Claim Investigator/Senior Medical Officer

Key Responsibilities

• Verify & validate the information submitted by the Insured
• Analyze the submitted claim based on the information shared by the insured and details entered by the admin team
• Request for any information missing from the claim file via email or call
• Assess claim submitted vis--vis the coverage of the insured
• Process claims for payment on the processing system
• Co-ordinate with intra department (medical/membership) based on defined scenarios/limits
• Adjudication of claims as per benefits
• Maintain MIS in excel, Periodic reporting.
• Willing to work in Night (rotational) shifts
• 2 to 3 years experience in processing international or overseas medical claims would be an added advantage. (Preferably Male candidates with BAMS, BHMS, BDS Qualification)