Investigation Claims

1 day ago


Mumbai, India TopGear Consultants Full time

**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 completed as per requirement from the field investigators & share the findings with the claims team.

2. Required to visit to the hospital, for meeting the treating doctor/pathologist, for filing police complaint etc. if required.

3. To Maintain the investigation & investigator payment MIS with all the records of the investigated claims.

**Skills & Competency specifications**:
(Details of the skill required & competencies required to execute the job proficiently)

Skills required:
1. Experience of Health Claims adjudication and Health Claims Investigation.

2. Sound medical knowledge & able to identify gross medical discrepancies in the hospital records.

3. Ability to get the investigation done by the investigators/agencies as per the requirement.

4. Comfortable in intra-state, inter-state traveling for investigation purpose/filling complaints etc., if required

Role:
Other
- Salary:
Not Disclosed by Recruiter
- Industry:
Insurance
- Functional Area
Other
- Role Category
Other
- Employment Type:
Full Time, Permanent
- Key Skills

claim investigation

insurance

Investigation

claims process

Skills highlighted with ‘‘ are preferred keyskills
- Education
- UG:
BAMS in Any Specialization,BDS in Any Specialization,BHMS in Any Specialization

Company Profile
- Topgear Consultants

**One of the Leading Insurnace Company



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