Health Claim Adjudicator BHMS/BAMS Drs

URGENT HIRING | 30 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: 7th Floor, G Corp Tech Park, Ghodbunder Rd, Bhawani Nagar, Kasarvadavali, Thane West, Thane, Maharashtra 400615

JOB TYPE: Work From Office

Selected candidates will be based at the Thane Head Office of the leading health insurance company.

VACANCIES: 30

HIRING: Urgent

EMPLOYMENT: On-roll with Phoenix Assurance Pvt. Ltd.

SALARY: 30k to 50 k per month (Depends on experience and interview performance)

QUALIFICATION: BHMS/ BAMS/ MBBS

EXPERIENCE:

Minimum 1 year of experience in any of the following:

* Health Claim Processing

* Health Claim Adjudication

* Health Claim Investigation

* Medical Claim Assessment

KEY RESPONSIBILITIES:

* Accurate and error-free 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 assigned productivity and quality targets

* Maintain defined TAT and high accuracy standards

IDEAL CANDIDATE:

Strong medical knowledge

Good understanding of health insurance claims

Excellent analytical and document-review skills

High attention to detail

Comfortable working in a high-volume, target-oriented environment

WORKING HOURS: Rotational Shift is there between 7 AM to 12 AM for 9 Hours for Cashless Claims If Shift is after 9 PM so WFH will be provided for Particular Night Shift after 9 PM )

TRAINING PERIOD: 7 working days – Unpaid

INTERESTED CANDIDATES CAN SEND THEIR CV ON WHATSAPP POOJA HR -[phone removed]

*URGENT REQUIREMENT – APPLY NOW!*