Health claim Adjudicator (Thane)

Health claim Adjudicator (Thane)

01 Oct
|
Phoenix Assurance
|
Thane

01 Oct

Phoenix Assurance

Thane

? URGENT HIRING | 30 POSITIONS ?

? PHOENIX ASSURANCE PVT. LTD.
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 30 Health Claim Adjudicators for a leading health insurance company.

?‍⚕️ POSITION
:Health Claim Adjudicato

r
? JOB LOCATION
:Thane – Head Office of the Insurance Compan

y
? JOB TYPE
:Onsite / Work From Offic
eSelected candidates will be based at the Thane Head Office of the leading health insurance compa

ny.
? VACANCIES:
30⚡ HIRING: Urg
ent? EMPLOYMENT: On-roll with Phoenix Assurance Pvt. L

td.
? SALARY
:Depends on experience and interview performanc

e
? QUALIFICATION
:• B
HMS• B
AMS• M

BBS
? EXPERIENCE
:Minimum 1 year of experience in any of the followi
ng:• Health Claim Process
ing• Health Claim Adjudicat
ion• Health Claim Investigat
ion• Medical Claim Assessm

ent
? KEY RESPONSIBILITIES




:• Accurate and error-free health claim adjudicat
ion• Review medical records, bills, investigation reports & discharge summar
ies• Assess diagnosis, treatment, hospitalization and medical documentat
ion• Identify discrepancies, inconsistencies and potential risk/fraud indicat
ors• Follow insurance company SOPs, guidelines and quality paramet
ers• Achieve assigned productivity and quality targ
ets• Maintain defined TAT and high accuracy standa

rds
? IDEAL CANDIDATE
:✔️ Strong medical knowl
edge✔️ Valuable understanding of health insurance c
laims✔️ Excellent analytical and document-review
skills✔️ High attention to
detail✔️ Comfortable working in a high-volume, target-oriented env

ironment
⏰ WORKING
HOURS:Rotational Shifts – 7:00 AM to 12
:00 AM➡️ Any assigned shift will be

9 hours
? NIGHT SHIFT B
ENEFIT:WFH may be provided for specific night shifts, subject to approval/permission from the Reporting Manager of Aditya

📌 Health claim Adjudicator (Thane)
🏢 Phoenix Assurance
📍 Thane

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