Customer Interaction – Calling customers to provide information about health insurance policies and services. Lead Generation – Identifying potential clients and explaining available insurance plans. Follow-ups – Maintaining records of customer interactions and following up on inquiries. Complaint Resolution – Addressing customer concerns and escalating issues when necessary. Coordination with Teams – Working with internal departments to ensure smooth claim processing and policy management. Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Benefits: Health insurance Provident Fund Schedule: Rotational shift Supplemental Pay: Shift allowance Work Location: In person

Willing to travel for Audit purpose (Hospital and Insurance Company). Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance claims, or client requests. Analyzing evidence reports. Interviewing witnesses and related parties. Collaborating with industry experts. Conducting photographic and audio surveillance. Solving cases and authenticating insurance claims. Writing reports and providing clients with evidence to support their claims. Job Type: Permanent Pay: Up to ₹25,000.00 per month Benefits: Food provided Health insurance Provident Fund Experience: investigation: 1 year (Preferred) Work Location: In person Expected Start Date: 07/07/2025

Willing to travel for Audit purpose (Hospital and Insurance Company). Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance claims, or client requests. Analyzing evidence reports. Interviewing witnesses and related parties. Collaborating with industry experts. Conducting photographic and audio surveillance. Solving cases and authenticating insurance claims. Writing reports and providing clients with evidence to support their claims. Job Type: Permanent Pay: Up to ₹25,000.00 per month Benefits: Food provided Health insurance Provident Fund Experience: investigation: 1 year (Preferred) Work Location: In person Expected Start Date: 07/07/2025

Involved in analyzing reports process medical claims. Final approval of medical bills. Should have good medical knowledge eagerness to learn and implement new medical aspects. Providing quality service with in TAT. Should have good academic qualification in BHMS or BAMS. Minimum 1 years of experience. Job Type: Full-time Pay: From ₹20,000.00 per month Benefits: Health insurance Leave encashment Life insurance Provident Fund Schedule: Day shift Monday to Friday Morning shift Night shift Rotational shift Supplemental Pay: Performance bonus Yearly bonus Education: Bachelor's (Preferred) Experience: total work: 1 year (Preferred) Work Location: In person Expected Start Date: 15/07/2025

Ensuring error free processing of pre-authorization within agreed TAT (Turnaround time) by way of following the following process By entering accurate information into the application defined by the organization. Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization. Inform providers as needed and file completed precertification requests as per procedures Interacting with providers for discharge summery etc.. as and when required. Job Type: Full-time Pay: ₹20,000.00 - ₹22,000.00 per month Benefits: Health insurance Provident Fund Schedule: Rotational shift Supplemental Pay: Shift allowance Work Location: In person

Willing to travel for Audit purpose. Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance claims, or client requests. Analyzing evidence reports. Interviewing witnesses and related parties. Collaborating with industry experts. Conducting photographic and audio surveillance. Solving cases and authenticating insurance claims. Writing reports and providing clients with evidence to support their claims. Job Type: Contractual / Temporary Pay: Up to ₹15,000.00 per month Experience: total work: 1 year (Preferred) Work Location: In person Expected Start Date: 15/07/2025

Willing to travel for Audit purpose. Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance claims, or client requests. Analyzing evidence reports. Interviewing witnesses and related parties. Collaborating with industry experts. Conducting photographic and audio surveillance. Solving cases and authenticating insurance claims. Writing reports and providing clients with evidence to support their claims. Job Type: Contractual / Temporary Pay: Up to ₹15,000.00 per month Experience: total work: 1 year (Preferred) Work Location: In person Expected Start Date: 15/07/2025

Ensuring error free processing of pre-authorization within agreed TAT (Turnaround time) by way of following the following process By entering accurate information into the application defined by the organization. Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization. Inform providers as needed and file completed precertification requests as per procedures Interacting with providers for discharge summery etc.. as and when required. Job Type: Full-time Pay: ₹20,000.00 - ₹22,000.00 per month Benefits: Health insurance Provident Fund Work Location: In person

Handle inbound calls related to health insurance policies. Follow up with the internal team for Pre-Auth cases . Convince customers regarding claims . Provide Claim & Pre-Auth status to customers and hospitals. Update daily tracker for escalation teams. Guide customers on claims procedures . Provide information on corporate and individual policies . Job Type: Full-time Pay: ₹15,000.00 - ₹20,000.00 per month Benefits: Health insurance Provident Fund Language: Hindi (Preferred) English (Required) Work Location: In person

Handle inbound calls related to health insurance policies. Follow up with the internal team for Pre-Auth cases . Convince customers regarding claims . Provide Claim & Pre-Auth status to customers and hospitals. Update daily tracker for escalation teams. Guide customers on claims procedures . Provide information on corporate and individual policies . Job Type: Full-time Pay: ₹15,000.00 - ₹20,000.00 per month Benefits: Health insurance Provident Fund Language: Hindi (Preferred) English (Required) Work Location: In person

Analysis: Identification of cases for analysis from data dump and further analysis as per the requirement and arrive at the root cause and possible solution for the same. Presentation/Reporting: To provide a timely and detailed report on the analysis done Data management: Maintaining the data for all the analysis done with respect to data duration ,numbers analysed etc. Medical knowledge: To have a fair medical knowledge in order to identify the possible reasons for overriding Communication: To be able to communicate and present the analysis. The candidate should have good excel knowledge. Also, the candidate should have previous minimum 1-3 years of experience in insurance sector. Background should be a doctor. Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Health insurance Provident Fund Work Location: In person

JOB DESRCIPTION: The role involves auditing claims and preauthorization, to ensure clinical appropriateness, policy compliance, and correct system processing. It requires a strong blend of medical understanding and system knowledge to identify errors, investigate their root causes, and support in improvement of workflows. Key Responsibilities 1.Review claims and pre-auths processed to ensure accuracy in clinical decision-making and alignment with policy guidelines. 2.Audit system-generated outcomes to verify that automation logic supports correct and compliant decisions. 3.Identify deviations, mismatches, or logic failures that impact outcomes. 1. Analyze audit findings to determine whether issues stem from clinical misjudgment, system configuration, or data input errors. 2.Document root causes clearly and escalate cases where system logic correction or process improvement is needed. 3. Monitor recurring issues and contribute to preventive solutions. 1.Understand rules engines, logic flows, and automation triggers used in claims and preauth systems. 2.Validate logic changes before implementation by reviewing test cases and outcomes. 3.Provide feedback to improve system accuracy and minimize manual overrides. 1.Work closely with internal teams including medical, product, IT, and claims to align on audit findings and corrective actions. 2.Share insights and support knowledge transfer based on audit observations. 1.Maintain structured records of audit findings, types of errors, financial or process impact, and resolution steps. 2.Contribute inputs to audit dashboards and reporting tools for internal performance tracking and process evaluation. Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Health insurance Provident Fund Work Location: In person