Health Insurance Claims Investigator

( Male Candidates only )

Role & responsibilities

Job Description (IFD)

1. Acts as an interface between the TPA, Insurance Company and the hospital.

2. Responsible for investigation of suspicious claims.

3. Effective usage of Fraud control measures.

4. Act as a backend support to the TPA.

5. Responsible for data mining and analytics related to Fraud and Investigation (IFD)

6. MIS reporting related to fraud control and all stakeholders.

7. Should should be completely fine with doing field work (for Investigations)