Company Description ICS Assure Services Pvt Ltd. is dedicated to upholding justice through forensic science by providing comprehensive solutions in medical legal assistance, verification, field investigation, and forensics related to insurance claims (Life, Health, General). Serving over 10 private and public sector insurance companies, our team includes forensic experts, engineers, doctors, advocates, and chartered accountants with high expertise in core insurance investigations. We offer 360° solutions to both private companies and government sectors, solving criminal and civil cases with proficiency and accuracy. Role Description This is a full-time on-site role for a Claim Assessor located in Mumbai. The Claim Assessor will be responsible for evaluating medical insurance claims, handling communications with clients, performing thorough claims investigations, and providing accurate assessments. Daily tasks include analyzing claims details, verifying documentation, coordinating with relevant parties, and ensuring compliance with regulatory standards. Qualifications: BAMS and BHMS only Location: Santacruz East, Mumbai Experience : Minimum 1 years of expereince in Claim Investigation specially well experienced in QC cases Salary : Dependent on Interview This is complete Work From Office job. Interested candidate can share their resume on vaingadeakshata@gmail.com. Thanks & Regards, Akshata Vaingade Senior Executive HR
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,