MUMBAI · FULLTIME
Medical Claims Processor

Phoenix Assurance Pvt Ltd
Mumbai · onsite · Posted 11d ago
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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 Adjudicato
r**
**JOB LOCATION
:****Thane – Head Office of the Insurance Compan
y**
**JOB TYPE
:****Onsite / Work From Offic
e**Selected candidates will be based at the Thane Head Office of the leading health insurance compa
ny.
**VACANCIES:**
30 **HIRING:** Urg
ent **EMPLOYMENT:** On-roll with Phoenix Assurance Pvt. L
td.
**SALARY
:**Depends on **experience and interview performanc
e**
**QUALIFICATION
:**• B
HMS• B
AMS• M
BBS
**EXPERIENCE
:**Minimum **1 year** of experience in any of the followi
ng:• Health Claim Process
ing• Health Claim Adjudicat
ion• Health Claim Investigat
ion• Medical Claim Assessm
ent
**KEY RESPONSIBILITIES
:**• Accurate and error-free health claim adjudicat
ion• Review medical records, bills, investigation reports & discharge summar
ies• Assess diagnosis, treatment, hospitalization and medical documentat
ion• Identify discrepancies, inconsistencies and potential risk/fraud indicat
ors• Follow insurance company SOPs, guidelines and quality paramet
ers• Achieve assigned productivity and quality targ
ets• Maintain defined TAT and high accuracy standa
rds
**IDEAL CANDIDATE
:** Strong medical knowl
edge Good understanding of health insurance c
laims Excellent analytical and document-review
skills High attention to
detail Comfortable working in a high-volume, target-oriented env
ironment
**WORKING
HOURS:****Rotational Shifts – 7:00 AM to 12
:00 AM** Any assigned shift will be **
9 hours**
**NIGHT SHIFT B
ENEFIT:****WFH may be provided for specific night shifts**, subject to approval/permission from the Reporting Manager of **Aditya Birla Health Ins
urance**.
**TRAINING
PERIOD:****7 working days –
Unpaid**
**INTERESTED CAND
IDATES:**Share your updated CV on
WhatsApp: **635
8867436**
**URGENT REQUIREMENT – APP
Y NOW!**
**Phoenix Assurance Pv
t. Ltd.***Trusted by the Insurance Industry for 1
2+ Years*Sourced from foundit
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Section · 02