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    Job · 20756616

    MUMBAI · FULLTIME

    Medical Claims Processor

    Phoenix Assurance Pvt Ltd

    Phoenix Assurance Pvt Ltd

    Mumbai · onsite · Posted 11d 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 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

    n

    y.
    **VACANCIES:**

    30 **HIRING:** Urg

    ent **EMPLOYMENT:** On-roll with Phoenix Assurance Pvt. L

    t

    d.
    **SALARY

    :**Depends on **experience and interview performanc

    e

    **
    **QUALIFICATION

    :**• B

    HMS• B

    AMS• M

    B

    BS
    **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

    e

    nt
    **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

    r

    ds
    **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

    i

    ronment
    **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

    u

    rance**.
    **TRAINING

    PERIOD:****7 working days –

    Unpaid**
    **INTERESTED CAND

    IDATES:**Share your updated CV on

    WhatsApp: **635

    8

    867436**
    **URGENT REQUIREMENT – APP

    L

    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

    Skills

    Health Claim Process

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