Health claim Adjudicator (Thane)

Health claim Adjudicator (Thane)

02 Oct
|
Phoenix Assurance
|
Thane

02 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

:✔️ Robust medical knowl edge✔️ Good 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

9hours

? NIGHT SHIFT B

ENEFIT:*WFH may be provided for specific night shifts, subject to approval/permission from the Reporting Manager of Aditya Birla Health Ins urance.

? TRAINING

PERIOD:*7 working days –

Unpaid

? INTERESTED CAND

IDATES:Share your updated CV on

WhatsApp:? 635

8867436

? URGENT REQUIREMENT – APP

LY NOW!

Phoenix Assurance Pv t. Ltd.Trusted by the Insurance Industry for 1

2+ Years

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

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