Claims Investigator

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 &...

**Job description** **Roles and Responsibilities** 1. Acts as an interface between the TPA, Insurance Company and the hospital. 2. Responsible for investigation of suspicious claims. 3. Effective usage of Fraud control measures. 4. Act as a backend support to the TPA. 5. Responsible for data mining and analytics related to Fraud and Investigation...

_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 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,...

_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,...

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...

**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...

**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...

**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...

**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...

**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 on the basis of qualification and experience, and/or salary history. Current Employees of the Mission - This includes U.S. Citizen...

**Company Name -** **Healthindia Insurance TPA** **Role -** **Field Investigator** **Location****: - Mumbai** **Responsibilities**: - Daily visit to hospitals within Mumbai & Gujarat. - Collecting claim documents. - Verifying the admitted patients. **Salary**: ₹20,000.00 - ₹22,000.00 per month Work Location: In person **Speak with the...

**Job Description For Customer Support Executive (Insurance Claiming Process)** **Company Name: - Turtlemint** **Company Location: Andheri (East)** **Job Type : Full Time** **Company Profile**: **Turtlemint is an insuretech platform empowering insurance advisors **with digital tools to recommend the right **insurance products** to their clients....

**Turtlemint Insurance pvt ltd** **Job Role: Customer Support Executive ( Claim Process)** **Location : Andheri East, Mumbai** - Listen attentively to customers' inquiries, concerns, or requests and address them effectively. Provide product information, and technical support to customers. - Resolve customer complaints or issues by investigating problems,...

**Turtlemint Insurance pvt ltd** **Job Role: Customer Support Executive ( Claim Process)** **Location : Andheri East, Mumbai** - Listen attentively to customers' inquiries, concerns, or requests and address them effectively. Provide product information, and technical support to customers. - Resolve customer complaints or issues by investigating problems,...

Job Description: Car Claims Processor - Back Office - Night Shift **Responsibilities**: 1. Claims Processing: - Receive, review, and process car insurance claims in accordance with company policies and procedures. - Verify the accuracy and completeness of claim documents. - Determine claim eligibility and coverage based on policy terms. 2....