01Overview
We are looking for a dedicated and detail-oriented Field Investigation Executive to handle on-ground verification of health insurance claims. The role involves visiting hospitals, collecting information, and identifying discrepancies or fraudulent activities in claims. Key Responsibilities Conduct field investigations for health insurance claim cases Visit hospitals/clinics to collect medical records and verify treatment details Interact with claimants, doctors, and hospital staff to gather statements Verify admission, treatment, billing, and discharge details on-site Collect supporting evidence such as photographs, documents, and statements Prepare and submit detailed investigation reports within defined timelines (TAT) Identify suspicious or fraudulent claim activities Coordinate with internal teams for updates and reporting Mandatory Requirements Own vehicle (Two-wheeler or Four-wheeler) Valid driving license Willingness to travel extensively for field work .
