12+ Years of Excellence | Multi-State Presence | Trusted Insurance Claims Partner
Phoenix Assurance Pvt. Ltd., a leading third-party insurance claim verification & investigation agency associated with top General & Life Insurance companies across India for over 12 years, is hiring 20 Health Claim Adjudicators for a leading health insurance company.
?⚕️ Position: Health Claim Adjudicator
? Location: Thane – Head Office of the Insurance Company
? Job Type: Onsite / Work from Office
? Salary: Based on interview & experience
? Experience:
Minimum 1 year 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 & medical documentation
✔️ Identify discrepancies, inconsistencies & potential fraud indicators
✔️ Follow insurer SOPs, guidelines & quality parameters
✔️ Achieve daily productivity & quality targets
✔️ Maintain defined TAT & high accuracy standards
? Ideal Candidate:
✔️ Strong medical knowledge
✔️ Good understanding of health insurance claims
✔️ Excellent analytical & document-review skills
✔️ High attention to detail
✔️ Comfortable in a high-volume, target-oriented setting