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: -...

**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...

. The Claims Executive will be responsible for accurately and efficiently processing claims, ensuring that claims are handled in compliance with company policies and industry regulations. **Key Responsibilities**: - Receive and review claims, verifying accuracy and completeness. - Determine the validity of claims and process them in a timely manner. -...

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...

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...

**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...

Job Responsibilities: Investigate the Insurance Claims for Genuineness, as assigned. Collect Insured Statement and records from the concerned hospitals. Does proper vicinity check and collect evidences of fraud. Meet all stake holders in the claim to collect and verify documents. Do other jobs in the field as suggested by the Team Manager. Has knwloedge...

Investigate suspicious insurance claims, including those that are suspected to have stemmed from fraud, criminal activity, arson, falsified documents, or unnecessary medical procedures. - Consult hospital records. - Examine photographs and statements. - Listen to or watch audio or video surveillance. - Record data and statements in report. - Obtain...