Investigation Executive ( Claims investigation )

1 - 3 years

1.0 - 3.0 Lacs P.A.

Bengaluru

Posted:2 months ago| Platform: Naukri logo

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Skills Required

Fraud InvestigationInsurance ClaimsTPAClaim InvestigationHealth Insurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answering to specific trigger in reports. • Manage multiple cases with confidence and accuracy and respond well to working to meet targets and tight deadlines. • Prepare reports, maintain records and keep track of evidence trails. Address - MDIndia Health Insurance TPA Pvt. Ltd. First Floor, Lakhami Enclave, 41, Hosur Rd, near Forum Mall, Nanjappa Layout, Adugodi, Bengaluru, Karnataka 560030. Contact Number - 7030949730 ( Neha Nanoti )

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