Investigation Claims

5 hours 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

  • Claims Investigator

    2 weeks ago

    Navi Mumbai, India Punam Investigation Agency Full time

    We are hiring for Claim investigation freelance job, any one from medical field also can apply, we need Claim Investigator who can do investigation of Mediclaim Insurance visiting hospital and patient, who have experience One of our clients requirement in Central and Harbour line of Mumbai Dombivali, Kurla, Chembur, Thane, Kalyan, Belapur, Badlapur,...

  • Claim Investigation Officer- Mumbai

    2 days ago

    Mumbai, Maharashtra, India INCHES Healthcare Private Limited Full time ₹ 3,60,000 per year

    Position- Claim Investigation OfficerLocation - Mumbai (Kalina)Qualification- MBBS, BHMS, BAMSExperience- 1 + yearsCTC LPAJob Type: Full-timePay: From ₹30,000.00 per monthWork Location: In person

  • Insurance Claims Handler/Broker

    2 weeks ago

    Mumbai, India Swan Corp Full time

    Job Title: Insurance Claim Settlement Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 2+ years in insurance claims handling or settlement Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field. Preferred Qualification: Proficient in Hindi/Marathi Job...

  • Insurance Claim Settlement Specialist

    1 week ago

    Mumbai, India Swan Corp Full time

    Job Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking...

  • Insurance Claim Settlement Specialist

    2 weeks ago

    Mumbai, Maharashtra, India Swan Corp Full time

    Job Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking for an...

  • Claims associate- Death claims- Retail

    2 weeks ago

    Thane, Navi Mumbai, Mumbai, India Iyer's Pro-risk Business Solutions�Private Limited Full time

    Job Description Description We are seeking a detail-oriented and motivated Claims Associate to join our Retail Business for Death claims in Work from Home facility. In this role, you will be responsible for processing and managing insurance claims submitted by our customers, ensuring a smooth and efficient claims experience. Responsibilities - Review and...

  • Insurance Claim Settlement Specialist

    1 week ago

    Mumbai, India Swan Corp Full time

    Job Title: Insurance Claim Settlement Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 2+ years in insurance claims handling or settlement Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field. Preferred Qualification: Proficient in...

  • Insurance Claim Settlement Specialist

    2 weeks ago

    Mumbai, India Swan Corp Full time

    Job Title: Insurance Claim Settlement Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 2+ years in insurance claims handling or settlement Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field. Preferred Qualification: Proficient in Hindi/Marathi Job Overview: We are...

  • Insurance Claim Settlement Specialist

    2 weeks ago

    Mumbai, India Swan Corp Full time

    Job Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking for an...

  • Claim Processor

    2 days ago

    Navi Mumbai, India HIRD SERVICES PVT. LTD. Full time

    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...