01Key Responsibilities
- Conduct hospital, claimant, and residence visits for cashless and reimbursement claims
- Verify patient identity, hospitalization, treatment, and discharge details
- Collect geo-tagged photos, documents, and statements as per SOP
- Submit clear and factual visit reports within defined TAT
- Identify and escalate fraud or risk indicators with evidence
- Coordinate with hospital staff, doctors, and billing teams
- Interact professionally with insured members while maintaining confidentiality
- Adhere to IRDAI guidelines, internal SOPs, and data privacy norms.
Qualification & Experience:
Graduate with 2+ years experience in health insurance claims, TPA, or hospital coordination. Knowledge of medical terminology and hospital processes is an advantage.
Skills & Competencies:
Investigation skills, attention to detail, solid communication, integrity, ability to work independently, and proficiency in smartphone-based reporting tools.
* Interested candidates please share your updated cv to mail id : or what's app : 8919254006. .
