Claims Investigator

**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)** 1. Required to assign, follow up, get the investigation...

Greetings from Tresbien HR! Hiring! Urgently required Doctors -Health Claims Investigator. TPA Co - Health Insurance. Exp - 3 Years + Location - Vidyavihar, Mumbai (1 Minute walking from station) Qualification - MBBS, BAMS, BHMS, BDS Note - "TPA Doctors only apply" Job Profile - Ø Responsibility of Pan India Investigation Operations & controlling &...

Required Experience: - Experience 1- 3 years - Excellent communication skills - Should be flexible to work in rotational shifts - Proficient in computer usage and Basic knowledge on MS Office Job Role: - Execute claims processing for U.S Healthcare - Investigated high volume of insurance claims to determine validity, coverage eligibility and accurate...

**Responsibilities**: - Handle high-volume claim processing, including document review, data entry, and investigation of Non Life / General Insurance Claims. - Research, analyze, and resolve claims and process payments in accordance with policy - Research and validate benefits, address discrepancies, and resolve customer complaints - Perform ongoing audit...

_Roles & Responsibilities:_ - Checking Evidences obtained during physical investigation by investigator - Check case with policy T&C & as per investigation findings. - Prepare investigation report in detail. - Hospital experience as RMO is required. - Verify in claim treatment given to patient is Genuine \ Not. **Location**: Hyderabad, Bihar(Patna), Delhi...

_Roles & Responsibilities:_ - Checking Evidences obtained during physical investigation by investigator - Check case with policy T&C & as per investigation findings. - Prepare investigation report in detail. - Hospital experience as RMO is required. - Verify in claim treatment given to patient is Genuine \ Not. **Location**: **Work Experience**: - Medical,...

Roles and Responsibilities: - 1) facilitate insurance claims. 2) Handle high-volume claim processing, including document review, data entry, and investigation. 3) Research, analyze, and resolve claims and process payments follow-ups. 4) Provide superior customer service to internal and external customers via phone, 5) Research and validate benefits,...

Dear All, Urgently hiring for a leading insurance company in Mumbai. Location : Mumbai. Role : Claims Assessor. Key Accountability - Managing Claims and to have strong eye on risk i.e. claims adjudication of Death/ Credit llife claims - To drive closure from team i.e. claim assessment of cases within TAT - Liaising with stakeholders and partners (MPH) -...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

Conduct thorough reviews of claims to identify and rectify any discrepancies or errors. - Implement quality assurance measures to enhance the accuracy and efficiency of the claims process. - Accurately enter billing information for claim files into the system. - Ensure that all necessary documentation is recorded and maintained for auditing purposes. -...

**Urgent Opening for Team Leader - Blended Process ** Location: Malad & Thane **Salary: Up-to 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince **Claims Team Leader** **Role Description**: **- **Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. **Core Role...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

Roles & Responsibilities:_ - Checking Evidences obtained during physical investigation by investigator - Check case with policy T&c & as per investigation findings. - Prepare investigation report in detail. - Medical knowledge should be strong with at least 1-2 yr. - Hospital experience as RMO is required. - Verify in claim treatment given to patient is...

TITLE: Claim Coordination & Data Quality BUSINESS: Customer Service Location: Thane, India DIRECT REPORTING: Manager Cust service After Market SSC DIRECT REPORTS: None MATRIX REPORTS: None **POSITION DETAILS** **_ Position Summary_** Handling of non-technical Claims related to commercial topics, picking, packing and transportation defects. In this...

Job Responsibilities: Investigate the Insurance Claims for Genuineness, as assigned. Collect Insured Statement and records from the concerned hospitals. Does proper vicinity check and collect evidences of fraud. Meet all stake holders in the claim to collect and verify documents. Do other jobs in the field as suggested by the Team Manager. Has knwloedge...

**Role Description**: - Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. - Calling patient & hospital for verification **Core Role Responsibilities**: - Ensure timely and accurate processing of claims in compliance with industry standards and company policies - Maintaining high levels of confidentiality while...

**Hiring Path**: - Open to the public **Who May Apply/Clarification From the Agency**: For USEFM - FP is 06. Actual FP salary determined by Washington D.C. For local/host country nationals, starting salary will be determined based on qualification and experience, and/or salary history. All Interested Applicants / All Sources **Security Clearance...