🏢 Ocean Group
📍 India