Investigator

The role involves conducting objective, fair, thorough, unbiased, and timely investigations into allegations of fraud, waste, or abuse in health insurance claims made by claimants, providers, or other stakeholders. You will review and research evidence and documents to analyze claim fact patterns, synthesize data into professional reports with recommendations, prepare field assignments, and coordinate with the Corporate office for recovery strategies and legal resources. Managing and prioritizing a large case load efficiently to achieve positive results is essential. Additionally, you will write narrative reports based on investigations conducted, supported by evidence. Desired candidates should be immediate joiners, Science Graduates (B.Sc./Nursing/B.Pharma) with at least 1 year of related field experience. Good command over English and Hindi, proficiency in Ms. Office, a presentable personality, and courteous phone etiquette are required. Passionate freshers are welcome. This is a full-time position with benefits including health insurance and Provident Fund. The work schedule is during the day with a yearly bonus. The work location is in person.,