Investigator - Jaipur

2 days ago

Jaipur, India Vidal Health Insurance TPA Private Limited Full time

**Roles and Responsibilities**

Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by claimants / providers / any other stakeholders in health insurance claims
- Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations
- Prepare and coordinate field assignments to obtain relevant evidence and information
- Coordinate with Corporate office to provide recovery strategies and use legal resources for assistance
- Manage and prioritize a large and varied case load effectively and efficiently to achieve positive result.
- Write Narrative report based on investigation conducted with evidence to support.
- Immediate joiners preferred. Science Graduates ( B.SC / NURSING / B.PHARMA ) Prior experience in a related field for at least 1 year.
- Passionate freshers are welcome.
- Answers phone calls courteously

**Salary**: ₹11,000.00 - ₹13,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

Supplemental pay types:

- Yearly bonus

Work Location: In person

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