2. Senior Health Claim Adjudicator
- Openings: 5
- Experience: 2–3 years
- Locations: Delhi, Bangalore, Mumbai, Hyderabad and Pune
Key Responsibilities:
- Review and assess health insurance claims.
- Examine medical records, hospital bills and discharge summaries.
- Verify medical necessity and treatment details.
- Identify discrepancies and potential fraud indicators.
- Conduct claim audits and quality assessments.
- Ensure accuracy, productivity and TAT benchmarks.
Job Details:
- Employment Type: Full time
- Work Mode: Work from Office
- Shifts: Rotational 9-hour shifts between 7:00 AM and 12:00 AM.