Health claim Adjudicator (Thane)

Health claim Adjudicator (Thane)

04 Oct
|
Phoenix Assurance
|
Thane

04 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 n y.

? VACANCIES:

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

? **SALARY

:Depends on experience and interview performanc e

**

? **QUALIFICATION

:**• B

HMS• B

AMS• M

B

BS

? **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 e nt

? **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 r ds

? **IDEAL CANDIDATE

:**✔️ Solid 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 i ronment

⏰ **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 Birla Health Ins u rance**.

? **TRAINING

PERIOD:****7 working days –

Unpaid**

? **INTERESTED CAND

IDATES:**Share your updated CV on

WhatsApp:? **635

8

867436**

? **URGENT REQUIREMENT – APP

L Y 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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