Claims Specialist
3 days ago
QC MANAGER
Client Name: NIVA BUPA
Hiring By: Phoenix Assurance Pvt Limited
Background of the Company: We are the most preferred partner for majority of private insurance companies in major parts of India in relation to claim verification and investigation.
Job Location: Noida, Delhi
Eligibility: Bachelor's degree in a relevant field (e.g., BDS, BHMS, BAMS, BPT) [03 Vacancy]
Experience Required: 1 or 2 Years exp in Insurance Industry (MANDATORY)
Job Role & Requirements:
• Draft comprehensive claim investigation reports based on collected evidence
and investigator findings
• Review and edit reports submitted by claim investigators for accuracy,
clarity, and completeness
• Ensure all reports meet company standards and legal requirements
• Develop and implement quality control procedures for the report drafting
process
• Conduct regular audits of claim investigation reports to maintain high-quality
standards
• Identify areas for improvement in the report drafting process and implement
corrective actions
• Strong attention to detail and excellent analytical skills
• Proficient in medical terminology, disease classification, and understanding
of line of treatment
• Excellent command over English (both written and verbal)
• Advanced knowledge of computer applications, MS Office, and email
communication
• Experience in quality control or quality assurance in the insurance industry is
preferred
Job timings: 10:00 AM to 6:30 PM [Monday to Saturday]
Leave/Holiday: One Week Off, One Paid Leave Per Month
Salary: Upto 55 K (as per experience & Completion of target basis)
Joining: Immediate
Candidate must be flexible with the shift timings
Contact Team:
Pooja HR Executive
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