4 Claims Investigations Jobs

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2.0 - 5.0 years

0 - 0 Lacs

indore

On-site

Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. Customer Interaction & Support: Communicate with policyholders, hospitals, and third-party administrators (TPAs) to explain claim decisions in a clear and professional manner. Handle escalated or complex customer service issues involving medical claims. Offer support and guidance on claim submission processes and documentation requirements. Compliance & Documentation:...

Posted 5 days ago

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3.0 - 7.0 years

0 Lacs

chennai, tamil nadu

On-site

You will be joining Reliance General Insurance as a contract Investigator based in Chennai. This role offers the flexibility of working partly remotely. Your primary responsibility will be to conduct investigations for road traffic accident claims and assess various parameters to determine the authenticity of the claims. Your tasks will include analyzing information, collecting evidence, and preparing detailed reports. This position will require you to work both in the office and remotely. - Strong investigation, analysis, and report writing skills are essential for excelling in this role. - Attention to detail and critical thinking are key attributes required for this position. - Excellent ...

Posted 2 weeks ago

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3.0 - 7.0 years

0 Lacs

chennai, tamil nadu

On-site

You will be joining Reliance General Insurance as a contract Investigator based in Chennai. This role offers the flexibility of working partly remotely. Your primary responsibility will be to conduct investigations for road traffic accident claims and assess various parameters to determine the authenticity of the claims. Your tasks will include analyzing information, collecting evidence, and preparing detailed reports. This position will require you to work both in the office and remotely. To excel in this role, you should possess strong investigation, analysis, and report writing skills. Attention to detail and critical thinking are essential attributes for this position. Excellent communic...

Posted 3 months ago

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3.0 - 7.0 years

0 Lacs

chennai, tamil nadu

On-site

Reliance General Insurance is a prominent private general insurance company operating in India, offering a diverse range of over 94 tailored insurance products to corporate entities, SMEs, and individuals. Renowned for its cutting-edge solutions such as pioneering Over-The-Counter health and home insurance policies in India, Reliance General Insurance boasts an extensive network comprising more than 200 offices spread across 173 cities. With round-the-clock customer service and full ISO 9001:2000 certification across all operational facets, the company prioritizes excellence in service delivery. As a contract Investigator at Reliance General Insurance based in Chennai, you will have the oppo...

Posted 3 months ago

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