Live opening · Posted 12 days ago

Health Claim Adjudicator

Phoenix Assurance Pvt Ltd · Thane, Maharashtra, India (On-site)

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At a glance

The key details from the original listing.

Posted 12 days ago

CompanyPhoenix Assurance Pvt Ltd

LocationThane, Maharashtra, India (On-site)

Work modeNo

Source

ListedPosted 12 days ago

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About the role

Description supplied by the original job listing.

🚨 URGENT HIRING | 20 POSITIONS 🚨
🏥 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.
We are hiring 30 Health Claim Adjudicators for a leading health insurance company.
👨‍⚕️ POSITION:
Health Claim Adjudicator
📍 JOB LOCATION:
Thane – Head Office of the Insurance Company
🏢 JOB TYPE:
Onsite / Work from Office
👉 The selected candidates will be based at the Thane HO of the leading health insurance company.
💰 SALARY: Depends Upon Interview and experience
👥 VACANCIES: 30
⚡ HIRING: Urgent
📌 EMPLOYMENT: On-roll with Phoenix Assurance Pvt. Ltd.
🎓 QUALIFICATION:
* BHMS
* BAMS
* MBBS
💼 EXPERIENCE:
Minimum 1 year of experience in:
* Health Claim Processing
* Health Claim Adjudication
* Health Claim Investigation
* Medical Claim Assessment
📋 KEY 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
📩 INTERESTED CANDIDATES CAN SHARE THEIR CV AT:
👉 6358867436 in Whatsapp
🔥 URGENT REQUIREMENT – APPLY NOW!
Phoenix Assurance Pvt. Ltd.
Trusted by the Insurance Industry for 12+ Years

Work arrangement
No

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