Claims Specialist

3 days ago


Noida, Uttar Pradesh, India Phoenix Assurance Pvt Ltd Full time ₹ 4,00,000 - ₹ 5,50,000 per year

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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