Claim Assessor

Dear Job Seeker, At ICS Assure Services Pvt. Ltd., we are currently seeking a Claim Assessor for our operations in Mumbai. The ideal candidate for this position will have a qualification of BHMS, BUMS, or BAMS, and possess a minimum of 1 or 2 years of relevant experience. As a Claim Assessor, your main responsibility will be to develop plans and policies aimed at enhancing health cases, while also providing training on fraud prevention knowledge and awareness. You will be tasked with identifying health issues and hazards, investigating cases, and coming up with innovative solutions to handle them. Additionally, you will review evidence and documents, analyze health claims, and prepare professional reports based on synthesized data. Your role will also involve conducting investigations into fraud allegations, improving Turnaround Time (TAT) through effective strategies, and processing documentation such as POA Formulation. You will need to coordinate with clients, the health admin team, and PAN India network FOs, as well as identify various case scenarios based on diagnoses, locations of hospitals and patients, and other relevant factors. To be considered for this position, candidates must be local to Mumbai. If you meet the qualifications and are interested in this opportunity, please contact the undersigned Akshata Vaingade and share your CV along with credentials to the provided email address: akshata.vaingade@icsasian.com. You can also reach out via mobile at 9374323225. Best Regards, Akshata Vaingade SR. Executive - HR ICS Assure Services Pvt. Ltd. Kalina, Santacruz (E), Mumbai - 400098 Company Website: www.icsaspl.com,