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    Job · 20979029

    MUMBAI · FULLTIME

    Medical Claim Processor- Aditya Birla

    Phoenix Assurance Pvt Ltd

    Phoenix Assurance Pvt Ltd

    Mumbai · onsite · Posted 9d ago

    Sourced fromFoundit
    Not disclosed1–3 yrsfulltimeMumbai

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    Section · 01

    About this role

    **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:**

    **Thane – Head Office of the Insurance Company**

    **JOB TYPE:**

    **Onsite / 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 50k Its Totally

    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 Shifts – 7:00 AM to 12:00 AM**

    Any assigned shift will be **9 hours**

    **NIGHT SHIFT BENEFIT:**

    **WFH may be provided for specific night shifts**, subject to approval/permission from the Reporting Manager of **Aditya Birla Health Insurance**.

    **TRAINING PERIOD:**

    **7 working days – Unpaid**

    **INTERESTED CANDIDATES:**

    Share your updated CV on WhatsApp:

    **[phone removed]**

    **URGENT REQUIREMENT – APPLY NOW!**

    **Phoenix Assurance Pvt. Ltd.**

    *Trusted by the Insurance Industry for 12+ Years*

    Sourced from foundit

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    Section · 02

    Skills

    Health claim adjudicationHealth Claim InvestigationHealth Claim ProcessingMedical Claim Assessment

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