Claims Verification Officer

2 months ago


Remote, India FraudBusters Investigation & Forensic Agency Pvt. Ltd. Full time

Job description

Urgently scouting for smart, honest Field Investigation officers (80% field work) for Madhya Pradesh especially Indore, Bhopal, Jabalpur, Gwalior, Ujjain, Satna, Ratlam, surrounding areas & Bihar with experience in Health insurance, PA, life insurance claims investigations.

Should be able to produce integrity & experience certificates from the previous employers.

Company Description

The FraudBusters is a team of experienced investigators and security professionals based in New Delhi. We are committed to helping our clients and partners find the answers they need through our investigation services. We have expertise across various fields such as health claims investigations, personal accident investigations, and life insurance investigation. Our team is dedicated to providing our clients with the expertise they can’t find anywhere else.

Role Description

We are looking for a full-time Field Investigator to join our team. This is a hybrid role, located in New Delhi with some flexibility for remote work. The Field Investigator will be responsible for conducting investigations, gathering evidence, and preparing reports. The Field Investigator will also be responsible for interviewing witnesses, conducting surveillance, and analyzing data.

Job Profile
- 2-3 yrs experience is desirable in a related industry or any of the fields stated earlier.
- Freshers can also apply.
- Assessing a range of factual information including the background
- Checking details with policy holders, witnesses, and other professionals (e.g. Doctors/Hospitals/Clinics)
- Writing reports and collating information
- Protecting insurance companies from paying out to invalid claims
- Giving advice on claims
- Conducting investigations on various suspicious insurance claims, which may also include claims that are suspected to have originated from fraud, criminal activities, falsified or false documents, arson or unnecessary medical procedures
- Recording correct and accurate data and statements in reports
- Paying visits and investigating several circumstances
- Examining and reviewing photographs, documents, and statements
- Researching audio or video surveillance and carefully watching them for clues
- Giving feedback on all activities to the insurance organization for final determination
- Examining a range or series of factual information during investigations

Skills required
- Strong investigative and analytical skills
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team
- Ability to work under pressure and meet deadlines
- Proficiency in Microsoft Office Suite
- Knowledge of legal and regulatory requirements
- Knowledge of investigative techniques and procedures
- Knowledge of security protocols and procedures
- Relevant experience in the field of investigation
- Bachelor’s degree in a related field
- Initiative
- Good verbal and written communication skills in English & native language to liaise effectively with various job professionals, witnesses, the insurance organization, or claimants so as to conduct investigations
- Good numeracy and literally skills (remember, paperwork)
- Ability to adapt quickly to any situation
- Organized with good time management skills
- Able to deal with people in a compassionate manner (some will be in difficult circumstances)
- Negotiation skills
- Good decision maker, even under pressure
- Thorough knowledge of insurance law
- Good organizational and time management skills to work effectively even under pressure, and also to complete tasks within a given timeframe
- An enquiring mind and sound mathematical skills to efficiently carry out effective investigations, which may also include putting suspects on surveillance
- Several years of professional work experience in a related industry or any of the fields stated earlier
- Must have own vehicle.

Industry
- Insurance

**Job Types**: Part-time, Internship, Temporary, Freelance
Contract length: 12 months

Pay: ₹20,000.00 - ₹40,000.00 per month

Expected hours: 2 - 6 per week

**Benefits**:

- Commuter assistance
- Work from home

Schedule:

- Day shift
- Morning shift
- Weekend availability

**Experience**:

- total work: 1 year (preferred)

Work Location: Remote

**Speak with the employer**
+91 9416621679
Expected Start Date: 22/04/2024



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