Live opening · Posted 11 days ago

Claims Specialist

Phoenix Assurance Pvt Ltd · Thane, Maharashtra, India (On-site)
Linkedin No
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At a glance

The key details from the original listing.

Posted 11 days ago
CompanyPhoenix Assurance Pvt Ltd
LocationThane, Maharashtra, India (On-site)
Work modeNo
SourceLinkedin
Listed11 days ago

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About the role

Description supplied by the original job listing.

🚨 URGENT HIRING | 20 POSITIONS 🚨
Hiring by: Phoenix Assurance Pvt Ltd (on Role) for (Client) Aditya Birla Health
Insurance company
🏥 PHOENIX ASSURANCE PVT. LTD.
12+ Years of Excellence | Multi-State Presence | Trusted Insurance Claims Partner
Phoenix Assurance Pvt. Ltd. is a leading third-party insurance claim verification & investigation agency, associated with leading General & Life Insurance companies across India for the last 12+ years.
Head Office: 1005 - 1006 10th Floor Shilp Zaveri Building, Ahmedabad, Gujarat
380015
👨‍⚕️ POSITION: Health Claim Adjudicator
📍 JOB LOCATION: Thane – Head Office of the Aditya Birla Health Insurance Company
🏢 JOB TYPE: Onsite / Work from Office
Note: The selected candidates will be based at the Thane HO of the leading health insurance company.
💰 SALARY: ₹40,000 – ₹50,000 per month
Eligibility: BDS, BAMS, BHMS, BPT
💼 EXPERIENCE: Minimum 1 year experience in-
Health Claim Processing
Health Claim Adjudication
Health Claim Investigation
Medical Claim Assessment
📋 JOB ROLES & RESPONSIBILITIES:
* Accurate & errorless health claim adjudication
* Review medical records, bills, investigation reports & discharge summaries
* Assess diagnosis, treatment, hospitalization and medical documentation
* Identify discrepancies, inconsistencies and potential risk/fraud indicators
* Follow insurance company SOPs, guidelines and quality parameters
* Achieve daily productivity and quality targets assigned by the client
* Maintain defined TAT and high accuracy standards
🎯 IDEAL CANDIDATE:
✔️ Strong medical knowledge
✔️ Good understanding of health insurance claims
✔️ Excellent analytical & document-review skills
✔️ High attention to detail
✔️ Comfortable working in a high-volume, target-oriented environment
Job Timings: 9:30 AM to 7:00 PM
Working Days- Monday to Friday
Note: Saturday will be a working day, as per company requirement / roster decided by the Team Leader.
Joining: Immediate
Joining: Immediate
Contact Person:
HR Executive: Pooja Kumari
WhatsApp/Call for CV: 9142955670
* Shift: Rotational (WFH will be provided for Night shift, if applicable)
* Salary: ₹40,000 – ₹50,000/month, based on interview performance
* Joining: Immediate joiners preferred
Phoenix Assurance Pvt. Ltd.
Trusted by the Insurance Industry for 12+ Years

Work arrangement
No

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