? 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 Adjudicator
? JOB LOCATION: 7th Floor, G Corp Tech Park, Ghodbunder Rd, Bhawani Nagar, Kasarvadavali, Thane West, Thane, Maharashtra 400615
? JOB TYPE: Work From Office
Selected candidates will be based at the Thane Head Office of the leading health insurance company.
? SALARY: 30k to 50 k per month (Depends on experience and interview performance)
? QUALIFICATION: BHMS/ BAMS/ MBBS
? EXPERIENCE:
Minimum 1 year of experience in any of the following:
* Health Claim Processing
* Health Claim Adjudication
* Health Claim Investigation
* Medical Claim Assessment
? KEY RESPONSIBILITIES:
* Accurate and error-free 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 assigned productivity and quality targets
* Maintain defined TAT and high accuracy standards
? IDEAL CANDIDATE:
✔️ Robust medical knowledge
✔️ Good understanding of health insurance claims
✔️ Excellent analytical and document-review skills
✔️ High attention to detail
✔️ Comfortable working in a high-volume, target-oriented environment
⏰ WORKING HOURS:
Rotational Shifts – 7:00 AM to 12:00 AM ➡️ Any assigned shift will be 9 hours
? NIGHT SHIFT BENEFIT:
WFH may be provided for specific night