Claim Investigator

Managing Claim Investigations~ Cashless & Reimbursement - Scheduling Field Investigators through phone/mail for audits across India - Making the reports as per the Data Collected - For Cashless & Reimbursement Claims for Health Insurance Clients. Analytics: We provide clients with expert analysis to help them drive results. You will be responsible for: -...

About NaviNavi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is dedicated...

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 &...

About Navi Navi is one of the fastest-growing financial services companies in India providing Personal & Home Loans, UPI, Insurance, Mutual Funds, and Gold. Navi's mission is to deliver digital-first financial products that are simple, accessible, and affordable. Drawing on our in-house AI/ML capabilities, technology, and product expertise, Navi is...

**Desktop Investigation** - Trigger identification through data at intimation/Referral stage - Social media searches - Cold calling using digital platforms - Identify key business people, link analysis **Claim Investigation** - Allocation of assigned claims to respective vendors with case relevant triggers - Follow up for IR and TAT management - Level 1 QC...

one of our client have the required in the above locationJob Type: Part-timeSalary: ₹9, ₹15,000.00 per monthAbility to commute/relocate: Boisar, Thane, Maharashtra: Reliably commute or planning to relocate before starting work (required)Experience:- total work: 1 year (preferred)Speak with the employer

**Opening for** - Claim Executive **Location** - Thane **Qualification **- Any Graduate **Experience** - 2 to 5 years **Salary** - Negotiable **Employment Type**: Full Time, Permanent **Roles and Responsibilities: - ** 1) facilitate insurance claims. 2) Handle high-volume claim processing, including document review, data entry, and...

**Location**: Thane **Qualification**: Any Graduate **Experience**: 2 to 5 years **Salary**: Negotiable **Employment Type**: Full Time, Permanent **Roles and Responsibilities**: - Facilitate insurance claims. - Handle high-volume claim processing, including document review, data entry, and investigation. - Research, analyze, and resolve claims and...

We are hiring for Mediclaim Insurance Investigation Freelance job, anyone from Medical field also can apply one of our client is looking staff in Akluj **Job Type**: Freelance **Salary**: ₹9,000.00 - ₹15,000.00 per month Ability to commute/relocate: - Akluj, Solapur, Maharashtra: Reliably commute or planning to relocate before starting work...

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 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,...

We are hiring for Mediclaim Insurance Investigation Freelance job, anyone from Medical field also can applyone of our client is looking staff in AklujJob Type: FreelanceSalary: ₹9, ₹15,000.00 per monthAbility to commute/relocate: Akluj, Solapur, Maharashtra: Reliably commute or planning to relocate before starting work (required)Experience:- total work:...

**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...

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...

**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...

Key Responsibilities: - Claim Processing: - Receive and review insurance claims submitted by clients. - Verify policy coverage, ensuring accuracy and completeness of information. - Assess the validity of claims based on policy terms and conditions. - Investigate claims by gathering necessary documentation, statements, and evidence. - Collaborate with other...