12+ Years of Excellence | Multi-State Presence | Trusted Insurance Claims Partner
Phoenix Assurance Pvt. Ltd. is a leading third-party insurance claim verification & investigation agency, associated with leading General & Life Insurance companies across India for the last 12+ years.
We are hiring 20 Health Claim Adjudicators for a leading health insurance company.
?⚕️ POSITION:
Health Claim Adjudicator
? JOB LOCATION:
Thane – Head Office of the Insurance Company
? JOB TYPE:
Onsite / Work from Office
? The selected candidates will be based at the Thane HO of the leading health insurance company.
? SALARY: Depends Upon Interview and experience
? VACANCIES: 20
⚡ HIRING: Urgent
? EMPLOYMENT: On-roll with Phoenix Assurance Pvt. Ltd.
? QUALIFICATION:
- BHMS
- BAMS
- MBBS
? EXPERIENCE:
Minimum 1 year experience in:
- Health Claim Processing
- Health Claim Adjudication
- Health Claim Investigation
- Medical Claim Assessment
? KEY RESPONSIBILITIES:
- Accurate & errorless health claim adjudication
- Review medical records, bills, investigation reports & discharge summaries
- Assess diagnosis, treatment, hospitalization and medical documentation
- Identify discrepancies, inconsistencies and potential risk/fraud indicators
- Follow insurance company SOPs, guidelines and quality parameters
- Achieve daily productivity and quality targets assigned by the client
- Maintain defined TAT and high accuracy standards
? IDEAL CANDIDATE:
✔️ Solid medical knowledge
✔️ Good understanding of health insurance claims
✔️ Excellent analytical & document-review skills
✔️ High attention to detail
✔️ Comfortable working in a high-volume, target-oriented environment
- ? INTERESTED CANDIDATES CAN SHARE THEIR CV WHATSAPP POOJA HR - (phone hidden)