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Investigation Claims

3 months ago

Mumbai, Maharashtra, India TopGear Consultants Full time

Urgent Opening

Role:
Investigation Claims

Experience:3 to 8 Years

Location:
Mumbai (Goregaon)

Industry:
Insurance

Qualification:
BAMS, BHMS, BUMS, BDS, BPT

Role & Responsibility:

(Details of the roles & responsibility)

Investigation Management (Health/CI/PA Claims)

  • Required to assign, follow up, get the investigation completed as per requirement from the field investigators & share the findings with the claims team.
  • Required to visit to the hospital, for meeting the treating doctor/pathologist, for filing police complaint etc. if required.
  • To Maintain the investigation & investigator payment MIS with all the records of the investigated claims.

Skills & Competency specifications:

(Details of the skill required & competencies required to execute the job proficiently)

Skills required:

  • Experience of Health Claims adjudication and Health Claims Investigation.
  • Sound medical knowledge & able to identify gross medical discrepancies in the hospital records.
  • Ability to get the investigation done by the investigators/agencies as per the requirement.
  • Comfortable in intra-state, inter-state traveling for investigation purpose/filling complaints etc., if required

Role:
Other

  • Salary:
Not Disclosed by Recruiter

  • Industry:
Insurance

  • Functional Area
Other

  • Role Category
Other

  • Employment Type:
Full Time, Permanent

  • Key Skills
claim investigation

insurance

Investigation

claims process

Skills highlighted with '' are preferred keyskills

  • Education
  • UG:
BAMS in Any Specialization,BDS in Any Specialization,BHMS in Any Specialization

Company Profile

  • Topgear Consultants
**One of the Leading Insurnace Company